Patient access
Authorizations,
before the slot.
CIVIE requests prior authorization the moment an order arrives, tracks it against the exam, follows up with payers and checks it again before the claim goes out.
Authorizations · Mon, Oct 12
This week- D. Miller · MR shoulder left w/o · 73221UnitedHealthcare · case UHC-5521890Approved Sep 16 to Oct 15 · exam Thu, Oct 15Expires in 3 days
- A. Freeman · MR brain w/ + w/o · 70553Aetna · case AET-771204Approved Oct 9 to Nov 7 · exam Thu, Oct 15Approved
- T. Nguyen · MR cervical spine w/o · 72141Cigna · requested when the order arrivedVoice agent follow-up WedPending
- H. Ali · MR lumbar spine w/o · 72148Medicare · payer rule for 72148 in this regionNot required
Illustrative
Prior authorization
Approved- Payer rules checked
- Clinicals attached from the order
- Status called in by voice agent
The challenge
Found at check-in.
Paid for in denials.
Discovered too late. A missing authorization found at check-in means a rescheduled patient and an empty slot.
Hours on payer phones and portals. Staff sit on hold and refresh portals to submit requests and chase their status.
Denied for authorization. Expired authorizations or CPT and date mismatches turn into denials weeks later.
Every authorization
Requested, tracked,
chased, checked.
The same authorization, from the order that triggers it to the claim it has to match.
Prior authorization
Approved- Payer rules checked
- Clinicals attached from the order
- Status called in by voice agent
Illustrative screens. Patient details are fictional.
How CIVIE helps
Requested early.
Checked twice.
Requested when the order lands
Authorization is requested through EDI, automation or your team as soon as an order arrives, so it's usually settled before the exam date. ED and STAT orders are not held for authorization.
Learn moreTied to the exam
Each authorization is linked to specific exams or the whole order, with its status, case number and approved dates on the worklist.
Payers followed up by voice agents
AI agents call payers, navigate phone menus, wait on hold and write the status back.
Learn moreValidated before the claim
An automation agent checks the authorization window, CPT codes and date of service before the claim is submitted.
Learn moreAppeals with the proof attached
If a claim is denied anyway, the appeals agent packages the valid authorization and documentation.
Learn more
In their words
What customers say.
Authorization used to slow everything down. With CIVIE, approvals happen in the background and exams move forward without delays.
FAQ
Questions,
answered.
CIVIE submits through EDI where payers support it, through automation on payer portals where they don't, and routes anything else to your team with the order's documentation attached.
Next steps
No more auth surprises
at check-in.
See CIVIE authorization workflows with your payers and exams.