Enterprise · Practice tier

Prior Auth packets
in 5 minutes, not 45.

The AI reads the clearance analysis and drafts the whole payer packet — CPT + ICD-10, medical necessity narrative, documentation checklist, peer-to-peer talking points. Your coordinator reviews, tweaks, and pastes into the payer's portal.

The problem

Payers deny on paperwork.
Not on medicine.

Insurance companies require Prior Authorization before elective spine, joint, bariatric, plastic reconstructive, sleep-apnea, and hernia-with-mesh cases. Every payer has a different form. Every denial takes a week to come back. And 80% of denials are because ONE document was missing.

45–90
minutes per packet, per case
7–14
business days to hear back
80%
of denials are documentation gaps
What your coordinator does today
  1. 1. Open the payer's provider portal (different for every payer)
  2. 2. Fill in demographics + member ID + group number
  3. 3. Plug in the CPT and ICD-10 codes
  4. 4. Write a medical necessity paragraph in the surgeon's voice — cite failed conservative treatment
  5. 5. Attach H&P, imaging, specialist consults, PT notes, weight-loss program records…
  6. 6. Submit. Wait 7–14 days. Hope nothing is missing.
How MyPreOp does it

The clearance analysis is
already the goldmine payers want.

After MyPreOp analyzes the chart for pre-op clearance, it already has the diagnosis, comorbidities, failed conservative treatment, and clinical justification captured in the two-section PDF. One click turns that into a payer-ready packet.

1
Open the patient in your MyPreOp dashboard

The clearance is already done. Scroll to the Prior Authorization panel and click Generate packet.

2
AI drafts the whole packet from the clearance analysis

Procedure CPT. Principal ICD-10 + secondary ICD-10s for comorbidities. Medical necessity paragraph in the surgeon's voice. Documentation checklist with green/amber flags. Peer-to-peer talking points.

3
Coordinator reviews and edits

Every code has a Verify flag when the AI is less than confident. Every paragraph is editable. The doc checklist tells you what's missing BEFORE you submit — so a denial never lands.

4
Copy each block into the payer's portal

One-click copy for CPT, ICD-10, and the necessity narrative. Works with BCBS, UHC, Aetna, Cigna, Humana, Medicare Advantage — any payer's portal. No integration required.

5
Peer-to-peer? You're already prepared.

If the payer wants a physician-to-physician review, the talking points are already in the packet, keyed to your patient's specific comorbidities and clinical story.

Concrete example

54-year-old female. BMI 42.
Right total knee replacement.

Without MyPreOp

Coordinator spends an hour filling in the BCBS portal, plugs in CPT 27447 + ICD-10 M17.11, writes a generic paragraph, uploads MRI + PT notes + injection records. Submits. Denied 7 days later — no documented weight-loss counseling for BMI ≥ 40 (a real BCBS carve-out). Goes back to the PCP, gets a note added, resubmits. Another 7 days. OR date passes. Patient is rebooked.

With MyPreOp

Surgeon opens the patient, clicks Generate packet:

  • ✓ CPT 27447, ICD-10 M17.11 + E66.01 + I10
  • ✓ Full necessity paragraph citing 8 months failed PT, injections, NSAIDs
  • ✓ Doc checklist: H&P, MRI, PT notes, injections — all ✓
  • ⚠ Weight-loss counseling — flagged MISSING
  • ✓ Peer-to-peer talking points ready

Coordinator sees the gap BEFORE submitting. Calls the PCP, adds the note, submits clean. Approved on first pass. Case stays on the schedule.

What every packet contains

Procedure CPT
Primary surgical + anesthesia CPT with 1-line rationale.
ICD-10 diagnoses
Principal Dx + up to 5 secondaries that strengthen medical necessity.
Medical necessity narrative
3–5 sentences in the surgeon's voice, citing failed conservative treatment.
Documentation checklist
Green check per required doc on file, amber flag for anything missing.
Peer-to-peer talking points
2–3 defensible points ready if the payer requests a physician review.
Missing-from-record callout
Explicit list of gaps that will trip a denial. Fix before you submit.
The math

One prevented denial pays for the tier.

Practice tier is $499/mo. A rebooked total-knee OR slot costs the ASC real money in room turnover, wasted staff time, and rescheduling headaches. Prior Auth is one of four enterprise revenue-cycle features bundled at that tier — alongside Billing-Ready Codes, MIPS Quality Reporting, and Risk Adjustment / HCC.

Common questions

Does MyPreOp submit the PA to the payer for me?

No — no tool does. Every payer has its own portal and process. What we do is DRAFT the packet so your coordinator's 45-minute job becomes a 5-minute review-and-paste. The submission still happens through your PA coordinator in the payer's system.

What if my practice has a certified biller/coder already?

Perfect — this makes them faster. Every code has a Verify flag when the AI isn't confident, so your coder still owns the final decision. The AI just eliminates the blank-page problem: your coder starts with a 90%-there packet instead of typing from scratch.

Is the data HIPAA-safe?

Yes. Prior Auth generation runs through AWS Bedrock (Claude on our HIPAA-eligible enterprise tier). PHI never leaves the AWS BAA. Every AI call is rate-limited and gated to enterprise (Practice tier) accounts.

What payers does this work with?

All of them. Because we don't integrate directly with payer portals, the tool works with BCBS, UHC, Aetna, Cigna, Humana, Medicare Advantage plans, workers' comp, and any commercial payer. Your coordinator copies each block into the portal they already use.

Does the AI replace clinical judgment?

Never. Every packet is an AI DRAFT that a licensed provider or certified biller must verify and edit. The medical necessity narrative is written in the surgeon's voice but the surgeon owns the final wording. The tool is decision-support, not a submission robot.

Ready to turn 45 minutes into 5?

Prior Authorization is part of the Practice tier. Sign in with your MyPreOp account or start a Practice subscription to unlock it.