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Prior Authorization

End the Prior Auth
Bottleneck. Forever.

NeurixaHealthAI™ automates the entire prior authorization workflow — from order placement to payer decision — in minutes, not days. Reduce denials, free your staff, and accelerate patient care.

Doctor reviewing prior authorization documentation
91%
Less manual review
91%
Reduction in manual review time
<2min
Average auth decision time
40%
Decrease in denial rates
99.2%
Payer rule accuracy
The Problem Today
  • Average auth takes 3–7 business days
  • 40% of physicians report delays harm patients
  • Staff spend 14+ hours/week on auth paperwork
  • 1 in 4 auths result in unnecessary denials
  • Payer rules change constantly — teams can't keep up
With NeurixaHealthAI™
  • Auth decisions in under 2 minutes
  • AI predicts and prevents denials before submission
  • Staff focus on exceptions, not routine processing
  • Payer rules updated automatically — always current
  • Full audit trail for every decision

Capabilities

Everything You Need to Automate Auth

Real-Time Auth Decisioning

AI evaluates clinical criteria, payer rules, and patient history in under 2 minutes — eliminating days of manual back-and-forth.

Denial Prediction Engine

Predict denial likelihood before submission. Flag high-risk requests and auto-generate supporting documentation.

Auto-Documentation Assembly

Automatically pull relevant clinical notes, lab results, and imaging to build a complete, payer-ready auth package.

Payer Rule Intelligence

Continuously updated payer-specific criteria for 500+ payers — no manual rule maintenance required.

Auth Analytics Dashboard

Track approval rates, denial patterns, and processing times by payer, procedure, and provider in real time.

Appeals Automation

Auto-generate peer-to-peer review requests and appeal letters with AI-curated clinical evidence.

How It Works

From Order to Auth in Minutes

01

Order Placed

Physician places order in EHR. NeurixaHealthAI™ intercepts in real time.

02

Auth Required?

AI checks payer rules and procedure codes. Routes non-auth cases immediately.

03

Clinical Assembly

Relevant clinical data auto-assembled from EHR, labs, and imaging.

04

AI Decision

AI evaluates against payer criteria. Approves, flags, or escalates.

05

Payer Submission

Auto-submitted via EDI or payer portal with full documentation package.

06

Outcome Tracking

Approval, denial, or pending status tracked and fed back to care team.

Ready to Eliminate Auth Delays?

See how NeurixaHealthAI™ integrates with your existing EHR and payer contracts in a live enterprise demo.

Request Enterprise Demo