Prior-Auth Case File
Problem
Payers use tools to route authorizations. Many denials are never appealed, even when appeals often succeed. The case file is thin.
What it solves
A written record for one named denial: what was submitted, what was missing, what to attach.
How
Reconstruct the file. List gaps. Draft the attach list. Not a payer platform. Not an automatic appeal bot.
The issue, in public sources
KFF: Medicare Advantage prior authorization