CMS 2026 Compliant

Prior authorization
without the humans.

AuthFlow is an AI agent that submits, tracks, and wins prior authorizations for your practice. No portals. No phone trees. No staff time wasted.

1Order placed
2AuthFlow submits PA
3Approved

The prior auth tax on your practice

45
prior auths per physician, per week
13hrs
of staff time burned weekly on PA paperwork
$40
average cost per manual PA submission
94%
of physicians say PA delays necessary care

An employee that never calls in sick

AuthFlow works 24/7 across every payer portal. It assembles evidence, submits requests, monitors status, and escalates only when it needs you.

01

Autonomous submission

Pulls clinical data from your EHR, matches payer-specific criteria, and submits complete PA packages without staff intervention.

02

Continuous monitoring

Tracks every request across payer portals. No more logging in to check status. AuthFlow alerts you the moment a decision lands.

03

Smart escalation

When a PA is denied, AuthFlow assembles the appeal with supporting clinical evidence before a human ever touches it.

04

FHIR-native

Built for the CMS 2026 mandate from day one. Prior Authorization APIs, 72-hour urgent decisions, 7-day standards. Already compliant.

What AI prior auth looks like

Manual PA
103 minaverage processing time
$25-40cost per submission
62%first-pass approval rate
vs
AuthFlow
8 minaverage processing time
$1.80cost per submission
86%first-pass approval rate

The future of prior auth isn't faster staff.
It's no staff.

Every minute your team spends on hold with a payer is a minute they're not helping patients. AuthFlow handles the entire PA lifecycle autonomously, so your practice can focus on what actually matters: delivering care.