Prior Authorizations

The smart + simple way to get prior authorizations

Prior authorizations are a leading cause of denied claims—a problem that costs healthcare providers millions in lost revenue and keeps patients from getting the care they need when they need it. The challenge is only growing as the volume of prior authorization increases.

Waystar’s artificial intelligence and RPA technology can automate the authorization process and free up staff for other priorities. Our clients have doubled staff productivity, cut denials in half and enhanced their clinical delivery. Find out how much more your team is capable of.

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WHAT MAKES WAYSTAR DIFFERENT

Reduce denials + cut out manual work

There’s a wealth of powerful data within your EHR—you just need real-time insights and seamless integration to make it actionable. Powered by Waystar’s Hubble, our Prior Authorization solution:

  • Automatically verifies, initiates, statuses + retrieves comprehensive authorization details
  • Enables efficient, intelligent automation by initiating authorizations at twice the speed of manual processes
  • Integrates directly with all major HIS + PM systems
  • Provides an end-to-end authorization platform, including authorization submissions for unscheduled admissions + auto-generating Advance Beneficiary Notices or Notice of Non-coverage forms for Medical Necessity
  • Adapts to constantly shifting payer rules + requirements
  • Was built and is maintained by our in-house team of experts

PRIOR AUTHORIZATIONS BY THE NUMBERS

50M

auth transactions conducted per year

1.3M+

rules

85%

reduction in cost per authorization

30

service lines covered

50%

reduction in authorization process time

54%

reduction in auth-related denials

How Prior Authorization works

WHAT MAKES WAYSTAR DIFFERENT

Get faster approvals at a lower cost

Our breakthrough prior authorization technology integrates with all major EMRs and payer systems, constantly working behind the scenes while gaining speed and accuracy with every exchange. This is achieved by leveraging our 1.3M+ rules, and enhanced through each of the nearly 50M authorization transactions we conduct each year. RPA payer connectivity automatically routes to payers based on patient type and managing entity—a capability honed over the past 10 years.

Find out what greater productivity and fewer denials can mean for your team—and for your patients.

Products included

Includes Prior Authorizations (initiate + status)   |   Medical Necessity   |   Admission Notification/Submission   |   Referrals (coming soon!)

Speak to a Prior Authorization expert today

Imagine what your team could accomplish if prior authorizations were made easier and less time-consuming. Fill out the form below to connect with a Waystar expert, and we’ll reach out to you shortly.