PRIOR AUTHORIZATION RISK

Prior Auth Desk

Enter a prior-authorization request's complexity and payer timeline to get a calculated delay-risk score and follow-up plan.

  • Uses your inputs in a transparent calculation
  • Instant result with practical next steps
  • No signup required

Planning guidance only. Validate important decisions with customer evidence and your delivery team.

How it works

1

Describe the authorization request

Request complexity, documentation status, payer turnaround history, and denial history are each scored for delay risk.

2

We calculate a delay-risk score

Signals are summed and boosted when the service is needed soon, since a tight timeline compounds any existing risk.

3

Get a specific follow-up plan

The recommended actions match the risk level, from routine submission to same-day expedited follow-up.

Frequently asked questions

Does this submit or track the authorization for me?

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.

Where does the payer-turnaround estimate come from?

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.

Why does the days-until-needed field affect the score so much?

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.

Is this medical, legal, or billing advice?

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.

How We Compare

Feature MVPHub AvailityWaystar
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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