Prior Auth Desk

Cypress Ridge Orthopaedics

A vague referral, a payer policy read literally, and the answer before you file.

Twelve authorizations on the desk. The agent opens the chart, pulls the medical policy the payer will actually apply, measures the dates in code, and marks each clause met or not met with the page it came from. Nothing is pre-computed, and the tools refuse to render a clause marked met with no chart behind it.

The desk logs 38 minutes per authorization, chart to portal. Here: under a minute.
Enter to send, shift and enter for a new line. Live tool use over the queue, the charts and six payer policies.

Today's queue

Payer policies