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Prior Authorization Processing

Insurance & Billing

Real-Time SyncMulti-PayerError Prevention

Prior Authorization Automation for Healthcare

Automate the labor-intensive prior authorization process from request initiation to approval tracking.

148+

Integrations

Connected Agents

24/7

Availability

Start for Free

No-code AI automation

HIPAA, GDPR, and SOC 2 compliant

Visual workflow builder

Full audit trails and access controls

300+ apps, 50+ EHR integrations

Free pilot available

How Prior Authorization Processing Works

Provider orders MRI — AI checks payer rules and determines prior auth is required

Agent compiles clinical package: diagnosis, clinical notes, relevant labs and imaging

Request submitted electronically to payer with all required documentation

AI monitors payer portal for response, escalating if response exceeds SLA

Approval received: auth number and valid dates written to patient record

Appointment auto-scheduled for approved procedure with auth number attached

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Integration capabilities

Cevi can read 7 data types and write 5 data types for Prior Authorization Processing

Procedure codes

read

payer auth requirements

read

clinical documentation

read

diagnosis codes

read

lab results

read

imaging reports

read

payer submission guidelines

read

Prior auth requests

write

auth reference numbers

write

approval/denial status

write

auth expiration dates

write

auth-linked appointments

write

Join hundreds of medical practices automating their operational workflows with Cevi

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Works with 148+ integrations

Prior Authorization Processing connects to your existing EHR, scheduling, billing, and communication tools

AdvancedMD

EHR & Practice Management

Athenahealth

EHR & Practice Management

Canvas Medical

EHR & Practice Management

Cerbo

EHR & Practice Management

Charm EMR

EHR & Practice Management

Cliniko

EHR & Practice Management

DrChrono

EHR & Practice Management

Elation

EHR & Practice Management

Epic Systems

EHR & Practice Management

Healthie

EHR & Practice Management

ModMed

EHR & Practice Management

Nextech

EHR & Practice Management

OpenEMR

EHR & Practice Management

Practice EHR

EHR & Practice Management

Ritten

EHR & Practice Management

Welkin Health

EHR & Practice Management

Zenoti EMR

EHR & Practice Management

eClinicalWorks

EHR & Practice Management

Alleva

EHR & Practice Management

BestNotes

EHR & Practice Management

CentralReach

EHR & Practice Management

CureMD

EHR & Practice Management

Healow

EHR & Practice Management

Jane

EHR & Practice Management

Build your Prior Authorization Processing automation with AI

Describe what you want in plain English. Cevi’s AI builds the workflow.

Frequently asked questions about Prior Authorization Processing

Cevi maintains a continuously updated database of payer-specific prior auth requirements mapped to CPT codes, HCPCS codes, and diagnosis combinations.

When a payer requests peer-to-peer review, the AI alerts the ordering provider, provides a summary of the case and the payer's specific concerns, and helps schedule the call.