Prior auths that chase themselves.
Authorizations turns prior auth from a fax-and-phone ordeal into a pipeline. The rejection starts the request automatically, the clinical record attaches itself, and every open auth stays visible, ageing and escalating until it resolves.
Six states. The dangerous one is the fourth.
| State | Ages on | What is happening |
|---|---|---|
| Detected | Minutes | Adjudication returned "authorization required". The request opened itself. Nobody had to notice. |
| Assembling | Same day | The clinical information payers ask for is pulled from the record it is already in. |
| Submitted | Tracked | Sent electronically with attachments. The clock starts and is visible to everyone. |
| Stalled | Your rule | No payer movement inside your threshold. It escalates rather than ageing quietly. |
| Approved | Until expiry | Recorded with its expiry date, which becomes the next thing the system watches. |
| Expiring | Ahead of refill | Surfaced before the next fill is due, so coverage never lapses between deliveries. |
A stalled request is not a status anyone chooses. It is what a request becomes when the person tracking it in their head got busy, which happens every day in every pharmacy, and it is why the escalation has to belong to the system rather than to a person.
Every stalled prior auth is a patient deciding not to come back.
Someone has to notice the rejection, dig out the form, chase the prescriber, submit, then remember to follow up. Every day it sits, the odds grow that the patient abandons the therapy and the fill never happens. The cost is not just staff hours. It is the prescription that quietly walks away.
Authorizations, in practice.
Started by the rejection itself
The moment adjudication says authorization required, the workflow opens. Nobody has to notice anything.
The paperwork assembles itself
The clinical information payers ask for is mostly already in the record. It attaches automatically instead of being re-gathered by hand for every request.
Every request visible, no phone calls
One board shows every open auth, how old it is, and where it stands. Stalled requests escalate on your rules instead of dying in silence.
Renewals before the lapse
Expiring authorizations surface ahead of the refill, so patients never arrive to find their coverage quietly expired.
Abandonment does not appear in any report you run.
A denial is at least a number you can count. A patient who waited nine days, stopped calling and never came back leaves no record at all, which is why prior auth gets managed as a staffing cost rather than as a revenue leak. The fill that never happened is invisible in every system you own, and it is usually the larger of the two numbers.
Already connected? Authorizations was a switch, not a project.
Every product runs on the same event spine. Turning one on starts it working on data that is already flowing, which is why there is no second onboarding and no second integration bill.
See Authorizations on your own data.
Thirty minutes. We connect one facility read-only, replay your recent events, and show you what Authorizations finds. Your numbers, not a demo dataset, and credentials you can revoke when we are done.