Everything you need to know about how Pre Auth Health works, what it does, and how it protects your organization.
Compliance and Security
Pre Auth Health is built on a HIPAA-aligned architecture, designed with compliance as its foundation, not an afterthought. While your subscription is active, prior authorization records are stored for up to 10 years to support claw-back protection and audit requirements. Your organization has the documentation it needs if a payer or CMS audits past authorizations years after the fact. If you cancel, export your records first. Account data is deleted 30 days after a cancellation or an expired trial.
Record storage of up to 10 years is built in for active accounts. No configuration required.
No. Patient health information never enters the AI. The AI receives only the denial reason and the relevant CMS guideline. PHI stays entirely within your staff's workflow. This is not a policy - it is a structural design decision built into the platform architecture by design. It is structurally impossible for PHI to cross into the AI layer.
PHI-free AI is not a setting you turn on. It is how the platform is built.
How It Works
Pre Auth Health works with the payer fax workflows you already use. Your staff completes the authorization through the guided platform workflow, exports a complete PA packet, and faxes it to the payer. No payer portal login required.
Pre Auth Health manages the full denial and appeal process. When a denial comes through, the platform generates an appeal argument grounded in the specific CMS guideline relevant to the denial reason. A staff member reviews and connects that argument to the patient record before submission. Every step is tracked and documented. The AI handles pattern recognition. The human makes the final call.
Only 7% of Medicare prior auth denials are ever appealed - yet 80% of those appeals are overturned. Pre Auth Health makes appealing the default, not the exception.
Yes. Patient notification is built into the standard workflow. When authorization decisions are made, the platform supports notifying patients as part of the process - keeping patients informed without adding manual steps for your staff.
Deadline tracking is built into the full authorization lifecycle. The platform monitors where each prior authorization is in the process and surfaces pending deadlines so nothing falls through the cracks. Every authorization in flight is visible from one centralized dashboard.
Who It Is For
Pre Auth Health is built for skilled nursing facilities, private clinics, rural healthcare providers, and RCM companies managing Medicare prior authorization workflows. It is designed to handle high-volume, multi-payer environments where documentation accuracy, deadline tracking, and denial management are operationally critical.
Pre Auth Health manages the complete Medicare prior authorization lifecycle in one platform - from guided submission and deadline tracking through denial management, AI-assisted appeal generation, and patient notification. Key differentiators:
- PHI-free AI architecture built by a cybersecurity professional
- Human supervision at every step - the AI supports, staff decides
- Guided workflow that walks your staff through each step
- Up to 10 years of record storage for active accounts, for claw-back protection
- Built specifically for Medicare Advantage workflows, not adapted from general billing tools
Getting Started
Pre Auth Health is available now. Create your account by December 1, 2026 to get a 30-day early access trial in exchange for your feedback. If you prefer not to take part, you can choose the standard 14-day free trial instead. After December 1, all new accounts start on the 14-day trial. No credit card is required to start. Visit app.preauthhealth.com to create your account and start your free trial in minutes. For SNFs, RCM companies, or larger organizations that prefer a guided onboarding, contact us at contact@preauthhealth.com to schedule a walkthrough.
Your team gets direct support from day one. No implementation manuals required.
Pre Auth Health starts with a free trial: 30 days for early access accounts created by December 1, 2026 that agree to share feedback, or the standard 14 days. Early access accounts that move to a paid plan keep 10% off the monthly plan price for as long as the subscription stays active. Paid plans start at $149/month for the Starter plan, which includes 50 PAs and 5 appeals per month. Growth ($399/mo) and RCM Flat ($699/mo) plans are available for higher-volume practices and RCM companies. All plans include full access to the prior authorization workflow, denial tracking, and AI-assisted appeal generation.
No credit card required to start your free trial. Just create an account and go.
Pre Auth Health is designed so staff submits correctly from day one - no lengthy training calls or implementation manuals required. The guided workflow walks staff through each step of the prior authorization process, which means your team can start submitting accurately from the first authorization.
Still Have Questions?
Reach out directly and our team will get back to you. We are happy to walk through how Pre Auth Health fits your specific workflow.