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Prior Authorization Automation

Stop letting prior auth delay patient care.

CoOrdio Confirm automates the entire prior authorization lifecycle, from submission generation to approval tracking to appeal management, so your clinical and administrative teams can focus on patients, not payer portals.

Trusted by leading healthcare organizations

Mountain Park Health Center
KMH Cardiology Centres
Borland Groover
Schweiger Dermatology Group
Burrell Behavioral Health
Preferred Family Healthcare
Compass Health Center
ARS Treatment Centers
Brightli
InfuSystem
Valley Oaks Health
Landmark Hospitals
Centerstone
Chapters Health System
Neighborhood Health
Family & Children's Services

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Capabilities

Support the authorization lifecycle

Connect clinical documentation, payer workflows, and operational follow-up in one coordinated process.

Build & Submit Requests

Use clinical notes and structured EHR data to assemble prior authorization requests and supporting documentation for review and submission.

Track & Coordinate Status

Monitor open requests, organize payer responses, and return status changes to the appropriate operational and clinical workflows.

Review Gaps & Appeals

Flag documentation gaps and prepare appeal materials with clinical rationale and supporting records for staff or clinician review.

Inside the Platform

See CoOrdio Confirm in action

CoOrdio Confirm: Authorization View

Full prior authorization record view with PA summary, patient info, risk score, and complete lifecycle tracking in one place.

CoOrdio Confirm: PA Form Library

Organize standard and payer-specific authorization forms by payer, specialty, and service type.

CoOrdio Confirm: Flow Designer

Visual workflow builder for PA automation, with branching logic, triggers, AI agents, conditions, and payer portal actions.

How it works

From the work queue back into the chart

  1. Work queue

    The request is picked up from your EHR work queue. Nobody on your team has touched it yet.

  2. Determination

    CoOrdio checks whether prior authorization is required for this payer, plan, and code.

  3. Packet

    Clinical documentation, notes, and supporting evidence are assembled into the payer's required format.

  4. Submission

    Submitted through the payer portal or platform, whether that is CoverMyMeds, Availity, Waystar, TriZetto, or the payer directly.

  5. Follow-up

    Status is tracked and chased until the payer responds. Approvals, denials, and requests for more information are all handled.

  6. Back in the chart

    The outcome is written back into the EHR so the scheduler and the clinician see it without logging into anything else.

The cost of doing it manually

Every prior authorization has a price, whether or not anyone is counting it.

Three progressively fuller accountings of the same manual process. Each one includes everything in the one before it.

$14.82

Admin time only

Staff time to check requirements, assemble the packet, submit, and follow up.

$21.87

Plus clinical time

Adds the provider and nurse time spent on documentation, peer to peer calls, and appeals.

$29.37

Plus outcomes

Adds the cost of delayed care, abandoned requests, and authorizations that expire before they are used.

A practice running 200 prior authorizations a month is spending somewhere between $35,000 and $70,000 a year on the process itself.

PP

"OpenBots has been an exceptional partner in automating and optimizing our revenue cycle operations. Their team understands healthcare workflows and collaborates closely with our operational leaders."

Priya Patel

SVP of Revenue Cycle

See CoOrdio Confirm in action

See how Confirm can coordinate authorization requests, status tracking, documentation review, and appeals within your existing operations.

Confirm FAQ

CoOrdio Confirm: common questions

What is CoOrdio Confirm?
CoOrdio Confirm supports the prior authorization lifecycle by preparing submissions, tracking status, identifying documentation gaps, and organizing appeal workflows.
How does CoOrdio Confirm prepare authorization requests?
Confirm can use available clinical notes and structured EHR data to assemble request details and supporting documentation for review and submission through the configured payer workflow.
How does CoOrdio Confirm track authorization status?
Confirm can monitor configured payer workflows, organize responses, and return status changes to the appropriate patient record or operational work queue.
Can CoOrdio Confirm support appeals?
Yes. Confirm can prepare appeal materials using clinical rationale and supporting documentation, then route them for staff or clinician review before submission.
How does CoOrdio Confirm integrate with existing systems?
Confirm offers integration options for EHR, practice management, and payer workflows. The implementation approach depends on the systems and processes used by each organization.