Prior Authorization Submission for Pediatric Practice Managers with PCC

The Problem

Prior auths for Pediatrics 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 PCC

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 PCC — uses the native API or agent integration so nothing leaves the system of record.

PCC Integration Approach

1

Audit your PCC configuration

We map the specific PCC objects, custom fields, and workflows the automation needs to touch for your pediatrics practice.

2

Build on the PCC API or agent

Integration happens inside PCC — no data leaves the system, no parallel tool for your team to learn, no license changes.

3

Human-in-the-loop handoff

Every automation routes exceptions back to a human in PCC with enough context to act — AI handles the 80%, your team owns the judgment calls.

See this running in your PCC instance

30-minute call. We'll look at your actual PCC setup and show exactly how this workflow fits.

More About This Workflow

Prior Authorization Submission for Pediatric Practice Managers

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.

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