A prior authorization request needs clinical documentation pulled together, checked against the payer's requirements, and submitted before a patient's treatment can proceed — normally hours of a care coordinator's time, chasing down records and formatting them to whatever the payer wants this time.
Here's what that looks like running through ContextTogether's governed flow instead.
Intake. The clinical documentation, prior visit records, and payer requirements go in as documents. The flow extracts them into canonical knowledge and checks the request against the patient's existing record — so a missing piece of required documentation surfaces before submission, not after a denial.
Checkpointed preparation. The authorization request is assembled in reviewable, resumable steps — not a single opaque conversion from "chart" to "submission." Every checkpoint is recorded.
Human approval gate. A clinician or coordinator reviews the prepared request before it's submitted — the one step that still needs a person's judgment.
Submission and retrieval. Once approved, the request goes to the payer, and the full trail — documentation, checkpoints, approval — stays retrievable with receipts, so a denial or audit later has a complete record, not a reconstruction.
The coordinator's time goes to the patient, not the formatting.