Prior Authorizations
Auth approvals without the paperwork marathon
Prior authorization is one of the biggest sources of provider burnout and care delays. IntellusMD determines whether a service requires authorization, gathers the supporting clinical documentation, submits to the payer through the right channel, and follows up automatically until you have a decision — keeping patients and staff informed the whole way.
Capabilities
What it does
Everything you need from Prior Authorizations, working out of the box and tuned to your practice.
- Auto-detects when a procedure or Rx needs authorization
- Assembles payer-specific clinical evidence packets
- Submits via portal, fax, or payer API
- Automated status tracking and follow-up
- Proactive alerts for expiring or denied auths
- Appeal drafting support for denials
Common questions
Does it work across payers?
Yes — IntellusMD maintains payer-specific rules and submission channels, so the right documentation goes to the right place every time.
What about denials?
The system flags denials immediately and can draft appeal letters with the relevant clinical justification for your team to review and send.