Prior Authorization Submission for Medical Office Managers with eClinicalWorks
The Problem
Prior auths for Primary Care procedures sit in athenahealth queues for days — the patient reschedules, the surgeon's OR time goes unused, and the practice eats the margin.
What We Build in eClinicalWorks
AI checks payer-specific PA requirements, pulls the chart from athenahealth, submits the PA with clinical justification, and tracks status — turnaround drops from 7 days to under 48 hours. Purpose-built for teams running eClinicalWorks — uses the native API or agent integration so nothing leaves the system of record.
eClinicalWorks Integration Approach
Audit your eClinicalWorks configuration
We map the specific eClinicalWorks objects, custom fields, and workflows the automation needs to touch for your primary care practice.
Build on the eClinicalWorks API or agent
Integration happens inside eClinicalWorks — no data leaves the system, no parallel tool for your team to learn, no license changes.
Human-in-the-loop handoff
Every automation routes exceptions back to a human in eClinicalWorks with enough context to act — AI handles the 80%, your team owns the judgment calls.
See this running in your eClinicalWorks instance
30-minute call. We'll look at your actual eClinicalWorks setup and show exactly how this workflow fits.