Prior Authorization Detection

Catch PA Requirements Before They Delay Care

Aivara Health detects prior authorization requirements in real time, initiates workflows automatically, and tracks every approval — so appointments are never cancelled, rescheduled, or delayed.

11days

Average time lost waiting for prior authorization approvals

1 in 5

Appointments delayed or cancelled due to missed PA requirements

87%

Of PA denials are preventable with proactive detection systems

What's Included

Everything you need to eliminate PA delays

From real-time detection to appeal management — Aivara Health handles the entire prior authorization lifecycle in one place.

Real-Time PA Detection

Scans orders and diagnoses the moment they are entered — flagging prior auth requirements before they become delays.

Payer Rule Database

Cross-references your patient's insurance against an up-to-date library of payer-specific PA rules automatically.

Automated PA Initiation

When PA is required, the system automatically kicks off the workflow — populating forms and routing to the right payer.

Approval Status Tracking

Track every prior auth from submission through approval or denial — with real-time status visible to your entire team.

Early Warning Alerts

Receive alerts early enough to avoid rescheduled procedures, delayed surgeries, and frustrated patients.

Denial & Appeal Management

When authorizations are denied, manage appeals directly in the platform with guided documentation support.

Documentation Auto-Fill

Clinical notes, diagnosis codes, and clinical criteria are auto-populated into PA forms — reducing manual entry errors.

PA Workflow Dashboard

A single dashboard showing all pending, approved, and denied authorizations — with filters by provider, payer, or date.

How It Works

Proactive PA management in four steps

Scan Orders in Real Time

As your team enters orders or procedures, Aivara Health immediately checks whether prior authorization is required.

Match Against Payer Rules

The system cross-references the patient's payer and plan against a constantly updated library of authorization requirements.

Initiate the PA Workflow

If PA is needed, the workflow kicks off automatically — forms populated, clinical notes attached, routed to the payer.

Track Until Resolved

Monitor approval, denial, or appeal status in one place. Never lose track of where a prior auth stands.

HIPAA Compliant

Real-Time Detection

Payer Rule Updates

Denial Management

Get Started

Never miss a prior auth requirement again

See how Aivara Health proactively catches PA requirements, reduces denials, and keeps patient care on schedule.