🎉 GetPreAuth is an Official athenahealth Partner — Want GetPreAuth integrated into your athenaOne EHR free of cost?

🎉 The All-Inclusive Prior Auth Solution is Here!

Enter your information → GetPreAuth prepares a perfect submission → Once it says Approved → One click submits directly to the insurance company → Insurance sends back your authorization number. Done!

NEW — Bulk Processing

Have a pile of denials?
Upload them all at once.

Stop working denials one by one. Upload your entire spreadsheet of denied claims plus all clinical documents — GetPreAuth automatically reviews every case, identifies what's missing, builds each appeal, and submits directly to insurance.

✓ Upload hundreds of cases in one spreadsheet
✓ Documents automatically matched to each patient
✓ Every case reviewed and appeal built automatically
✓ Ready appeals submitted to insurance with one click
Try Bulk Review →
Batch Results Dashboard
Smith, J. · 97110 · SelectHealth Ready to Appeal
Johnson, M. · 97530 · Tricare Missing Docs
Williams, R. · 64483 · Aetna Ready to Appeal
Davis, L. · 97140 · UMR Ready to Appeal
Brown, K. · 93306 · Humana Not Winnable
5 of 47 cases shown
NEW — AI Appeal Letter Writer

Insurance denied it?
We write the winning appeal.

GetPreAuth reviews the denial letter and clinical documentation, then instantly generates a professional appeal letter — citing the exact guideline number, referencing the specific clinical findings, and explaining precisely why the criteria are met. Ready to submit in one click.

✓ Cites the exact guideline number from the denial
✓ References specific clinical findings from your notes
✓ Professional language medical directors respond to
✓ Copy and submit in one click — no editing needed
✍️ AI-Generated Appeal Letter
RE: Prior Authorization Appeal
Patient: Smith, J. · CPT: 97110 · SelectHealth

Dear Medical Director,

We are writing to appeal the denial of prior authorization for the above-referenced patient.

Per Evicore Guideline PT-101, this request meets medical necessity criteria:

• Functional limitation score of 42/80 documented — satisfies Section 2.1 threshold
• 6 weeks of home exercise without improvement — satisfies conservative treatment requirement
• Measurable functional goals documented by treating therapist — satisfies Section 3.4

We respectfully request reconsideration.

Dr. Jane Smith, PT · NPI: 1234567890
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 manual submissions.

Start Free 30-Day Trial → See how it works ↓
30sec
Average review time
900+
CPT codes covered
100%
Get approved on first submission when you prepare here
Coverage criteria met
✅
Molina Medicaid · CPT 75625
Meets Criteria for Approval
All required documentation verified. Prior authorization criteria satisfied — ready for submission.
Case PA-2026-0507-0124 23 seconds
Save case number for insurance submission
✦ Review your prior auth AND submit directly to insurance with one click — direct submission built in
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.
🚀
4
Submit with Confidence
Get your determination in 30 seconds. If approved — submit directly to insurance with one click via fax. No portal login needed.
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 · Meets Criteria for Approval
🚀
One-Click Direct Submission
Once your documentation is confirmed ready submit the complete prior authorization request directly to the insurance company with one click. No portal login. No manual form filling. GetPreAuth submits everything automatically.
Direct Submission · All Insurance Plans · Instant Confirmation
⚖️ 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

Pay only for what you use. Monthly review allowance included — additional reviews billed automatically at a low per-review rate.

Starter
$99
per month
  • 50 reviews included
  • $3 per additional review
  • 1 user account
  • All procedures covered
  • PHI redaction
Start Free 30-Day Trial
Most Popular
Professional
$299
per month
  • 200 reviews included
  • $2 per additional review
  • Up to 10 users
  • All procedures covered
  • PHI redaction
  • Denial analysis & appeals
Start Free 30-Day Trial
Enterprise
$499
per month
  • 1,000 reviews included
  • $1.50 per additional review
  • Unlimited users
  • All procedures covered
  • PHI redaction
  • Full analytics dashboard
  • Priority support
Start Free 30-Day Trial

🔒 30-day free trial · Credit card required · Cancel anytime · No charge if cancelled within 30 days

Additional reviews billed automatically at end of month. No surprises — you'll receive an email summary of usage.

Ready to stop guessing
on prior auths?

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

Start Free 30-Day Trial → Contact us ↗