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Faster authorizations. More approvals. All at scale.

R1 Prior Authorization combines AI-powered technology with trusted experts to manage authorization from start to finish.

R1 delivers unmatched speed, accuracy and scale that standalone options can’t deliver. Our unique approach reduces costs, accelerates approvals and protects revenue.

68%

orders cleared in 1 hour

97%

orders cleared in 1 day

1%

auth-related denial rate

39M

orders processed annually

Process overview

Expedited authorizations

R1 Prior Authorization brings automation and payer-connected intelligence together to speed up approvals. By eliminating the administrative manual back-and-forth, your team can focus on getting patients access to care sooner.

1600+ experts ensuring approvals

Hybrid approach

AI accelerates the prior authorization process while R1 experts ensure accuracy and accountability. This unique approach results in higher approval rates the first time.

Payer connected intelligence

Comprehensive scope

Powered by the Phare OS™, R1 Prior Authorization leverages Phare Access’ agentic and payer-connected intelligence to automate authorizations at scale – across inpatient and outpatient service lines, as well as all payers.

Typical cost $35 50 per auth

Quality without the price tag

Many providers don’t realize how much they spend on prior authorizations while still experiencing high denial rates, lost revenue and frequent care delays. R1 Prior Authorization cuts costs while delivering better results and faster care.

Features

Handle prior authorizations from start to finish

( 1 )

Process initiation

Automated intelligence prioritizes orders instantly, verifies coverage and identifies authorization needs — preventing delays before they impact scheduling or patient care.
( 2 )

Quality submissions

R1 connects directly with payer systems to submit clear, complete requests aligned with the latest rules and optimal auth channels, accelerating approvals.
( 3 )

Strategic intelligence

When payer requirements or documentation gaps arise, R1 experts step in to resolve issues quickly, ensuring complex cases reach approval without stalling.
( 4 )

Real-time tracking

Transparent, continuous monitoring through completion keeps teams informed and helps ensure patients move into treatment, reducing uncertainty and rescheduling.

Meet Phare: the solution for your entire revenue cycle

Phare OS

Organization-wide AI for revenue performance

Phare is healthcare's first revenue operating system, transforming the unit economics of healthcare. Through its AI-native solutions, Phare Access, Phare Claim and Phare Flow, the Phare OS smartly orchestrates your revenue cycle from patient encounter to claim resolution.

Explore Phare OS

Related resources

( White paper )

Prior Authorization Enters a New Era
( Case Study )

Baptist Health Care Clears 99% of Authorizations Within 3 Days
A man and a woman are working together in an office setting. The man is seated at a desk, looking at a computer screen, while the woman stands beside him, pointing at the screen. Both appear focused and engaged in their work. The office is well-lit and there are large windows in the background.
A man and a woman are working together in an office setting. The man is seated at a desk, looking at a computer screen, while the woman stands beside him, pointing at the screen. Both appear focused and engaged in their work. The office is well-lit and there are large windows in the background.
( Solution overview )

Get faster authorizations and capture more revenue
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