AI-Powered Prior Authorization That Moves at the Speed of Care
Manual Prior-Authorization is Failing
You’re accountable for cost, compliance, and clinician productivity. The bottleneck of manual prior authorization stalls revenue, frustrates staff, and delays care. It doesn’t have to stay that way.
Manual processes can not meet these demands or your financial goals.
Quisitive’s AI-powered, agentic prior authorization solution automates the entire workflow. Our AI Agents include:
Gather and validate clinical data directly from EHRs
Build and submit complete, standards-based requests
Track payer status and escalate delays automatically
Learn from outcomes to reduce future denials
The Result: Fewer delays, lower costs, and measurable ROI - all within your secure Microsoft environment.
- Imaging and diagnostics: Automatically build evidence-based requests
- Specialty medication and infusion: Streamline medical necessity and coverage validation
- DME and post-acute care: Improve accuracy and reduce back-and-forth
- Surgical procedures: Cut cycle times by ensuring complete documentation before submission
- Faster approvals – from days to hours
- Fewer denials – by submitting clean, complete packets
- Lower admin cost – reclaim up to 13 staff hours per provider per week
- Regulatory readiness – built for CMS and payer interoperability standards
Get Started Fast
Discover how much time your team could save each week with AI-powered prior authorization in 3 easy steps.
Book A Design Lab
Identify your top 3 prior-authorization bottlenecks by volume, service line , and payer
Test and Validate
Deploy the AI-agent workflow in a controlled pilot (e.g., imaging or specialty meds)
Launch and Scale
Scale across service lines, integrate into your revenue-cycle KPIs, and track improvements
Quisitive is an award-winning healthcare partner
FAQ
Most organizations see measurable turnaround and denial improvements within 60–90 days of deployment of our prior authorization solution.
