Prior Authorization Submission for Medical Office Managers with NextGen
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 NextGen
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 NextGen — uses the native API or agent integration so nothing leaves the system of record.
NextGen Integration Approach
Audit your NextGen configuration
We map the specific NextGen objects, custom fields, and workflows the automation needs to touch for your primary care practice.
Build on the NextGen API or agent
Integration happens inside NextGen — 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 NextGen with enough context to act — AI handles the 80%, your team owns the judgment calls.
See this running in your NextGen instance
30-minute call. We'll look at your actual NextGen setup and show exactly how this workflow fits.