Accelerate Patient Access with AI-Driven Prior Authorization & Eligibility
Speed up patient access with AI-powered prior authorization and real-time eligibility verification. Reduce delays, cut admin burdens, and improve care delivery with Carevyn.
Prior authorization and eligibility verification shouldn’t be a bottleneck to patient care. Carevyn automates these critical workflows, allowing you to reduce wait times, cut administrative burdens, and boost your revenue cycle performance. With real-time eligibility checks and intelligent prior auth routing, your staff spends less time on paperwork and more time on patients.
Instant AccessWhy It Matters
Manual prior auth processes cost providers $10–$20 per transaction and lead to care delays for 1 in 4 patients. It’s time to modernize.
Carevyn’s AI-Powered Workflow Delivers Results
- ✅ Instant Eligibility Verification
- Real-time checks against payer systems and clearinghouses
- Reduce rejected claims due to coverage errors
- Improve first-pass claim success rate
- ✅ Automated Prior Authorization Management
- Intelligent form pre-filling based on clinical documentation
- AI routes requests to correct payers instantly
- Track auth status in real-time from your EHR
- ✅ Seamless EHR Integration
- Works with Epic, Cerner, Athena, and other major systems
- View auth and eligibility status directly within patient records
- Reduce toggling between platforms
- ✅ Compliance & Audit Readiness
- Every authorization is logged and traceable
- Built-in rules engine aligns with payer requirements and CMS regulations
Key Benefits for Your Organization
50%+ reduction in turnaround time for common services
Up to 30% fewer rejections tied to auth/eligibility errors
Free up 100s of hours/year from prior auth admin work
Faster billing cycles with clean claims from day one
Get patients into care faster with no back-office hurdles
Who Benefits Most?
- Hospitals & Health Systems dealing with high patient volumes
- Specialty Clinics requiring frequent prior auth (cardiology, orthopedics, oncology)
- Telehealth Providers needing fast access checks for remote visits
- DME Suppliers managing recurring equipment approvals
- Health Plans & Payers aiming to streamline intake and approval workflows
How It Works in 3 Simple Steps
1. Eligibility Verified Instantly
AI verifies coverage across payers at the point of care.
2. Auth Request Auto-Generated
Clinical notes are parsed to fill forms and submit with required documentation.
3. Status Tracked in Real Time
Get notifications, flags, and EHR updates as approvals come through.
Your Compliance, Secured
- HIPAA-Compliant Architecture
- Secure data transfer and encryption
- Automated logs for audit traceability
- FHIR & HL7 integration ready
Ready to Stop Chasing Approvals?
Let us show you how AI can eliminate delays, reduce rejections, and accelerate your revenue cycle.