Describe the authorization request
Request complexity, documentation status, payer turnaround history, and denial history are each scored for delay risk.
PRIOR AUTHORIZATION RISK
Enter a prior-authorization request's complexity and payer timeline to get a calculated delay-risk score and follow-up plan.
Planning guidance only. Validate important decisions with customer evidence and your delivery team.
YOUR INPUTS
Complete every field. The result updates only when you choose Calculate.
Request complexity, documentation status, payer turnaround history, and denial history are each scored for delay risk.
Signals are summed and boosted when the service is needed soon, since a tight timeline compounds any existing risk.
The recommended actions match the risk level, from routine submission to same-day expedited follow-up.
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No. It's a quick scoring aid to help staff prioritize which requests need urgent attention before submission — it does not connect to any payer system or your existing prior-auth tracker.
From what you enter about that payer's typical historical turnaround. This tool doesn't look up real-time payer data — it's a structured way to apply what your team already knows.
The same complexity and documentation gaps matter far more when there's little buffer before the service date. The urgency boost reflects that without needing a precise prediction model.
No. Prior Auth Desk is an operational and administrative planning aid only. It does not diagnose, does not determine medical necessity, does not perform real record extraction or automatic submissions, and does not store or transmit any real patient data — every calculation runs client-side in your browser with no backend.
| Feature | MVPHub | Availity | Waystar |
|---|---|---|---|
| Quick single-request delay-risk check | Included | Limited | Limited |
| Timeline-urgency scoring | Included | Not included | Not included |
| Full payer-connectivity and e-submission | Not included | Included | Included |
| Automated authorization status tracking across payers | Not included | Included | Included |
Availity and Waystar connect directly to payer systems to submit and track authorizations at scale. Prior Auth Desk gives front-desk and admin staff a fast, standalone way to flag which requests need urgent attention before they're submitted.
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