GetPreAuth.com®
AI-Powered Prior Authorization Intelligence
▶ Play Demo
Click to start with audio
GetPreAuth.com®
No more denials from missing documentation.
No more peer-to-peer calls.
No more lost revenue and wasted hours.
Submit right the first time. Every time.
✓ Official athenahealth Marketplace Partner
Here is how it works
You are ordering a cardiac catheterization for your patient.
Insurance requires prior authorization.
GetPreAuth tells you exactly what you need — in 30 seconds.
1
Enter your
request
2
AI reviews &
finds gaps
3
Add missing info
& get approved
Step 1 — Enter your request
New Request
CPT Code
93454
Insurance
UnitedHealthcare Medicare — MO
Diagnosis (ICD-10)
I25.10 — CAD
State
Missouri
Clinical Notes
Result — Action Required
GetPreAuth analyzed your request immediately. Not ready for submission — here's exactly what's missing.
Action Required
CPT 93454 · Coronary Angiography · UHC Medicare · Missouri · Reviewed in immediately
Missing Documentation
Non-invasive stress test results (nuclear stress test or exercise stress test) within the past 6 months — not found in clinical notes
Documentation of failed medical therapy trial (at least 2 anti-anginal medications) — not documented
What to Add
Add stress test results showing reversible ischemia or significant perfusion defect, plus documentation of nitrate and beta-blocker therapy with inadequate symptom control.
Step 2 — Add missing documentation
Updating Notes
CPT Code
93454
Insurance
UnitedHealthcare Medicare — MO
Updated Clinical Notes
Result — Approved ✓
Meets Criteria for Approval
Proceed to submission · CPT 93454 · UHC Medicare · Missouri
All Criteria Met
Nuclear stress test 3 months ago — reversible inferolateral ischemia documented ✅
Failed medical therapy — Metoprolol 50mg + Isosorbide mononitrate, inadequate symptom control ✅
Stable angina CCS Class III — functional impairment documented ✅
Cardiology attestation present ✅
Complete Coverage
Works with all insurance companies
in all 50 states
🏢
Commercial
Aetna, Anthem, BCBS, Cigna, Humana, UnitedHealthcare and all major plans
🏛️
Medicare
Traditional Medicare, Medicare Advantage, and all Medicare supplement plans
🤝
Medicaid
All state Medicaid programs and managed Medicaid plans nationwide
🔄
Exchange Plans
ACA Marketplace plans across all states and territories
965 CPT codes  ·  All 50 states  ·  All specialties
GetPreAuth.com®
Know before you submit. Every time. Built for all specialties.
GetPreAuth.com
Start your free trial now →
965
CPT codes covered
Instant
results
160K+
providers via athenahealth