Primary care & clinics
Referrals, imaging, and medications that all need an auth before the patient can be seen or scheduled.
- Family medicine
- Pediatrics
- Urgent care
Prior authorization automation·clears in the background
Prior auth,without thefax machine.
Approva reads each payer's rules, files the prior authorization with the right documentation, and chases it to a decision, so your staff stops living on hold.
Book a 15-minute demo.HIPAA-ready · BAA included
Prior authorization
PA-4821 · Cardiac MRI
Auth caught from the EHR
Payer rules matched
Documentation gathered
Filed to Blue Cross
Decision
Filed in 4 min · ref A28F-2231No staff touch
From days to minutes
90 practices file prior auths with Approva. Turnaround cut from days to minutes.
Front Range OrthopedicsCedar Valley CardiologyLakeside Family MedicineSummit ImagingHarbor GI AssociatesMeridian Billing Group
Practices and billing teams that run prior auth on Approva.
The math
A prior auth shouldn't cost three days of staff time.
Practices handle dozens of prior authorizations a week. Each one is forms, faxes, and time on hold, and every day of delay pushes care back and denials up.
Where the days go
Your staff didn't train to sit on hold. Approva does the forms, the faxes, and the follow-up, and hands them only the exceptions.
≈ 3 daysthe typical time to a prior-auth decision, most of it spent waiting.
13 hrsof staff time a week lost to forms, faxes, and payer phone trees.
1 in 4prior auths delayed or denied over missing or mismatched documentation.
How it works
It picks it up, files it, and chases it
No new software to learn and no change to how your clinicians work. Approva runs alongside your systems and only interrupts your team when a request truly needs a person.
01
Approva picks it up
The moment an order needs a prior authorization, Approva pulls it from your EHR or worklist. No one has to notice it, key it in, or start a pile.
02
It files it right the first time
Approva matches the payer's exact requirements, gathers the chart notes and codes each plan wants, and files electronically, complete on the first pass.
03
It chases the decision
Approva follows up with the payer automatically, tracks status to a decision, and flags only the few requests that genuinely need a person.
Who it's for
Built for the teams buried in prior auth
If a prior authorization stands between your patient and their care, Approva is built for you. It learns your payers and service lines, then clears the queue in the background.
Specialty practices
High-volume, high-criteria auths where a missing note or wrong form means a denial and a delayed procedure.
- Cardiology
- Orthopedics
- GI
- Neurology
Imaging & procedures
MRI, CT, and advanced imaging orders that stall on prior auth while the schedule sits half full.
- Radiology
- Infusion
- Surgical
Billing & RCM teams
Central billing offices and RCM groups clearing auths across many providers and payers at once.
- Multi-site groups
- RCM vendors
- MSOs
What Approva does
Everything the request needs, handled
The whole prior-auth workflow, from the rules to the follow-up, run automatically, so your team touches only the exceptions.
Payer-specific requirement matching
Approva keeps the current rules for each payer and plan, and builds every request to that exact spec, the right codes, forms, and clinical criteria, so it lands complete instead of bouncing back.
Automatic document gathering
It pulls the chart notes, labs, imaging, and codes each payer asks for straight from your records, and assembles the packet, so no one digs through the chart by hand.
Electronic filing to payers
Approva submits through each payer's electronic channel, or their portal where that's all they take, and captures the confirmation and reference number for you.
Automated status chasing
No more calling to check. Approva follows up on a schedule, reads the status, and keeps chasing until there is a decision.
An exception queue for the few that need a person
The handful that need a human, a peer-to-peer, a missing note, an unusual plan, land in one clean queue with everything attached and the next step already spelled out.
See it work
One prior auth. Three days, or six minutes.
Watch the same request run both ways. Your team's manual path is a three-day grind. Approva walks the identical steps in minutes and only stops for a human when it has to.
Your team today · elapsed
0h
- 15 min
Auth caught
Staff spots that the order needs a prior auth and adds it to the pile.
- 35 min
Payer rules matched
Someone hunts down which form and criteria this plan wants this quarter.
- 50 min
Documentation gathered
Digging through the chart for the right notes, labs, imaging, and codes.
- 30 min
Request filed
Fill the form, fax it or key it into the portal, hope nothing is missing.
- 2 days on hold
Status chased
Call the payer, wait on hold, call back tomorrow. And the day after.
- Day 3
Decision in hand
Three days later, an approval, if nothing bounced back for a missing note.
Based on typical practice workflows. Actual payer decision times vary; Approva removes the delay on your side of the line.
From the front office
Days of work, off their plate
How practice managers and billing leads describe the change once Approva started filing the auths.
My front desk used to lose whole afternoons to hold music. Approva files the auths and only pings us when something actually needs a decision. It gave us our staff back.
Marcus Bell
Practice Manager · Denver, CO
We went from a three-day backlog of prior auths to same-day. Patients get scheduled faster, and our denial rate dropped because the requests actually go in complete.
Grace Lindqvist
Billing Lead · Chicago, IL
Pricing
Flat plans for the volume you file.
One monthly price per volume band, not per seat. Onboarding, BAA, and support are included on every plan. A single denied procedure costs more than a month of Approva.
AnnualSave 17%
Practice
For a single practice that wants prior auth off its plate.
$416/ month
Billed annually · $499/mo month-to-month
Book a demo- Up to 150 prior auths a month
- Payer-specific requirement matching
- Automatic document gathering and e-filing
- Automated status chasing to a decision
- Exception queue with drafted next steps
- One EHR or billing connection
- BAA, SOC 2, and email support
Most popular
Group
For multi-location groups and billing teams with real volume.
$1,249/ month
Billed annually · $1,499/mo month-to-month
Book a demo- Everything in Practice
- Higher monthly auth volume
- Multiple locations and service lines
- Multiple EHR and billing connections
- Denial and peer-to-peer tracking
- Priority support and onboarding
Enterprise
For health systems and large revenue-cycle operations.
Custom
Integrations and SLA to fit.
Contact sales- Everything in Group
- Custom integrations and secure data feeds
- Dedicated environment and SSO
- Custom volume and uptime SLAs
- Named implementation and success manager
- Security review and DPA
Every plan includes onboarding, a signed BAA, and support. Volume overages are billed at a fair per-auth rate, never a surprise.
FAQ
Questions practices ask
Straight answers. If yours is not here, email hello@approvahealths.com and a human replies.
Approva covers the major national and regional commercial payers and Medicare Advantage plans, plus Medicaid in the states we operate. We maintain each plan's current prior-auth rules and add plans as customers need them. If you send meaningful volume to a payer we don't cover yet, we prioritize it.
Give your staff their afternoons back.
See Approva file a real prior auth end to end in a 15-minute demo. Bring your toughest payer.
HIPAA-ready · BAA included · Live in about two weeks.