Per-case SLA tracking
72h / 7d
Urgent and standard prior-auth deadlines monitored automatically.
Prior Authorization Operations
Turn payer denials into recoverable revenue before the clock runs out.
AI copilot for prior authorization submissions, denials, and appeals for specialty clinics. DenialOS combines triage automation, appeal workflows, and SLA monitoring so independent specialty clinics can ship cleaner submissions and win more overturns.
Appeal recovery focus
80%+
Designed to prioritize high-value denials likely to overturn.
Staff coordination
1 queue
Intake, denial triage, and appeals managed from a single command center.
Workflow
A practical operating loop for high-friction payer workflows
Step 1
Ingest new PA requests
Front-office staff capture patient, payer, and procedure details while DenialOS pre-checks likely documentation gaps.
Step 2
Monitor payer decisions
Status transitions and SLA windows are tracked continuously so no case stalls without escalation.
Step 3
Triage denials by upside
Denials are grouped by urgency and recoverable value to focus limited specialist time where ROI is highest.
Step 4
Launch appeal runbooks
Appeal tasks, recommended evidence, and owner assignments are generated as a guided checklist for completion.
Platform Capabilities
Built for clinics that need reliability, not another analytics vanity layer
Authorization Command Center
Consolidate payer requests, due dates, and required attachments into one operational queue with clear ownership.
Denial Risk Prioritization
Surface urgent denials first by combining due date pressure, payer behavior, and estimated revenue at risk.
Appeal Draft Automation
Generate first-pass appeal language and clinical evidence checklists with human review before submission.
Revenue Impact Visibility
Track approved value, at-risk amounts, and appeal conversion rates by clinic, payer, and specialty line.
Start with one specialty line. Expand payer by payer.
Deploy DenialOS for your highest-friction procedures first, validate overturn improvement, then scale workflows across your full authorization portfolio.