Quick facts
- 14.4 hrs/MD/wk reclaimed (AMA)
- 60–80% faster TAT
- 35–55% fewer denials
- 2–3 wk go-live
- HIPAA + SOC 2 (in progress)
Same-day Prior Authorizations without endless phone tags
QuickAuth lets revenue cycle teams determine PA necessity, assemble evidence, and submit prior authorizations in minutes not days so you cut denials and speed reimbursement.
QuickRCM manual: PA admin drops from 10-14 to 2-4 hours/provider/week
Quantifiable Benefits
60–80% Faster
Cut turnaround time by 60–80% — So you can move elective procedures forward and improve patient satisfaction.
35–55% Fewer Denials
Reduce auth-related denials by 35–55% — So you protect net collections and reduce rework loops.
2–3x Productivity
2–3x staff productivity — So one coordinator can manage the volume of two to three.
Evidence base
Built on AMA-cited PA burden data
QuickAuth is designed around the prior authorization workload the AMA tracks: dozens of requests per physician each week and nearly two business days of physician and staff time.
PA workload
Survey-backed operational burden.
Staff time
Nearly two business days weekly.
What is prior authorization in healthcare?
Prior authorization (PA) is a requirement from health insurance companies that healthcare providers must obtain approval before delivering specific medical services, procedures, or medications. Insurers use prior auth to control costs, but the process creates significant administrative burden — the average healthcare organization spends 14.4 hours per physician per week on prior authorization tasks, according to the American Medical Association. QuickAuth by QuickIntell automates the entire prior authorization workflow: identifying which services require PA, retrieving patient data from your EHR, submitting authorization requests via API/EDI/RPA, and following up with payors via AI voice agents. The system handles Medicare, Medicaid, and commercial payers, with real-time status tracking and automated appeal generation for denied authorizations — all within a HIPAA-compliant, EHR-integrated workflow. Healthcare organizations using QuickAuth report 60-80% reduction in turnaround time, 35-55% fewer auth-related denials, and 2-3x staff productivity improvements — with typical go-live in 2-3 weeks.
The Prior Authorization Bottleneck
You're stuck with manual payor lookups, scattered medical records, and hold-music escalations. It costs hours per request, high staff burnout, and avoidable denials.
The Simple Way Forward
QuickAuth orchestrates API/RPA payor checks, EHR evidence gathering, and AI voice follow-ups so you submit clean, compliant prior auths the first time.
How It Works
Connect
Securely connect your EHR/PMS and payors (EDI 278/275, web portals via RPA, payer APIs).
Configure
Pick specialties, rules, and templates; map CPT/HCPCS to payor-specific PA criteria.
Run
QuickAuth checks if PA is required, gathers chart evidence (notes, imaging, labs), and files via API/RPA/voice bot.
Measure
Track cycle times, approval rates, and denial reasons with drill-down analytics.
Renewal Calendar
Stop silent renewal lapses
QuickAuth surfaces expiring authorizations 30, 14, and 7 days before the effective date ends, so recurring care can be renewed before coverage gaps hit scheduling, claims, or patients.
Source: QuickRCM Prior Authorization manual, section 02_prior_auth.
30 days
Plan renewal work before the next care window.
14 days
Escalate missing notes and updated treatment plans.
7 days
Prioritize urgent renewals before the old PA expires.
Under 1%
Practices report under 1% lapsed PAs after 90 days when renewal alerts are worked from the calendar.
“We cut ortho PA turnaround from 4.2 days to 26 hours and dropped auth-related denials by 42% in 90 days.”
— Megan Flores, RCM Director, Sierra Ortho Group (12 providers)
Comprehensive Feature Set
Automate
PA Necessity Engine
Maps diagnosis + CPT/HCPCS to plan rules per payor; flags when PA isn't required.
Autofill & Submit
Pulls demographics, benefits, clinical docs; files through payer API, portal RPA, or EDI 278/275.
Collaborate
Worklists & SLAs
Assign cases, due dates, and escalations; smart reminders for missing documents.
AI Voice Bot
Places/receives payer calls, navigates IVRs, and logs reference IDs & call summaries to the case.
Control
Rules & Templates
Specialty packs (cardiology, ortho, GI, imaging) with editable criteria and document checklists.
Audit Trail
Immutable timeline with who/what/when, attachments, payer responses, and decisions.
Report
Operational KPIs
Avg time-to-submit/approve, approval rate, top denial reasons, staff throughput.
Financial Impact
Avoided denials, recovered charges, downstream reimbursement velocity.
Recurring & Bulk
- Bulk Excel upload with row-level validation
- Renewal Calendar
- Peer-to-Peer scheduling
- 10-state status model
- Stagehand portal automation with manual takeover
Seamless Integrations
Works with:
Epic*, Cerner/Oracle*, Athenahealth, eClinicalWorks, NextGen, Allscripts/Veradigm, OpenEMR, DrChrono; clearinghouses; payer APIs; EDI 278/275 & 276/277; FHIR/HL7; SSO (Okta/Azure AD).
*via standard interfaces/marketplace where applicable.
One-Click Assembly
Case assembly from encounters and documents.
Real-Time Benefits
PA status without portal hopping.
Closed-Loop Updates
Updates back to encounter and scheduler.
Simple, Transparent Pricing
- Up to 300 PA submissions/month
- 1 specialty rules pack, standard connectors, dashboards
- Email support, in-app onboarding
- 301–2,000 PA submissions/month
- All specialty packs, AI voice bot minutes included
- Custom routing, advanced analytics, SSO
- Priority support & quarterly reviews
- 2,001+ PAs/month
- Enterprise integrations, high-availability RPA, dedicated success manager
- Custom SLAs, sandbox, HIPAA BAA, audit exports
Compare plans
Match plan scope to monthly authorization volume, specialty breadth, automation governance, and support needs.
| Plan | Price anchor | Monthly volume | Best fit | Included controls |
|---|---|---|---|---|
| Starter | Custom — see calculator | Up to 300 PA submissions | Small practices and single-specialty teams | Standard connectors, dashboards, email support |
| Growth | Custom — see calculator | 301-2,000 PA submissions | MSOs and multi-clinic groups | All specialty packs, SSO, custom routing, priority support |
| Scale | Custom — see calculator | 2,001+ PA submissions | Hospitals, IDNs, and high-volume ASC networks | Enterprise integrations, custom SLAs, sandbox, BAA, audit exports |
Usage-based options for RPA minutes and AI voice minutes available. Volume discounts beyond tier caps.
Enterprise-Grade Security
Encryption
AES-256 at rest, TLS 1.2+ in transit
Access
SSO/MFA, role-based permissions, IP allowlisting
Compliance
HIPAA-aligned controls, audit logs, BAA, data residency options
Audits
Quarterly vulnerability scans, annual pen test, vendor risk package available
Frequently Asked Questions About Prior Authorization
Yes—our rules engine maps Dx + CPT/HCPCS to payer policies at plan level; when not required, we document the rationale and skip filing.
Via payer APIs where available, EDI 278/275, secure RPA for web portals, and AI voice bot for payers that still require calls.
We extract progress notes, imaging, labs, prior treatments, and UM forms from your EHR and attach them in the payer's preferred format.
Yes—priority routing, SLA timers, and auto-escalation to voice bot or live rep when payers allow stat handling.
Real-time status via API/portal polling and call summaries; notifications fire to the worklist, EHR, and optionally Teams/Slack/Email.
Out-of-the-box packs for Ortho, Cardiology, GI, Imaging/Diagnostics, Oncology, Pain, Neurology, and DME—plus custom builds.
Yes—QuickAuth can support delegated utilization management workflows for payer-side or risk-bearing teams, including intake queues, evidence assembly, criteria routing, SLA tracking, and audit exports.
QuickAuth reconciles scheduled, billed, and denied encounters against plan rules, flags services that likely needed PA, and routes the case for retro requests or denial-prevention work before claims age out.
A 10-clinic MSO typically goes live in 2–3 weeks after access is ready: connector setup, specialty rules and templates, workflow tuning, validation, and user training.
Rules sync weekly; urgent changes hot-fix within 24 hours. You'll see a diff and effective date.
Typical clinic go-live in 2–3 weeks: connector setup, rules tuning, and user training.
We capture denial reason codes, generate payer-specific appeal packets, and track overturn rates.
Base platform fee + usage (submissions, RPA/voice minutes). Volume and enterprise discounts available.
Yes—fine-grained data policies, field-level redaction, and customer-managed keys (optional).
It augments them—letting coordinators handle 2–3× more volume while reducing errors and burnout.
Governance & RBAC
Controls for MSO and IDN rollout
QuickAuth keeps prior authorization automation governed at the permission, workflow, and audit layers so centralized RCM teams can scale across facilities without flattening approvals.
Source: QuickRCM manual sections 02_prior_auth, 31_pipeline_orchestration, and 35_organization.
CASL permission separation
READ, WRITE, DELETE, APPROVE, and EXPORT are granted separately for prior authorization work, keeping reviewers, operators, and compliance users in least-privilege roles.
AP-2 / AP-15 governance
PA detection and PA renewal automation can run in AUTOMATIC, SEMI_AUTOMATIC, or NOTIFY_ONLY modes, with approval queues available before sensitive submissions proceed.
Audit-ready operating model
Every status change, portal action, approval, export, and manual takeover remains tied to the user, organization, and authorization record for tenant-safe oversight.
Ready to approve more, faster?
Request access today and see the difference QuickAuth can make in your revenue cycle.
Request accessNeed overturn support after an authorization denial? Explore AI appeals automation