Prior-auth in 5 minutes. Appeals that win.

Provider-side automation. EHR-integrated · drafts auth in payer's exact format · auto-codes CPT/ICD-10 · 94% appeal-success on denials. Cuts auth turnaround from 5 days to 5 minutes.

Prior-auth is the #1 reason patients abandon care.

Hospitals lose millions every year to denials, delays, and unbilled care because the back-office can't keep up with payer requirements. Patients suffer waits. Providers eat the loss.

The auth back-office grind

  • Manually re-key from EHR into payer portal
  • Each payer wants a different form structure
  • Coordinator spends 2 days per auth case
  • Denials triaged once a week · many never appealed
  • Patient calls "what's happening with my MRI?" · no answer
  • $240k/year/hospital lost to auth-related denials
  • Coordinators burn out · turnover 35%/year

Auth in 5 min · appeals that win

  • EHR pulls clinical evidence · drafts auth automatically
  • Payer-format aware (Daman · Blue Cross · Aetna · CIGNA · NHS)
  • Eligibility + deductible + network checked in 8 sec
  • CPT/ICD-10/HCPCS auto-coded · LCD/NCD aware
  • Denials auto-triaged · 94% appeal-overturn rate
  • Patient-facing SMS keeps them informed
  • Coordinators stop quitting

How it works — every stage interactive.

Order placed → auth started in 8 seconds

Clinician orders MRI in Epic. Agent immediately checks eligibility, network, medical necessity, and starts drafting the auth — before the order even prints.

  • Epic / Cerner / Athena / Tasy native integration

  • Real-time eligibility · deductible · benefits API

  • Chart review for medical necessity per LCD

  • Eligibility

    • Daman Enhanced · active · deductible met · MRI covered

  • Medical necessity

    • Chart review: 6 wks PT documented · LCD criteria met

  • Auto-coding

    • CPT 72148 · ICD-10 M54.5 · LCD-aligned

Denials are 94% winnable · if you appeal right

Most denials are submission-quality issues, not clinical. Agent diagnoses root cause, drafts appeal with re-formatted evidence, wins.

  • Root-cause diagnosis (most denials are submission, not clinical)
  • Appeal drafted with payer-policy citations
  • Pattern matching against past appeals (94% win rate)

Patient knows what's happening · always

Auth submitted: SMS. Auth received: SMS. Approved + scheduled: SMS. Denied + appealing: SMS. Approved on appeal: SMS. Patient never has to call asking "what's happening?"

  • SMS at every state change
  • WhatsApp option for international patients
  • Self-service status check (no portal login needed)

See where your revenue leaks · plug them

Per-payer denial rates. Per-CPT auth turnaround. Per-coordinator productivity. Where the leaks are. What to fix this quarter.

Auth · faster · winnable · revenue captured.

Numbers from Mukh.1 hospital revenue-cycle customers (UAE, KSA, India, UK).

  • Auth turnaround: 5 min vs 5 days manual
  • STP rate: 94% (vs 38% manual)
  • Appeal-success rate: 94%
  • Revenue/yr recovered from denials: +AED 240k

Connects to your EHR + payers + clearinghouses

Epic, Cerner, Athena, Tasy, Daman, Bupa Arabia, BCBS, Availity, Change Healthcare.