Cut Prior Auth Time
From 2 Hours
to 4 Minutes

Stop losing revenue to auth delays and staffing headaches. Our electronic prior authorization software handles submissions, status checks, and updates without touching your EHR backend or requiring an IT project.

$1.16M+
Revenue recovered
in 6 months
46K+
Staff hours saved
annually
9%
Eligibility denial rate
(down from 32%)
34%
Q1 revenue
increase
The Prior Auth Problem

Your Team Shouldn't Be
Spending Hours on Hold

Prior authorization requirements are increasing. 90% of providers report more auth demands than ever. Meanwhile, you're stretched thin and leaving revenue on the table every week.

Hundreds of Staff Hours Monthly

Each auth takes 18+ minutes on average. That is time that should go to patients, not payer portals.

Revenue Leakage from Preventable Denials

Auth-related denials are the most preventable and the most expensive to appeal after the fact.

Staffing Crisis Is Real and Worsening

Turnover costs 50% to 200% of salary and resets institutional knowledge you spent years building.

Implementation Timelines That Hurt

Other vendors promise 6 to 12 months to go live. Your margin pressure can't wait that long.

Integration Complexity Your IT Can't Afford

API projects require custom development and endless testing before you see a single automated auth.

Payer-Specific Complexity at Scale

Every payer has different forms, portals, and requirements, and they change constantly without warning.

Prove at Scale

Prior Authorization Automation
Built by RCM Experts

We chased authorizations through payer phone trees for 28+ years. That experience, not a product roadmap, decided how this automation behaves.

Approval Rate
96%
380Auths / day
1,800Payer rules

Approves every fightable PA.

AI agents determine requirement, gather clinical documentation, submit packets, and track status across 1,800+ payer rules.

PA Categories
94%
Inpatient
Outpatient
Specialty
Inpatient92%
Outpatient96%
Specialty93%

Inpatient, outpatient, specialty.

CPT-by-CPT routing across payers. Recurring visit auths (PT/OT/wound care) tracked with proactive renewals.

PA Speed
87% faster
Manual
~30 min
Innobot
~4 min

From request to approval, in minutes.

AI agents complete payer forms, attach clinical docs, submit via portal or e-fax, and check status every 24 hours.

Auth Performance
96%
First-submission approval
Days to auth7 → 1
Approval rate72% → 96%

Care that doesn't wait on payers.

Approval up 24 points. Days-to-auth cut 86%.

AI Alerts
36rule changes/wk

AI catches payer rule changes fast.

Track PA requirements by payer, CPT, and plan. AI flags rule changes the same day they hit, so authorizations don't get rejected on yesterday's logic.

Update · UHC oncology PA · New documentation required
Missed or caught late
Caught same day
Proven Results

AI Prior Authorization
Healthcare Teams Trust

Authorization work is where our team came from. Turnaround times usually improve measurably within 90 days.

Case Study · 001
Featured
Epic EHRAcademic Health System8 Weeks

Large Academic Health System, Southwestern U.S.

A major academic medical center had 829 credit balance work queues with over $57 million sitting unresolved, some for over 7 years. A competing automation vendor spent 14 months trying to build a solution without success. Innobot delivered a working automation in just 8 weeks and cleared all queues within 90 days.

$57M+
Credit balances resolved
within 90 days
8 Wks
To production vs. competitor's
14 months of failure
829
Work queues cleared,
some 7+ years old
$0.06
Cost per automated touch
vs. $18+/hr manual

"We sat on hold with payers long enough to know exactly where authorizations stall. The automation is built around those failure points."

Why Innobot for Prior Authorization

From 7 days to 1
per authorization.

Physicians complete 24 prior authorizations per week and 88% call PA burden high or extreme. Industry-average turnaround sits at 7 days, while automated workflows hit same-day approval. We didn't build prior authorization from a vendor pitch deck. We've run revenue cycle operations from the front desk to VP, and we've watched the same payer rule changes, missing documentation, and recurring-visit denials delay care month after month. PA automation closes the 86% turnaround gap and lifts approval rates 24 points within 90 days, and that's what we tune for.

28+
Years in Revenue Cycle
250
Hospital System Managed
99%
First-Pass Approval Rate
28+ Years Revenue Cycle250-Hospital System

RCM Expertise First

Our founder has 28+ years in revenue cycle management. We understand auth workflows, payer behavior, and denial patterns before writing a single line of automation code.

EP
Epic Connector
• Configured
AV
Availity Handler
• Configured
UH
UnitedHealth
• Configured
CE
Cerner Bridge
• Configured

"Build-a-Bear" Customization

Pre-built components for 800+ payers and major EHRs. Assembled to your workflows. You own the source code, not a black-box SaaS subscription.

Implementation Timeline
W1
W2
W3
W4
W5
W6
W7
W8
6 to 8
Weeks
to Go-Live

6 to 8 Week Implementation

Not 6 to 12 months. We customize rather than create from scratch. Your margin pressure cannot wait a year.

innobot-auth-agent · session active
$Connecting via RDP to client environment...✓
$Launching Epic Hyperspace session...✓
$Submitting auth #PA-8847 to Aetna portal...✓
$No API. No IT queue. No EHR project.

No Integration Required

AI agents work like your best employees. They log in via RDP/VPN, not API. No Epic IT projects, no Cerner change orders, no 6-month IT queues holding you back.

UnitedHealthcare
Aetna
Cigna
Humana
Availity
Optum
PaySpan
NaviNet
UnitedHealthcare
Aetna
Cigna
Humana
Availity
Optum
PaySpan
NaviNet
BCBS Illinois
Anthem
CareFirst
Molina Health
WellCare
Centene
Medicare MAC
Medicaid
BCBS Illinois
Anthem
CareFirst
Molina Health
WellCare
Centene
Medicare MAC
Medicaid
Oscar Health
CVS / Aetna
TRICARE
Kaiser
Magellan
Evicore
AIM Specialty
800+ More
Oscar Health
CVS / Aetna
TRICARE
Kaiser
Magellan
Evicore
AIM Specialty
800+ More

800+ Payers Pre-Mapped

Availity, Optum, PaySpan, Navinet, all Medicare MACs, every major commercial payer. We have alreadyautomated to them. We just configure for your accounts.

+32%
Day 30
+61%
Day 60
+94%
Day 90
Positive ROI in 90 Days

Proven ROI in 90 Days

Our ROI calculator shows exact savings before you sign. Most clients see positive ROI within 90 days of go-live. We'll prove it before you commit.

Get Started

Ready to Stop Losing Revenue
to Authorization Delays?

See exactly how much time and money you could recover. Our team will build a custom ROI analysis for your volumes. No commitment required.

FAQ

Common questions about automated prior authorization

How does automated prior authorization software work without integrating into our EHR?

Our AI agents access your systems through RDP or VPN, exactly like an employee would. They log in to Epic, Cerner, Meditech, or your PM system, run reports of upcoming appointments, navigate to payer portals, complete authorization forms, and update patient accounts. No API integration, no backend access, no IT projects. Faster implementation and zero risk to your EHR stability.

What EHR systems does your electronic prior authorization software work with?

We work with Epic, Cerner, Meditech, NextGen, eClinicalWorks, athenahealth, AdvancedMD, ModMed, Net Health, WebPT, and dozens more. Because our AI agents work at the UI level rather than through APIs, we can automate in virtually any system your team can access. We have already built frameworks for the major platforms, so implementation is customization, not creation from scratch.

What happens when payer portals change or update their systems?

We handle it. Our team monitors payer portal changes proactively and updates automations as needed, often before you even notice an issue. When UnitedHealthcare made major auth changes last year, we had updated automations ready for our clients within days. Ongoing maintenance is part of our service.

Can AI prior authorization automation handle complex cases and exceptions?

Yes, with intelligent routing. Our AI agents handle 85-95% of straightforward authorizations automatically, freeing your team to focus on complex cases that need human judgment. When an AI agent encounters an exception, it routes to your team with all relevant details and documentation already gathered.

How do you calculate ROI for prior authorization automation?

Simple math: volume x time saved x cost per hour. If you process 5,000 authorizations monthly at 18 minutes each, that is 1,500 hours. At $18/hour fully loaded cost, that is $27,000/month in labor plus revenue protected from prevented denials. We will build a custom ROI calculator for your volumes before you sign. Most clients see 3-5x ROI within the first year.

Why should healthcare organisations invest in prior authorization automation?

Automation saves time, reduces errors, shortens turnaround times, and lowers operational costs. By streamlining repetitive tasks and payer communication, practices achieve faster approvals and fewer patient care delays. Automation lets your team focus on high-value work while AI agents handle the volume.

What features should I look for in prior authorization software vendors?

Look for seamless EHR integration, real-time status tracking, automated form population, built-in payer rules, analytics dashboards, and AI-driven automation capabilities. Beyond features, evaluate implementation speed (weeks vs. months), maintenance model (who handles payer portal changes?), and transparency into AI agent performance. A vendor who can show you live automation is a vendor who has actually built it.