Prior authorization automation
Move prior authorizations forward before care gets delayed.
Champ checks payer requirements, assembles the clinical packet, submits through the required channel, and follows every authorization until it is approved or needs a clinician's review.
Prior authorization queue
Every requirement, submission, and follow-up
Authorization requirement
Plan and procedure rules confirmed
Clinical packet
Order, notes, and supporting records assembled
Payer submission
Portal submission and reference captured
Clinical exception
Medical-necessity response needs review
EXECUTION
Continuous
EVIDENCE
Every step
OWNER
Champ
One queue
across every payer
Complete
before submission
Continuous
status follow-up
The operational bottleneck
Every payer turns one order into a different process.
Authorization rules, forms, clinical criteria, submission channels, and follow-up timelines vary by payer and service. Staff have to reconstruct the case across the EHR, payer portals, fax, and phone while the patient waits.
Bring us your workflowRequirements change by plan, procedure, medication, and place of service
Clinical evidence is scattered across orders, notes, imaging, and lab results
Submissions move through payer portals, ePA tools, fax, and phone
Pending cases require repeated status checks and time-sensitive responses
The production workflow
One continuous operation, not another disconnected tool.
Champ coordinates browser, document, API, voice, and human steps around the outcome your team is responsible for.
- 01Confirm the authorization path
Verify eligibility, plan details, procedure or medication codes, servicing provider, and payer-specific authorization requirements before work begins.
- 02Build a complete clinical packet
Collect the order, diagnosis, treatment history, chart notes, imaging, labs, and other required evidence, then identify anything missing.
- 03Submit through the required channel
Complete payer or ePA forms, upload supporting records, submit through the portal or fax workflow, and capture the confirmation and reference number.
- 04Follow through to a decision
Check status on schedule, respond to administrative requests, write results back to the source system, and route clinical review, peer-to-peer, or appeal decisions to authorized staff.
Why it stays reliable
Built around the work, not a brittle integration map.
Your systems can stay exactly where they are. Champ operates across them, records what happened, and improves the workflow as the process changes.
Works with your stack
If your team can access it, Champ can work in it.
Use APIs where they are dependable and managed browser agents everywhere else. No rip-and-replace required.
Change the operating model
Give your team exceptions, not another queue to babysit.
- Staff look up authorization rules one case at a time
- Clinical records are gathered and attached by hand
- Status checks compete with new requests throughout the day
- Denials arrive without a complete, review-ready case history
- Each request starts on the correct payer-specific path
- Required evidence is assembled and validated before submission
- Follow-up continues automatically until there is a decision
- Clinicians receive only the exceptions that need their judgment
More healthcare workflows
One platform across the back office.
Prior authorization automation FAQ
Questions healthcare operators ask first.
You have more questions?
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