Automated Prior Authorization Software That Actually Works
Stop losing revenue to auth delays and staffing headaches. Our electronic prior authorization software handles submissions, status checks, and updates without touching your EHR backend.
HIPAA Compliant
SOC 2 Certified
Works with all EHR/PM System
7 min saved
Batch Reconciled
Your Team Shouldn't Be Spending Hours on Hold
Prior authorization requirements are increasing 90% of providers report more auth demands than ever. Meanwhile, you're stretched thin and leaving revenue on the table.
Hundreds of Staff Hours Monthly
Manual auth requests, status checks, and follow-ups consume time your team doesn't have. Each auth takes 18+ minutes on average time that should go to patients.
Revenue Leakage from Denials
Missing or delayed authorizations trigger denials that cost real money. Authorization-related denials are among the most preventable and the most expensive to appeal.
Staffing Crisis Is Real
You can't fill your FTEs, and the people you have are burned out on repetitive tasks. Turnover costs you 50-200% of each position's salary.
Long Implementation Timelines
Other vendors take 6-12 months to go live. Your margin pressure can't wait that long, and neither can your patients.
Integration Complexity Fears
Your IT team is already stretched. The last thing you need is another project that requires API integration, custom development, and endless testing.
Payer-Specific Complexity
Every payer has different forms, portals, and requirements. UHC alone has made major auth changes in the past year that overwhelmed teams.
Prior Auth Automation in Healthcare That Work Like Your Best Employee
Our bots operates in your systems and payer portals exactly like a person would no backend integration required. They handle the tedious work so your team can focus on exceptions and patient care.
Determines Authorization Requirements
Automatically checks if authorization is required based on payer, service type, CPT codes, and diagnosis. No more manually looking up payer policies.
Gathers Required Documentation
Downloads orders, consent forms, medical records, treatment plans whatever the payer requires directly from your EHR and prepares the submission package.
Submits to Payer Portals
Navigates to Availity, Optum, PaySpan, Navinet, Medicare MACs, and 800+ other payer portals. Completes the authorization request form and submits without you lifting a finger.
Checks Status Every 24 Hours
Automatically monitors authorization status daily. When approved, updates your EHR with the auth number. When denied or pending, routes to your team with all details.
Implementation That Doesn't Derail Your Team
Not 6-12 months. We've done this before we already have frameworks for EHR practice management system, and 800+ payers. We customize to your workflows, not the other way around.
Discovery
We map your charge capture workflows, payer mix, and edge cases. We understand where revenue is leaking before we write a line of code.
Design
Custom rule engine and decision trees built for your specific workflows. This isn't one-size-fits-all it's "build-a-bear" customization with pre-built components.
Development
Bots are programmed to work exactly like your best employees navigating the same screens, clicking the same buttons, following the same processes.
Go-Live
Incremental testing (5 → 15 → 50 → 100+ accounts) ensures quality. Then full production deployment with ongoing monitoring and support.
AI Auth Automation that you can count on
We started in revenue cycle management, not tech. That's why our automations actually work in the real world and deliver measurable ROI within 90 days.
Large Academic Health System (EHR)
A major Southwestern academic medical center had 829 credit balance work queues with over $57 million sitting unresolved some for over 7 years. A competing automation vendor spent 14 months trying to build a solution without success. Innobot delivered a working automation in just 8 weeks and cleared all queues within 90 days.
We're Different And Here's Why It Matters
We're not a tech company that learned healthcare. We're RCM operators who built the automation we wished existed.
RCM Expertise First
Our founder has 28+ years in healthcare operations. We started in revenue cycle, not tech. We understand your problems because we lived them.
No Integration Required
Our bots work the same way your staff does logging in, navigating screens, clicking buttons. Works with EHR/Practice Management, and 1,800+ payers.
6-8 Week Implementation
Not 6-12 months. Every process automated in 6-8 weeks. Our "build-a-bear" approach uses pre-built components customized to your workflow.
Accessible Pricing
We built Innobot to be the "Walmart of healthcare automation" high quality at accessible prices. Mid-market hospitals shouldn't be priced out of automation.
Full-Service Model
Every engagement includes a dedicated team: software developers, business analysts, solution architects, quality auditors, and onshore RCM experts with 10-15+ years experience.
Proven Track Record
$1.3 billion in increased revenue at previous organizations. $17M recovered in underpayments in 120 days for one client. 20% staff reduction in year one for a 4-year enterprise client.
Frequently Asked Questions About Prior Auth Software
How does automated prior authorization software work without integrating into our EHR?
Our bots access your systems through RDP or VPN—exactly like an employee would. They log in to Epic, Cerner, Meditech, or your PM system, run reports of upcoming appointments, navigate to payer portals, complete authorization forms, and update patient accounts. No API integration, no backend access, no IT projects. This approach means faster implementation and zero risk to your EHR stability.
What EHR systems does your electronic prior authorization software work with?
We work with Epic, Cerner, Meditech, NextGen, eClinicalWorks, athenahealth, AdvancedMD, ModMed, Net Health, WebPT, and dozens more. Because our bots work at the UI level rather than through APIs, we can automate in virtually any system your team can access. We've already built frameworks for the major platforms, so implementation is customization—not creation from scratch.
What happens when payer portals change or update their systems?
We handle it. Our team monitors payer portal changes proactively and updates automations as needed—often before you even notice an issue. When UnitedHealthcare made major auth changes last year, we had updated automations ready for our clients within days. This ongoing maintenance is part of our service; you're not left managing bot code yourself.
Can AI prior authorization automation healthcare solutions handle complex cases and exceptions?
Yes, with intelligent routing. Our bots handle the 85-95% of straightforward authorizations automatically—freeing your team to focus on complex cases that genuinely need human judgment. When a bot encounters an exception (missing documentation, unusual payer response, etc.), it routes to your team with all relevant details and documentation already gathered. Your staff handles exceptions, not repetitive tasks.
How do you calculate ROI for prior authorization automation?
Simple math: volume × time saved × cost per hour. If you process 5,000 authorizations monthly at 18 minutes each, that's 1,500 hours. At $18/hour fully loaded cost, that's $27,000/month in labor—plus the revenue protected from prevented denials. Our bots cost a fraction of that. We'll build a custom ROI calculator for your volumes before you sign anything. Most clients see 3-5x ROI within the first year, with positive returns within 90 days.
Ready to Stop Leaving Revenue on the Table?
See how Innobot's charge capture automation can work in your specific environment. No pressure, no generic demo—just a real conversation about your challenges.
