Stop turning patients away because the auth wasn’t filed.
We detect which services need pre-approval, draft the Authorization.Submission, ship it to DHPO, and watch for the response — automatically. The patient walks in cleared.
| Auth ID | Service | Payer | Status | Days |
|---|---|---|---|---|
| AUT-2026-0099 | MRI brain · 70551 | Daman | ApprovedDAM-AUTH-87332 | 0d |
| AUT-2026-0098 | Mental health intake · 90791 | Thiqa | Submitted | 1d |
| AUT-2026-0097 | Sleep study · 95810 | NEXtCARE | Drafting | 0d |
| AUT-2026-0094 | CT abdomen · 74160 | MEDNET | Denied | 2d |
Hear pre-auth handled on the call.
The agent flags the procedure, files the auth, sets expectations on turnaround.
Loading transcript…
What we automate.
Detect on booking
When a high-stakes service is selected (MRI, CT, IVF, mental-health intake, surgical consult), we flag pre-auth needed. Voice agent tells the patient before the call ends.
Draft + submit
Auto-create a draft Authorization.Submission with diagnoses, requested procedure, encounter context. Coder reviews exceptions only. Cron submits to DHPO.
Watch + reply
Authorization.Response polled hourly. Approved → auth number stamps onto the encounter automatically. Denied → AI-drafted appeal letter waiting in the queue.
Per-payer turnaround.
Surfaced in the booking flow so the patient knows what to expect.
| Payer | Typical response | Window |
|---|---|---|
| Daman | 24h | Same day |
| Thiqa | 48h | Next day |
| NEXtCARE | 12h | Same day |
| MEDNET | 36h | Next day |
| Cigna | 72h | 2-3 days |
| Bupa | 48h | Next day |
| MetLife | 60h | 2-3 days |
Soft signals — actual SLAs vary per case and per service line.
High-stakes services we flag automatically.
The voice agent recognises these on the call and brings up pre-auth before the booking confirms.
AI drafts the appeal letter. You review, send.
Same Sonnet-powered drafter as the claims-reconciliation flow. Reads the encounter, the SOAP note, the denial reason, and produces a cite-ready rebuttal.
Generated draft
Subject: Authorization Appeal — AUT-2026-0094, ICD M17.11
The denial cites medical necessity not established. The attached SOAP note documents persistent right-knee pain for 6 weeks, conservative management failure (NSAIDs, physio), and physical-exam findings consistent with grade-3 osteoarthritis…
Compared to manual prior auth.
| Capability | Manual coordinator | Generic prior-auth tool | BookSlate Health |
|---|---|---|---|
| Detected on booking | ✕ | sometimes | ✓ |
| Draft auto-created | ✕ | ✕ | ✓ |
| Voice agent tells patient | ✕ | ✕ | ✓ |
| DHPO direct submit | ✕ | varies | ✓ |
| Appeal letters drafted | ✕ | ✕ | ✓ |
| Per-payer SLA shown | ✕ | ✕ | ✓ |