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Inferenz

AI-Powered Prior Authorization

Cut delays, reduce denials, and accelerate clean claims across your Revenue Cycle Management.

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Key challenges

High denial
rates

Manual errors and shifting payer requirements drive 1 in 5 claim denials. Each rejected request adds costly rework for staff.

Heavy administrative
burden

Providers and staff spend 13–14 hours every week filling forms and chasing approvals. This time is pulled away from clinical priorities.

Long approval
timelines

Approvals often take 10–14 days, delaying care plans and forcing patients into reschedules or treatment abandonment.

Fragmented
systems

EHRs, CRMs, payer portals, and fax machines don’t connect. Staff are left to bridge the gaps with manual copy-paste and re-entry.

Patient
impact

94% of physicians say delays harm outcomes, while 82% report patients sometimes abandon treatment.

Our Solution Offering

We built AI-powered Prior Authorization Agent to transform this process into a seamless, automated layer of the revenue cycle.

AI Agent automatically fills the Request Form

  • Instant data capture
  • Seamless payer portal access
  • Real-time status and resubmission
  • Actionable oversight
Instant data capture

Instantly pulls patient details, payer information, and provider records from EHRs, hospital databases, or CRMs; includes no manual typing.

Seamless payer portal access

Identifies the correct payer, signs in, and submits all required details without staff involvement.

Real-time status and resubmission

Tracks approvals, denials, and pending items, and autonomously resubmits or updates requests when new information is needed.

Actionable oversight

Provides a consolidated dashboard with total claims, approvals, denials, and action items; so thatstakeholders can act on what matters.

How does the Prior Authorization Agent work?

1

Data Capture

Reads patient details, insurance info, and required clinical or billing codes, then uses unique patient ID to pull records and auto-fill authorization forms

2

Verification Routing

Chooses the optimal submission method: portal, API, phone, or fax, based on payer rules and historical success.

3

Submission & Tracking

Logs into payer portals or APIs, submits claims with the right documentation, and tracks status in real time.

4

Documentation

Writes back verified benefit information and prior authorization decisions into the EHR, maintaining a clean audit trail.

AI Agent automatically fills the Request Form

Outcomes

  • Faster claim approvals
  • Reduced denial rates
  • Lower cost per request
  • Less administrative load for staff
  • Timely care for patients without disruptions

Make pre-authorization work
for you

Experience the Inferenz Prior Authorization Agent today.

Get in touch