Prior Auth
Gate 2 — does the payer require authorization for these codes, and is it on file before the procedure?
Missing
3
blockedauth required
On file
1
approved
Auth required
4
of today’s visits
Not required
10
no auth needed
AI flagged 3 codes that need prior authorization
72148 (MRI · Maria Rodriguez) and 96116 (neuro exam · Aisha Patel) require authorization before the visit — none on file. AI drafted both requests, ready to submit to the payer.
| Patient | Codes | Payer | Auth status | Action |
|---|---|---|---|---|
Maria RodriguezPT-10241 DOS 2026-07-09 | 72148 | Aetna PPO | Missing | |
Aisha PatelPT-10245 DOS 2026-07-07 | 9611699215 | Humana | Missing | |
Grace ParkPT-10250 DOS 2026-07-11 | 73721 | Cigna PPO | Missing | |
Sarah WilsonPT-10243 DOS 2026-07-08 | 7372199203 | United | Approved | View auth |