Your patient data never leaves your environment. The AI sees only structured denial codes and CMS guidelines, never PHI. You keep the final say on every step.
Early access through December 1. No credit card, no contract, no sales call.
From facilities to suppliers to the teams billing on their behalf. Wherever prior authorization creates friction, Pre Auth Health handles all of it.
High-volume, complex PA across multiple payers and care levels, from submission to appeal, in one place.
Authorization management for a small team, where one person is often handling all of it.
The most sensitive PHI there is, and your clinical data never reaches our AI. Automation without the exposure.
Advanced imaging runs through radiology benefit managers with the strictest criteria in Medicare. Match the requirement before you schedule, not after the denial.
Face-to-face, Notice of Admission timing, and OASIS, tracked per episode, with appeals built without adding staff.
Written orders, proof of medical necessity, exacting codes, caught before the denial, not after.
RSNAT and stretcher medical-necessity documentation, tied to every authorization.
The highest administrative burden with the fewest resources. Self-service, affordable, no IT team required.
Higher PA and appeal volume for teams working authorizations on behalf of providers. Centralized tracking and appeals in one place.
Prior authorization has been part of Medicare for a long time. It was always work, but a practice could keep up with it. That has changed. Payers have put AI and automation into the process, and they can pend and deny far more than before, with fewer people actually reviewing what goes out. Requests sit, decisions stall, and the practices on the other end are left keeping up by hand. Private practices and smaller organizations feel it the most.
The average Medicare beneficiary can choose from 39 Medicare Advantage plans, so one practice may be working across dozens at a time, each with its own rules and portal.
Most denials are never appealed. The ones that are usually get overturned, which tells you how many were wrong from the start.
Medicare Advantage, Marketplace, Medicaid, and CHIP managed care plans are now required to publicly report denial rates, appeal overturn rates, and decision timelines every year. For SNFs, clinics, and RCM companies, your PA workflow is no longer only an operational concern. It's a matter of public record. Pre Auth Health is built to help you meet it.
There are tools that handle prior authorization. Most are built by large companies and priced for hospital systems, not for private practices and smaller teams. Pre Auth Health does the same work those systems do. It's built for the person handling the authorizations, and it's simple to use. Your staff already has a full day, and this isn't one more complicated system to learn.
It won't replace your staff. The AI handles the busywork, but a person on your team makes the final call before anything goes out. That takes the daily weight off the people you already have, eases the burnout, and helps the practice run smoother.
We keep it affordable on purpose. A low price doesn't mean a lesser product. We built this to fix a real problem for the people living with it, and we priced it so they can actually afford to use it.
Every authorization moves through the same clear path, and your team reviews and approves each step along the way.
Every authorization, from the first request to the final answer, in one view.
The heavy lifting is automated. Your staff approves every decision.
Works with the payer fax workflows you already use.
Built to keep up whether you're one office or managing many.
I've worked the payer side of Medicare Advantage, and I've been the patient on the other end of a denial. I've taken over 10,000 Medicare Advantage calls. I know what it sounds like when someone finds out their care was denied and has no idea they were even allowed to fight it.
Then I talked to the offices doing the work: doctors, clinics, RCM teams. Most didn't know they could verify the exact criteria Medicare uses for a CPT code, or that a denial could be appealed at all. The process got so complicated that the people who suffer most are the ones who can least afford it.
I want small practices to stay independent, and patients to get the care they were already owed.
Every practice that stays independent and every patient who gets treated is Pre Auth Health doing its job.
Less administrative overhead for the people delivering care.
Faster, cleaner submissions mean timelier access to care.
Real-time visibility into every authorization's status and outcome.
Documentation built to hold up when you challenge a denial.
Early access: start free for 30 days instead of our standard 14. Pick a plan when you're ready, change or cancel anytime.
Plain-English takes on Medicare policy, prior authorization, and what's changing for the providers who live with it.
Why I built AI into a healthcare platform, and why I almost didn't. First I had to solve the two things that terrify me about AI in healthcare: patient data exposure and hallucinations.
As of March 31, 2026, CMS requires MA plans to publicly report denial rates, overturn rates, and decision timelines. Here's what it signals, and how to prepare.
Only 11.5% of denials are ever appealed, and most of those get overturned. The pattern points to a systemic problem.
Book a 30-minute demo and we'll walk through your own workflows. No forms, no wait. Or reach out about a partnership, the press, or anything else.
Book a 30-minute demo