Prior Authorization Intelligence

Stop losing money to denied claims.missed appeals.slow approvals.lost auths.

AuthPilot handles your prior authorization by drafting and recovering denied claims so your staff doesn't have to.

AuthPilot clinical corridor
HumanaCignaUnitedHealthcareBlueCross BlueShieldMolina HealthcareAetnaWellCareCenteneMedicaidHFSUnited
HumanaCignaUnitedHealthcareBlueCross BlueShieldMolina HealthcareAetnaWellCareCenteneMedicaidHFSUnited

The problem, in numbers

43
Auths per doctor per week
12hrs
Staff time lost per week
68%
Denials overturned on appeal
$11K
Lost per clinician per year

The Problem

Independent clinics lose thousands every month.

Only 1 in 3 denied claims ever gets resubmitted. The other 2 are written off — permanently. Front desk spends 2+ hours every morning on hold verifying insurance and chasing auths. AuthPilot catches every denial same day and fights it automatically.

01
Auths Are Ignored
No system to track open authorizations. Things fall through the cracks for weeks. Denials go unappealed because nobody has time.
02
Money Disappears
Only 1 in 3 denied claims ever gets resubmitted. The other 2 are just written off — thousands in lost revenue per month, permanently gone.
03
Staff Is Overwhelmed
Front desk spends 2+ hours every morning on hold verifying insurance and chasing auths. Time stolen from patient care and everything else.

Features

Everything your clinic needs.

From eligibility verification to denial recovery — AuthPilot handles the full prior authorization workflow so your staff doesn't have to.

Auth Request Drafting

Claude writes complete, insurer-specific auth requests using only documented clinical information. Confidence scored 0–100%. Never auto-submitted — always reviewed by the provider first.

Real-Time Auth Tracking

Every open authorization tracked in one dashboard. Pending, submitted, approved, denied, overdue — full visibility into your clinic's auth status at a glance. No more lost paperwork.

Confidence Scoring

Every draft gets a 0–100% approval likelihood score based on insurer patterns. Know before you send whether an auth will be approved — and get specific suggestions to improve it.

Daily Morning Briefing

Every morning your clinic gets a complete briefing — all flags, approvals, eligibility issues, and overdue auths — delivered to the portal before the day starts. Start every day with clarity.

Denial Detection & Appeal Drafting

Denials caught same day. AuthPilot reads the denial reason and drafts a complete professional appeal letter — ready for clinic review and submission. 82% overturn rate.

Eligibility Verification

Every patient's insurance checked every morning via Stedi API. No more 2 hours on hold. Active, inactive, unknown — all surfaced before the first appointment of the day.

Insurer Knowledge Base

AuthPilot knows the exact clinical language, required documents, and submission methods for every major insurer. Aetna, Blue Cross, UnitedHealthcare, Cigna, Humana — and growing.

CSV Import — Works With Any EHR

Upload a patient export from any EHR system. SimplePractice, TherapyNotes, Tebra, Athenahealth — if it exports CSV, AuthPilot works with it. No integration required.

How It Works

Six steps. Zero hassle.

01Patient Data InFHIR API or CSV upload from any EHR
02Eligibility CheckStedi verifies insurance every morning automatically
03Auth DraftedClaude writes the full request using documented info only
04ScoredConfidence % + specific improvement suggestions generated
05Clinic Reviews & SendsDoctor approves. Clinic submits. Never auto-sent.
06Tracked & RecoveredStatus monitored. Denial caught. Appeal drafted same day.

Pricing

Simple pricing. Pay for what you use.

Start with a base plan and only pay for what you actually submit. No surprises, no waste.

Starter
$249/mo
25 auths included
$10/auth after that
Solo provider or low volume clinic
Auth drafting
Denial alerts
Daily portal briefing
CSV import
Start free trial
Recommended
Standard
$449/mo
75 auths included
$8/auth after that
2–4 provider clinic, moderate volume
Everything in Starter
Eligibility verification
Confidence scoring
Improvement suggestions
Analytics dashboard
Start free trial
Pro
$749/mo
200 auths included
$6/auth after that
Busy specialty clinic, high volume
Everything in Standard
Full appeal pipeline
Insurer knowledge base
Monthly analytics report
Priority support
Start free trial
Appeal Draft
$10per appeal
Eligibility Check
$0.50per check
Retro Auth
$20per submission
5 free auths

Start with 5 free auths — no credit card required. See the value before you commit.

AuthPilot uses AI to draft prior authorization requests. All submitted authorizations are non-refundable. Failed or rejected AI generations are not eligible for refunds. AuthPilot is an administrative service only — all clinical decisions remain with the licensed provider.