Prior authorization,
on autopilot.
Priora automates PA intake, clinical documentation assembly, payer lookup, and ePA submission — with a licensed human reviewer in the loop before every submission. From 4 days to 24 hours.
- 3–5 days → <24 hrs
- Turnaround time
- 60%+
- Less admin labor
- 68% → 80%+
- First-pass approval
PA Request
#PA-4471 · Highline Orthopedic Assoc.
21
Requests today
83%
Approved (30d)
19 hrs
Avg. turnaround
Built for independent specialty clinics
Prior authorization is broken —
and your billing team pays for it.
The manual process wasn't built for today's payer complexity or today's staffing reality.
Denial rates spike
A missed criteria match or an outdated payer rule turns into a denial — and a resubmission that costs another 3–5 days.
Staff turnover hits hard
PA work lives in one or two people's heads. When they leave, the backlog piles up and training the next hire takes months.
New payer contracts add complexity
Every new payer means new forms, new criteria, and new rules your team has to learn from scratch — under deadline pressure.
Delays affect patient outcomes
Every day a PA sits in queue is a day treatment is delayed. For oncology and orthopedic patients, that delay matters.
From intake to submission, automatically.
Connect your data
Upload a CSV export from your EHR or connect via CSV each week. Priora auto-maps the fields — no manual re-entry.
Match criteria to payer rules
Priora looks up the payer's current requirements and matches the clinical criteria for that specific request in seconds.
Assemble documentation
The full documentation package is generated and assembled to the payer's exact specification — clinical notes, forms, codes.
Licensed human review
Every package is reviewed by a licensed clinician before it goes anywhere. Nothing is submitted on autopilot alone.
ePA submission
Once approved by your reviewer, Priora submits electronically and tracks the request through to a decision.
Everything your billing team needs, in one workflow.
Purpose-built for the prior authorization process at independent specialty clinics.
PA Request Intake
Automates the collection of prior authorization requests via web form or CSV upload, mapping fields straight from your EHR export.
Clinical Documentation Assembly
Generates and assembles the documentation package based on each payer's specific requirements — automatically, every time.
Payer Lookup Integration
Automated lookup of payer information and criteria matching for every incoming PA request, kept current as rules change.
EHR System CSV Import
Upload CSV files directly from your EHR system for streamlined, error-free data entry — no re-typing patient or claim data.
Human-in-the-Loop Review
A manual review step by licensed clinicians before final submission, so every package meets clinical and payer standards.
Admin Dashboard
A real-time view of PA request statuses, approvals, denials, and analytics so administrators always know where things stand.
Reporting & Analytics
Reports on PA efficiency, approval rates, and time savings — the data you need to make better staffing and payer decisions.
The impact, in numbers.
Turnaround time
From submission-ready to decision, start to finish.
Admin labor
Time your billing team spends per PA request.
First-pass approval
Requests approved without a resubmission cycle.
Built with practice administrators and RCM directors.
“Our PA turnaround went from days to hours. My billing team finally has room to breathe instead of chasing payer portals all week.”
Dana Whitfield
Practice Administrator · Highline Orthopedic Associates
“Denials stopped piling up on my desk. The human review step matters to me — I still sign off, but I'm not building the packet from scratch anymore.”
Marcus Chen
Revenue Cycle Director · Meridian Oncology Partners
“We lost our two most experienced billers in the same quarter. Priora kept the PA queue moving while we rebuilt the team.”
Renee Ostrowski
Billing Manager · Cascade Sports Medicine
Illustrative example quotes based on target customer interviews. Priora is currently in private pilot.
Simple pricing, aligned with your results.
Start with a paid pilot, move to a subscription, or share the upside with us at scale.
DFY Pilot
one-time, 30 days
We set everything up for you — connect your EHR export and run a full 30-day pilot.
- Done-for-you setup & CSV mapping
- Payer rule configuration
- Full 30-day live pilot
- Weekly results review
Questions, answered.
Ready to get PA turnaround under 24 hours?
Join the waitlist and we'll reach out to scope a 30-day pilot for your clinic.