AI-Powered Prior Authorization

Know the answer before you submit

GetPreAuth reviews your clinical documentation in seconds — telling you if a prior auth will be approved, denied, or what's missing before you ever contact the insurance company.

No more denials!  No more peer-to-peer calls!  No more requests for medical records!

Get Started Free → See how it works ↓
30sec
Average review time
900+
CPT codes covered
49%
Requests approved on first submission
Coverage criteria met
✅
Molina Medicaid · CPT 75625
Approved
All required documentation verified. Prior authorization criteria satisfied — ready for submission.
Case PA-2026-0507-0124 23 seconds
Save case number for insurance submission
The Problem

Prior auth is broken.
We fix it.

Every day, physicians and billing teams waste hours guessing whether a prior authorization will be approved — often submitting incomplete requests that get denied.

16%
Of medical claims are denied
The average practice loses tens of thousands of dollars annually to preventable denials — most caused by missing documentation or unmet criteria.
2hrs
Spent per authorization request
Staff spend hours researching and assembling documentation — time that should be spent on patient care.
40%
Of denials are never appealed
Most denied claims are never appealed because practices don't know the exact criteria that was missed. GetPreAuth tells you exactly what to fix.
How It Works

From submission
to answer in seconds

🏥
1
Enter the request
Select the insurance plan and enter the CPT procedure codes being requested.
📄
2
Upload clinical notes
Upload or paste your office notes, test reports, and supporting documentation. The app will tell you exactly which documents are needed. Patient identifying information is automatically removed before anything leaves your computer.
✅
3
Get a clear answer
Receive an immediate determination: Approved, Not Approvable, or exactly which documents are missing — with a case reference number for your records.
Features

Everything you need
to get prior auths right

📋
900+ Procedures Covered
Cardiology, vascular, orthopedic, imaging, radiation oncology, sleep studies, genetic testing, and more. Major insurance plans nationwide — all indexed and current.
Medicare · Medicaid · Commercial · Exchange
🔒
HIPAA-Safe by Design
Patient identifying information is automatically redacted in your browser before any document leaves your computer. Names, dates, MRNs, and addresses are stripped before AI review.
PHI Redaction · Encrypted Transit
⚡
Specific, Actionable Feedback
When documentation is missing, the app tells you exactly what to submit — not vague guidance. "Submit duplex ultrasound report with vein diameter measurements" not "submit additional documentation."
Not Approvable · Action Required · Approved
⚖️ Appeal & Win
Denial Analysis

Turn denials into
approved claims

When insurance denies a request that should have been approved, GetPreAuth helps you understand exactly why and what to do next.

🔍
Identify the gap
Submit the denied claim to GetPreAuth. The app identifies which specific requirement was not met.
📝
Know what to fix
The app tells you exactly what's missing — "vein diameter documented at 3mm, guideline requires 5mm or greater" — so you know precisely what additional documentation to gather.
📤
Resubmit with confidence
Add the missing documents, rerun the review, and confirm approval before resubmitting to insurance. Stop guessing and start winning more appeals.
75%
of properly appealed denials are overturned
  • Missing required reports identified by name
  • Re-run reviews after adding documents — no new request needed
  • Case reference numbers for tracking submissions
Pricing

Simple, transparent pricing

No hidden fees. No per-review charges. Flat monthly rate so you can run as many reviews as your practice needs.

Solo Practice
$99
per month
  • Unlimited reviews
  • 1 user account
  • All 900+ CPT codes
  • All insurance types
  • PHI redaction
  • Case history
Get Started
Most Popular
Group Practice
$299
per month
  • Unlimited reviews
  • Up to 10 users
  • All 900+ CPT codes
  • All insurance types
  • PHI redaction
  • Case history & analytics
Get Started
Billing Company
$499
per month
  • Unlimited reviews
  • Unlimited users
  • All 900+ CPT codes
  • All insurance types
  • PHI redaction
  • Full analytics dashboard
Get Started

Ready to stop guessing
on prior auths?

Join hundreds of physicians and billing teams who get instant, accurate prior authorization reviews.

Start Free Trial → Contact us ↗