Your patient data stays with you. All clinical information is stored in your encrypted Azure environment and never sent to our AI. The AI receives only structured denial codes and CMS guidelines.
High-volume, complex PA workflows across multiple payers and care levels. Pre Auth Health gives your billing team a single place to manage every authorization from submission to appeal.
Enterprise-grade prior authorization management without the enterprise price tag. Built for small teams where one person handles billing, tracking, and appeals all at once.
Manage prior authorizations across multiple facilities and clients under one subscription. Centralized tracking, denial patterns, and appeal generation across your entire book of business.
Rural clinics and SNFs face the highest administrative burden with the fewest resources. Pre Auth Health is self-service, affordable, and requires no IT team. Built for communities that cannot afford to lose a single reimbursement to a preventable denial.
All plans are set up with hands-on onboarding. Schedule a demo to get started.
Complete authorization lifecycle managed in one unified dashboard
AI-assisted documentation support, with every step reviewed and overseen by your staff
Seamless fax submission supporting existing payer workflows and requirements
Open-box SaaS designed for high-volume healthcare operations and growth
Streamlined workflows reduce administrative overhead for care teams
Accelerated processing supports timely access to care
Real-time visibility into authorization status and outcomes
Comprehensive documentation supports successful appeal outcomes
See how Pre Auth Health manages the full prior authorization lifecycle from submission to appeal in under two minutes.
Valerie Williams is the Founder and CEO of Pre Auth Health. With experience on both the payer and provider side of Medicare Advantage, she understands what breaks the system from every angle. As a patient herself, she built Pre Auth Health because she knows what is at stake when the infrastructure fails.
Platform live and delivering results for healthcare partners across our service areas
Expanding partnerships with clinics, SNFs, and rural health systems
Raising seed investment round to accelerate growth
Open-box SaaS architecture built for enterprise deployment
I've taken over 10,000 Medicare Advantage calls. I know what it sounds like when a patient finds out their procedure was denied. The problem was never prior authorizations themselves. It was that nobody built a system that made them work the way they were supposed to. So I built one. But first I had to solve two things that terrify me about AI in healthcare: patient data exposure and hallucinations.
As of March 31, 2026, CMS now requires Medicare Advantage plans to publicly report prior authorization denial rates, appeal overturn rates, and decision timelines every year. For RCM companies and skilled nursing facilities, this is not just a policy update. It is a direct signal that your prior authorization workflow will face increased scrutiny. Here is what you need to know and how to prepare.
Only 7% of Medicare prior authorization denials are ever appealed. Of those, roughly 80% are overturned. That means the vast majority of denied claims that get challenged are found to be wrong. This is not a patient problem or a provider problem. It is a systemic infrastructure problem, and it is exactly the problem Pre Auth Health was built to solve.
Interested in learning more about Pre Auth Health? Reach out to discuss how our platform can support your organization, explore partnership opportunities, or connect with our investment team.