Everything you need to go live

Most practices are live on Approva in about two weeks, with no new hardware. Onboarding has four parts: connect your systems, map your payers and service lines, set your rules for what stays with a human, and run a supervised period.

During the supervised period, Approva prepares each request and your team reviews before it files. Once you are confident, Approva files on its own and only surfaces the exceptions.

Approva connects to common EHRs and practice-management and billing systems through their standard interfaces, to pick up auth needs and pull documentation. Where a direct integration is not available, we can work from your worklist or a secure feed.

Connections are set up during onboarding and covered by a signed BAA. Approva only reads what it needs to prepare and file a request.

Approva maintains the current prior-auth rules for the major national and regional commercial payers, Medicare Advantage plans, and Medicaid in the states we operate. During onboarding we map the plans your patients actually use.

If you send meaningful volume to a payer we do not cover yet, tell us and we prioritize it. New plan rules are updated centrally, so your requests stay current without any work on your side.

When an order needs a prior auth, Approva picks it up, matches the payer's exact requirements, assembles the chart notes and codes each plan wants, and files electronically, complete on the first pass.

Every request shows its work, the documentation and criteria behind it, so your team can review before or after submission. Approva captures the confirmation and reference number for each filing.

Anything ambiguous or unusual is held for a person rather than guessed. Those requests land in one clean queue with the full record attached and the next step already drafted.

You set the rules for what stays with a human, by payer, service line, or dollar threshold, so the queue matches how your practice actually runs.

Approva files clean to prevent denials in the first place, and tracks every decision. When a denial or peer-to-peer comes up, it appears in your exception queue with the payer's stated reason, the record, and a drafted next step.

Approva does not practice medicine or make clinical decisions. A peer-to-peer is routed to a clinician quickly, with everything they need in hand.

Approva is built for PHI. We sign a Business Associate Agreement with every customer, encrypt data in transit and at rest, restrict access on a need-to-know basis, and keep an audit trail of every request and decision.

We maintain SOC 2 and follow HIPAA. We never sell data or use PHI to train third-party models. See the PHI and security note in our privacy policy for the full detail.

Practice is $499 a month for a single practice up to a set volume of auths. Group is $1,499 a month for multi-location groups and higher volume. Enterprise is custom, with tailored integrations and an SLA.

Plans are a flat monthly price for a volume band, not per seat, and onboarding is included. Switch plans any time from your dashboard.