Prior Authorization Shouldn't Stand Between a Patient and Their Care

Q: How is skyAuth different from just using the payer portal?

Payer portals require manual data entry, one at a time, for every request. skyAuth connects directly to your EHR, reads clinical documentation, auto-populates the submission, and tracks the response – across every payer – without anyone touching a portal. The difference is measured in hours per day per staff member.

Q: Which EHRs does skyAuth integrate with?

skyAuth overlays directly within Epic, Cerner, and ModMed, with additional integrations across leading EHR systems. It also processes faxes and handwritten clinical notes – because that’s the reality of how providers work.

Q: What happens when a PA gets denied?

skyAuth captures the denial reason, surfaces relevant documentation gaps, and auto-generates an appeal with supporting clinical evidence pre-attached. Your team reviews and approves in minutes rather than rebuilding the case from scratch.

Q: Does skyAuth work for the payor side too?

Yes. skyAuth — Payor helps health plans review and adjudicate incoming requests faster by automatically surfacing clinical context, flagging incomplete submissions, and maintaining audit-ready decision trails — reducing review time and provider friction simultaneously.

Q: How does skyAuth fit into the senior care use cases?

skyAuth connects natively with skyReferral (referral tracking), skyAdmissions (SNF intake), and skyCare (point-of-care workflows). When a referral is accepted and an authorization is needed, skyAuth can initiate the PA process automatically — closing the loop from referral to approved care without manual handoffs.

skyAuth automates the entire prior authorization lifecycle – for providers and payors – cutting manual touches, reducing denials, and getting patients access to care faster.

Trusted by leading provider groups and health plans

Prior auth is the most expensive process no one has fixed

It Takes Days to Get an Answer

Every PA request means phone calls, faxes, payer portals, and waiting. While your staff chase approvals, patients wait – and sometimes give up. The process hasn’t changed in decades. The cost has.

Denials Are Draining Your Revenue

Missing documentation, wrong codes, payer rule changes – any of it triggers a denial. Appeals consume staff time and still fail 30% of the time. The revenue that slips through is rarely recovered.

Your Clinical Staff Are Doing Admin Work

Nurses and care coordinators are spending hours each week on PA submissions, status checks, and follow-up. That’s time taken directly from patient care – and a leading cause of burnout.

skyAuth: Automate the authorization. Protect the care.

skyAuth embeds intelligent AI agents directly into your clinical workflows – handling submissions, tracking approvals, managing denials, and giving every stakeholder real-time visibility.

Submit

AI reads clinical notes, fax documents, and EHR data to auto-populate and submit prior auth requests - correctly, completely, the first time.

Track

Every request is tracked from submission to decision. No more calling payer hotlines. No more spreadsheets. Status is always visible, and overdue requests escalate automatically.

Resolve

When a denial comes in, skyAuth surfaces the reason, suggests corrective action, and can auto-generate the appeal - so your team spends minutes, not hours, on reversals.

30%

More Staff Capacity Unlocked

AI takes over the manual PA workflow – freeing clinical and administrative staff for work that actually requires them.

Hours Freed Per Clinician, Per Week

<Days

Approvals Across Every Payer

skyAuth integrates with major EHRs and payer portals, processing submissions and tracking status automatically – no portal-hopping required.

Never Miss a Deadline

Less

Denials From the Start

AI checks payer-specific requirements before submission, catching missing documentation and code mismatches before they become denials.

First-Pass Approval Rate Up

Whether you're submitting or approving - skyAuth works for you.

skyAuth — Provider

Providers

For senior living operators, SNFs, provider groups, and health systems that submit prior authorization requests to payers.

Auto-populate requests from clinical notes and EHR data

Submit to any payer portal - Epic, Cerner, ModMed, and more

Track every request status in real time

Auto-escalate stalled or expiring authorizations

Generate appeals for denied requests automatically

skyAuth — Payor

Health Plans

For health plans and payers that receive, review, and adjudicate prior authorization requests.

AI-assisted review with clinical context surfaced automatically

Reduce review time with intelligent documentation extraction

Flag incomplete or inconsistent submissions before manual review

Audit-ready decision trails for every authorization

Reduce member and provider friction with faster turnaround

How skyAuth works

Prior Auth Request Queue

Every active authorization request in one place – Task ID, patient, payer, CPT code, status, and progress tracked in a single table. Filter by patient, payer, or status. No spreadsheets, no inbox digging, no portal-hopping. Every request your team is managing, visible at a glance.

5-Stage Workflow Automation

skyAuth moves every request through five structured stages automatically: Task Pulled → Eligibility Check → Document Mapping → PA Submission → Update to EHR. Each stage is tracked, timed, and visible. If a request stalls at any stage, it surfaces immediately — before it becomes a delay in care or a missed deadline.

skyAgent Integration

Real-time visibility into your full PA volume – by status, by stage, by date range. See where requests are moving and where they’re getting stuck. Daily trends show volume patterns over time so your team can anticipate load, not just react to it.

Health Plan Intelligence

Once a decision is received, skyAuth updates your EHR automatically – no manual data entry, no transcription errors. Every request carries a Reference ID for full traceability across payer and EHR systems. The loop closes without anyone having to close it.

Why teams switch to skyAuth

Every prior authorization contains protected health information, payer credentials, and clinical documentation that demands the highest level of security. skyAuth handles it all – with HITRUST r2 certification, full audit trails, and PHI-aware processing built into every step.

SOC2 Type II

HITRUST r2 Certified

Zero Data Sharing

Full Audit Logs

skyAuth^TM vs Generic AI

FEATURE	skyAuth^TM	Generic AI
Auto-populates from EHR/fax	AI-native	No
Real-time status tracking	Yes	No
Payer-specific rule intelligence	Yes	No
Denial & appeal automation	Yes	No
Works without changing EHR	Overlays existing	No
HITRUST r2 Certified	Yes	No
Both provider & payor capable	Yes	No
Staff capacity impact	30%+ freed	No

FAQ

How is skyAuth different from just using the payer portal?