Smarter Authorization, Faster Decisions
Process PA requests faster and more accurately. ParaHealth helps payers reduce manual review while improving provider satisfaction.
The Payer Challenge
Volume is growing. Staff is stretched. Providers are frustrated.
Payers process millions of PA requests annually, straining operational resources and driving up admin costs.
Nearly half of PA submissions arrive with missing or insufficient clinical documentation, requiring costly back-and-forth.
Complex PA requirements create friction with providers and impact network satisfaction and retention.
Auto-Resolve the Requests That Don't Need Review
Routine PA requests that clearly meet clinical criteria are auto-resolved against your coverage policies. Your team only sees the cases that actually need human judgment — complex oncology, specialty drugs, incomplete documentation.
- Routine requests auto-approved against your coverage policies
- Only exceptions and edge cases escalated to clinical reviewers
- Consistent policy application across every single request
Complete Submissions, Not Incomplete Faxes
When providers use ParaHealth, their submissions arrive pre-validated with all required documentation attached. No more back-and-forth requests for missing labs, incomplete step therapy records, or wrong ICD-10 codes.
- Submission completeness improves meaningfully
- Providers are guided to include everything your policy requires
- Fewer return-to-provider cycles frees your ops team from chasing paperwork
Providers Stop Calling to Complain
When turnaround drops from days to hours and submissions stop bouncing back, provider friction disappears. Better PA experience means better network satisfaction and fewer support calls.
- Turnaround compressed from days to hours
- Fewer provider support calls — your team handles real issues
- Network satisfaction improves as friction disappears
How It Works
From intake to decision in minutes, not days.
Receive PA
Structured request arrives with complete documentation
AI Triage
Automated clinical criteria matching and risk scoring
Flag Issues
Incomplete items flagged, routine requests auto-resolved
Decision
Approve, request info, or escalate to medical director
Notify
Instant provider notification with decision details
Measurable Impact
Results from day one.
Ready to Modernize Your PA Process?
See how ParaHealth can reduce your review burden and improve provider relationships