How to implement AI for billing & prior auths in a small practice

Prior authorizations, claims, denials and appeals – the paperwork that delays payment.

1. Pull your last 90 days of denials and prior auths to find the biggest time sinks.
2. Use free payer tools (e.g., CoverMyMeds, Availity) before paying for automation.
3. If you add an AI agent, require a BAA and keep a human approving every submission.
4. Create a simple tracker for pending auths and follow-up dates.
5. Review results monthly: turnaround time, approval rate, staff hours.

Browse Billing & Prior Auths tools.

Disclaimer: This site covers administrative and operational workflows only. It is not clinical, legal, or compliance advice. Pricing and BAA status come from vendor sites or third-party reviews as of the date shown and can change – confirm directly with each vendor and your compliance advisor before using any tool with protected health information.