6
AI Workforce
A

Aria

active

Prior Authorization

Detects requirements, assembles packets, submits after approval, and tracks every deadline.

ID: prior_auth_agent

Revenue Cycle

9

tasks today

1.4%

Error rate

28h

Est. staff hours saved

9

skills

What This Agent Does

Each skill validates permissions and tenant context before execution, and emits an audit record.

detect_prior_auth_requirementretrieve_payer_requirementscollect_clinical_documentationprepare_authorization_packetgenerate_medical_necessity_draftsubmit_for_provider_approvalsubmit_authorizationpoll_authorization_statustrack_deadline

Always requires human approval

What This Agent Does Not Do

  • Medical-necessity drafts require provider sign-off before submission.
  • Does not alter clinical documentation to fit payer criteria.

Default Autonomy

The most restrictive policy (organization, practice, agent, skill, workflow step) always wins.

Autonomy changes are audited. Clinical and high-risk skills always require human approval, regardless of level — the most restrictive policy wins.

Required Integrations

  • Coverage data
  • Payer portal integration or supported manual workflow

Required Permissions

prior_auth.readprior_auth.prepareprior_auth.submit

Pricing

$249/month

Usage price

$1.80/case

Included usage

100 cases/mo

14-day free trial

Illustrative placeholder pricing — final pricing is configured per contract, never hard-coded.

Available in bundles

Revenue Cycle Bundle

Entitlements

  • legacy_migrationgrandfatheredAug 2025
Manage Subscription

Agent Activity

  • 10:12 AM

    authorization.prepared — Cardiac MRI (Robert Delacroix)

    trc_6c44