Stop losing hours to prior auth paperwork
Your staff spends 35+ hours a week on prior authorizations — assembling documents, waiting on hold, resubmitting denied requests. Agentman's Prior Authorization Agent handles it end-to-end: detection, documentation, submission, and tracking.
The Problem
Prior auth is where patient care goes to wait
Every delayed authorization means a patient waiting for treatment they need. Your staff chases paperwork instead of helping patients, and one in three requests gets denied anyway — usually for preventable reasons.
per week spent on prior auths per practice
Staff spend hours on hold, faxing forms, and chasing approvals. For specialists, prior auth is the single biggest administrative burden — and it's getting worse every year.
of prior auths are initially denied
One in three authorization requests gets denied on first submission — usually due to missing documentation, wrong forms, or incomplete clinical justification. Each denial means starting over.
annual cost per physician for prior auth staff
Between dedicated staff time, physician involvement for peer-to-peer reviews, and delayed or abandoned treatments, prior authorization is one of the most expensive administrative processes in healthcare.
Before & After
What changes when prior auth runs itself
Your team still handles complex cases and peer-to-peer reviews. The difference: routine authorizations flow through automatically with complete documentation.
Staff spend 45+ minutes assembling documents per auth request
Agent compiles complete auth packages in under 2 minutes
Hours on hold with payer authorization departments
Electronic submissions with automated status tracking
Denials from missing documentation or wrong forms
Payer-specific requirements checked before submission
Physicians pulled from patient care for peer-to-peer calls
Strong clinical justification reduces P2P requests by 40-60%
Patients wait days or weeks for treatment approval
Routine authorizations completed in 48-72 hours
What the Agent Does
End-to-end authorization automation
Not a portal. An agent that detects auth requirements, assembles clinical documentation, submits to payers, and tracks through approval.
Automatic Auth Detection
Identifies when a procedure, medication, or referral requires prior authorization based on the patient's specific plan and payer rules — before you even start the order.
Clinical Documentation Assembly
Automatically pulls relevant clinical notes, lab results, imaging reports, and medical history to build a complete authorization package that meets payer-specific requirements.
Payer-Specific Form Completion
Maps clinical data to each payer's unique form requirements. Handles the differences between UnitedHealthcare, Anthem, Aetna, and dozens of other payers automatically.
Medical Necessity Justification
Generates clinical justification narratives aligned with payer criteria, LCD/NCD policies, and evidence-based guidelines. Reduces peer-to-peer review requests.
Status Tracking & Follow-Up
Monitors authorization status across all payers in real time. Automatically follows up on pending requests and escalates approaching deadlines.
EHR & PM System Integration
Works within your existing workflow — no new portals to learn. Auth status syncs back to your EHR and practice management system automatically.
Expected Results
Numbers that matter to your bottom line
Faster auth processing
From days of back-and-forth to hours with automated documentation and electronic submission
Fewer initial denials
Complete documentation packages with payer-specific requirements met before submission
Annual savings potential
Reduced staff time, fewer denied treatments, and faster time-to-care for patients
Routine approval turnaround
Automated submissions with real-time tracking eliminate the phone-chase cycle
Note: Results vary by practice size, specialty, and payer mix. Ranges based on industry benchmarks and early deployment data.
Why Agentman
Not another portal. An agent that does the work.
Most "prior auth solutions" give you a dashboard to track requests you still have to manage. Agentman agents detect requirements, compile documentation, submit requests, and follow up — so your staff doesn't have to.
Agents, Not Dashboards
Our agent doesn't just track authorizations — it completes them. From detecting the requirement to assembling documentation to submitting the request, the agent handles the entire workflow.
Human-in-the-Loop, Always
Complex cases and peer-to-peer reviews always involve your clinical team. The agent handles routine authorizations and escalates anything that needs physician judgment.
Battle-Tested in Production
24 months building AI agents for healthcare. We know the difference between a demo that impresses and a system that survives contact with real payer requirements.
Part of a Full Suite
Prior auth is one of eight RCM agents
From eligibility verification to denial recovery, Agentman automates the entire revenue cycle. Prior authorization removes the biggest bottleneck — but the full suite is where real savings compound.
See All RCM AgentsReady to eliminate the prior auth bottleneck?
See exactly how the Prior Authorization Agent handles your specialty's workflow. 30-minute demo tailored to your practice.
No credit card required · 2-week implementation · Cancel anytime