The Challenge
Prior auth on a permanent loop
Nearly two-thirds of retina requests are reauthorizations for a drug the patient already receives.
100 minutes per request
Payers approve 96% of them, and the practice spends the hours anyway.
Patients wait on the answer
Six in ten approvals come back more than a day later, and one in eight takes over a month.
Drug lists change mid-treatment
Preferred-drug changes restart the cycle for patients who were already stable.
Cataract claims fail on detail
Medical-necessity documentation and a missing RT or LT modifier kill the claim.
Capabilities
Works inside your systems
Healthflo operates the software the way your staff does, integrating via APIs and agentic browsing.
Completes tasks autonomously
Escalates only what matters to your team, autonomously completes the rest.
Customized to how you operate
Every organization's admin is different, no changing internal processes.
How it works
01
Demo.
Your workflows, customized from the Healthflo marketplace.
02
Configure & Train.
Your EHR, your clearinghouse, your accounting system, your rules.
03
Go Live.
Your processes on autopilot, with a human in the loop.
Security
- HIPAA Compliant
- Signed BAA
- Access logged
- Encrypted at rest and in transit
- No clinical workflows