Attergo Authorizations
Prior auth without the retyping or the phone calls.
The rejection opens the case, the payer's own checklist attaches itself, and every open authorization stays in front of you until it resolves.
Where it breaks today
The same facts, typed again
Diagnosis, medication history, prior therapies, prescriber details. All of it is in your system already. None of it is on the form.
It disappears into a portal
Once it is submitted, status is something you find out by calling. Or by the patient calling you.
The clock runs where nobody can see it
Turnaround windows and appeal deadlines change by payer, and they are written down nowhere the pharmacist can see.
The software
Sample data from a demo account. Not customer results.
How it works
The claim comes back rejected with a code that means prior authorization. The case opens itself, with the drug, the plan and the clock already on it. Nobody has to spot anything.
Then the rule for that payer and that product attaches the checklist: which diagnosis code, which prior therapy, which chart note or lab result that plan actually asks for. Your pharmacist works a known list instead of guessing at a form.
It goes out on whichever channel the plan supports and the decision lands back in the queue on its own. Every approval carries its expiry date, so a lapsed authorization is never a surprise at the counter.
Connected products
| Billing | Clears the authorization before the claim is filed |
| Margin | Says which authorized fills still lose money |
| Audit | Keeps the approval letter with the claim |
| Intelligence | Reports how each payer decides, and how long it takes |
Week one
Connect one store. We will tell you what the month cost you.
Read-only credentials you can revoke. We come back with the fills that went out under cost, the services you could have billed, and the fills an auditor would ask about.