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Prior Authorization
Prior auths powered by AI. Perfected by experts.
SPEAK TO AN EXPERTR1 Prior Authorization is a full-service solution that combines technology and expertise to solve one of healthcare’s biggest administrative burdens. We eliminate manual work, accelerate processing speed and cut denials to drive revenue.
Automate with a human touch
With AI-powered automation and dedicated specialists, R1 ensures unmatched speed, accuracy and scale that standalone approaches can’t deliver. Our unique approach reduces costs, accelerates approvals and protects revenue.
What you can expect
Fast turnaround
68%
auths cleared in 1 hour
Reduced denials
1%
auth-related denial rate
Measurable impact
2-3x
ROI by reducing delays and denials
How R1 Prior Authorization works
DOWNLOAD SOLUTION OVERVIEWR1 automates every step of prior auths using a proprietary rules engine linked to real-time payer intelligence. The result: faster, more accurate decisions, fewer manual follow-ups and stronger revenues.
Our philosophy is simple: automation wherever possible, human intelligence for everything else.
Enable automation for digital order submission, eligibility verification, authorization determination and proactive status tracking to ensure faster processing with fewer errors.
When payers require additional documentation, policy interpretation, clinical review or other exceptions, our specialists step in to handle the request and keep the process moving.
Beyond transaction processing, R1 experts provide quality assurance, client support and strategic guidance. We make sure nothing falls through the cracks so you gain efficiency and peace of mind.
Our full-service model handles prior auths from start to finish. We verify need, submit requests, monitor status and confirm approvals. By combining automation with human expertise, we deliver faster turnaround, fewer denials and greater revenue protection.
How much are you spending on prior auths?
SPEAK TO AN EXPERTMost providers don’t know how much they’re spending on prior authorizations. The average is $35-50 along with high denial rates, lost revenue and frequent care delays. What if R1 could cut yours costs in half while delivering faster authorizations?
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