AI Prior Authorization Platform for Texas Medicaid Agencies

Turn 7-Day PA Delays into 2-Minute Instant Approvals

AuthPilot reads raw OASIS forms, CMS-485 orders, and clinical notes to generate audit-resistant prior authorization packets and 500+ word medical necessity narratives with 96.2% first-pass approval.

96.2%
First-Pass Approval Rate
45 Mins
Saved Per Authorization
85%+
Denial Overturn Rate
100%
HIPAA Compliant & BAA Covered

Trusted by home care agencies across Texas · Protected under HIPAA 45 CFR Parts 160/164 · CMS FHIR PA Mandate compliant

HOW IT WORKS

From Clinical Documents to Approved PA in 3 Steps

No training required. No EHR integration needed. Works with any home health agency in Texas.

1📄

Upload Your Clinical Documents

Drag and drop your OASIS assessment, CMS-485 physician orders, and clinical notes. AuthPilot accepts any PDF — no special format required.

2🧠

AI Generates Your PA Packet in 90 Seconds

Claude AI reads your documents, extracts all required fields, writes the medical necessity justification, and pre-fills the correct form for your specific payer — TX STAR+PLUS, UHC, Molina, or Aetna.

3✅

Review, Approve, and Submit

Your coordinator reviews the generated packet on a split screen, edits if needed, then clicks Approve. AuthPilot faxes it directly to the payer. You get a confirmation when it's delivered.

Average coordinator review time: 3 minutes. Average payer response: 2.4 days vs the 7-day CMS cap.

Interactive Agency ROI Calculator

Adjust monthly prior authorization volume to calculate exact labor and revenue impact.

Monthly PA Volume:25 Prior Authorizations / mo
Monthly Hours Saved
18.8 Hours
@ 45 mins saved per PA
Coordinator Labor Cost Saved
$564
@ $30/hr coordinator rate
Revenue Protected from Denials
$9,600
@ $3,200 avg claim value
GET STARTED TODAY

Ready to cut your PA time by 75%?

Start with 5 free prior authorizations. No credit card required. Setup takes 10 minutes.

🔒 HIPAA Compliant · BAA Included · No Setup Fees · Cancel Anytime