Prior Authorization Software for Medical Practices
Prior authorization software that files requests, chases determinations, and calls payers directly, so fewer approvals slip through the cracks.
Prior authorization software that files, chases, and calls the payer for you.
Central, an AI front-desk platform for medical practices, offers prior authorization software that files the request in the payer's portal, chases it until a determination lands, and calls the payer directly when the portal won't say, so your team isn't stuck doing it by hand.
Built for practices filing authorizations by hand.
Good fit: practices submitting a high volume of prior authorizations, practices currently filing and following up through payer portals or by phone themselves, practices that have had a visit delayed by a missing authorization.
Not a fit: practices with very few procedures that require prior authorization.
What prior authorization software actually does.
Prior authorization software helps a practice get payer approval before a procedure or visit. Central does the filing itself: it submits the request through the payer's own portal, the same screens a staff member would log into, chases it until a determination lands, and calls the payer directly when the portal can't answer. Clinical documentation for pended cases, peer-to-peer reviews, and appeals stay with your team.
It's not a separate system to check.
Prior auth status lives next to the appointment it's attached to, so staff see it as part of the visit, not as a separate list to manage. Follow-up also runs while the office is closed: authorizations are chased overnight and on weekends, with determinations written back before the team arrives.
Filed, chased, and called, automatically.
Feature block 1: Filed and tracked in one place.
No more sticky notes or spreadsheets tracking what's pending, approved, or stuck.
Filed directly through the payer's own portal
Status tracked per patient and per procedure
Clear view of what's outstanding
Feature block 2: Chased until it's resolved, including overnight.
Central follows up on every authorization, through the portal or by phone, until a determination lands.
Automated portal follow-up and direct payer calls when needed
Runs nights and weekends; determinations written back before staff arrive
Log of every contact made
Feature block 3: Nothing falls through before a visit.
Authorizations get tracked against the scheduled visit date, so a missing approval gets flagged before the patient shows up.
Tied to the appointment record
Early warning before the visit
Clear handoff to staff for pended cases, peer-to-peers, and appeals
Handled the way patient data needs to be handled.
Central is HIPAA compliant and signs a Business Associate Agreement (BAA) for practices that need one.
Central connects directly to the practice management and patient-record systems you already use, including Epic, athenahealth, eClinicalWorks, and ModMed, plus over 6,000 additional tools through Zapier.
What practices ask before they book a demo.
What is prior authorization software?
Prior authorization software helps a practice get payer approval before a procedure or visit. Central files the request, chases it until a determination lands, and calls the payer directly when needed.
Does Central submit authorizations on our behalf?
Yes. Central files the authorization request directly in the payer's portal, the same screens your staff would use, and follows up until a determination lands.
Can this handle multiple payers?
There's no fixed list. Central covers payers reached through clearinghouse connections, plus any other payer through portal filing or a direct phone call when the portal won't answer.
What happens if a payer needs more information?
It's flagged and routed to staff rather than stalling silently.
What stays with our staff?
Clinical documentation for pended cases, peer-to-peer reviews, and appeals stay with your team. Central handles the filing, chasing, and routine calls.
Does this work outside business hours?
Yes. Follow-up runs nights and weekends. A determination that lands overnight is already recorded before your team arrives.
Does this replace our current prior auth process entirely?
No. Central handles the filing and routine follow-up; staff stay in control of anything that needs judgment.
Is prior authorization tracking HIPAA compliant?
Yes. Central is HIPAA compliant and signs a Business Associate Agreement (BAA) for practices that need one.
How fast can a practice get this live?
Each payer workflow is built by Central's team and approved by your practice before its first run, so timing depends on how many payers need to be covered. This is different from Central's general onboarding, which is designed for rapid deployment in minutes, since prior authorization workflows are configured per payer.
How is this different from filing authorizations manually?
Manual filing depends on staff logging into each payer portal and following up themselves. Central files, chases, and calls on its own, with staff only involved for pended cases, peer-to-peers, and appeals.
