When Denials Begin Before Claims
Many denials happen before a claim is even submitted—because a required prior authorization wasn’t secured or expired.
Every missed approval leads to revenue loss, rework, and delayed care.
The problem isn’t lack of effort—it’s the volume, complexity, and constant change in payer requirements.
With hundreds of payers updating authorization rules weekly, manual tracking isn’t sustainable.
The solution: AI that anticipates and prevents denials before they occur..
Predict, Prevent, and Approve Faster
The ImpactRCM Prior Authorization AI Agent uses advanced algorithms to scan scheduled services, CPT codes, and payer rules in real time.
It identifies which procedures need authorization, pulls the required data, and submits requests automatically.
The agent also predicts potential denials by analyzing historical patterns—flagging missing documents or mismatched CPT/ICD codes before submission.
Measurable Results for RCM Teams
Healthcare organizations using ImpactRCM’s Prior Authorization AI report:
- 40% fewer authorization-related denials
- 30–50% faster turnaround times
- 25% higher staff productivity
- Fewer patient cancellations due to missing approvals
These improvements translate directly to stronger cash flow, smoother operations, and happier patients.
Visibility and Accountability
Every request is tracked in real time through a centralized dashboard.
RCM leaders gain a clear view of pending, approved, and denied authorizations—across payers, locations, and teams.
This visibility reduces follow-up chaos and ensures accountability across departments.
From Manual to Proactive RCM
AI doesn’t just automate—it predicts.
The agent learns from previous authorizations to optimize workflows continuously.
By identifying high-risk claims before they reach the payer, your team can act proactively, reduce rework, and accelerate payments.
Conclusion: Redefining Denial Prevention
With ImpactRCM’s AI-driven prior authorization, healthcare organizations can stop chasing approvals and start preventing denials.
Automation ensures compliance, improves patient throughput, and secures revenue integrity.
Experience the power of predictive authorization—book a demo with ImpactRCM today.
