Prior Auth Automation for Specialty Clinics

Stop losing hours to prior authorizations

Cut prep time by 50–70% and reduce preventable denials. ClearAuth extracts data, checks payer rules, and builds compliant packets — so your team spends minutes, not hours.

HIPAA compliant · Encrypted · SOC 2 roadmap

Why prior auth drains your team

Manual chart digging, payer-by-payer rules, and formatting requirements waste hours and still risk denials. ClearAuth eliminates the busywork.

Hours per case

30–90 minutes hunting through EMR notes, labs, meds, and prior visits for every single request.

Preventable denials

Missing a guideline line item or attachment triggers avoidable delays and rework.

Inconsistent packets

Every coordinator formats things differently — payers and providers prefer standard, complete packets.

How it works

We standardize your evidence gathering and packet building so prior auths move fast and clean.

Step 1

Send the request

Start from your EMR or upload key details. We ingest orders, diagnoses, and recent encounters.

Step 2

Extract and check

AI pulls the right evidence, maps to payer policy, and flags missing documentation instantly.

Step 3

Build the packet

We assemble a clean, compliant packet with forms, notes, labs, and supporting citations.

Step 4

Track and optimize

Status tracking and analytics show where time goes and which payers cause friction.

Step 1: Upload

A dashboard your team will actually use

One place to see what's needed, what's blocked, and what's approved — with clear next actions.

  • Evidence mapped to payer criteria
  • Auto-built packets with consistent formatting
  • Status tracking and reminders to keep things moving

Built for specialty workflows

From infusion to imaging to chronic disease management — ClearAuth adapts to your clinic's flow.

Imaging / Radiology Orthopedics Cardiology Pain Management

How we work with your clinic

Secure onboarding with BAA in place, accounts provisioned, and your team trained. No shadow IT. Proper compliance from day one.

1

Your team requests access

Tell us your clinic type and volumes. We align on scope, timelines, and required integrations.

2

We set up your clinic

Execute BAA, create accounts, configure roles, and onboard coordinators with quick training.

3

Your team starts saving hours

Begin submitting requests. See measurable time savings and fewer rework loops within days.

Proven ROI from day one

Speed up submissions, cut rework, and standardize documentation across teams.

30–90 → <15 min
Prep time per case
50–70% reduction
Time spent on PAs
3,297 payer rules
Compiled and applied

Deep coverage where it matters

We start with the payers your Texas clinic actually bills — and go deep on their rules, not wide across states we don't understand yet.

Blue Cross Blue Shield of Texas
596 prior auth rules loaded
~26.5% of TX commercial market
UnitedHealthcare
2,701 prior auth rules loaded
~25% of TX commercial market
Aetna — coming next Cigna — coming next More states in 2026

Need a specific payer? Tell us — we prioritize based on what our clinics need.

HIPAA controls Encryption in transit & at rest BAA available Audit trail & access controls

Request Access for Your Clinic

Tell us about your clinic and we'll get you onboarded. We'll reach out within 24 hours.

We respect your time and privacy. No spam — ever.