#priorauth

That Friday 3PM panic: "United rejected 41 claims. All prior auths expired." $8,670 gone instantly.

What kills auth revenue:

Expired auth #XYZ123 (23 claims)

Wrong procedure code (12 claims)

Missing auth number (6 claims) 41% of ALL denials = auth issues

Quick fix workflow:

8AM: AI scans 1,247 claims for auth status 8:30AM: 41 expired auths flagged 9AM: Auto-renewal requests sent 10AM: 95% auth compliance → 67% clean claims

Revenue math:

41 claims x $210 avg = $8,610 recovered weekly $2.1M Q1 auth revenue protected

Prior Auth Tracker Denial Prevention Tool

Q1 2026: 41% prior auth failures = 2,847 claims rejected @ $847 avg = $1.7M lost across 23 practices. Chart reviews 78→156/wk doubled.

DETAILED breakdown:

MISSING AUTH #: 1,167 claims ($987K) EXPIRED: 847 claims ($717K) WRONG CODE: 456 claims ($386K) Glaucoma 66170: "IOP 28mmHg Xalatan failed"

3-STAGE fix w/LINKS:

8AM: Real-time auth TOOL 10AM: Clinical templates PDF 2PM: AI prediction DATASET

revsynmd.com = 11.8%→4.2% denials. $1.7M BACK.

Q1 2026 reality across 23 practices: 11.8% denial rate, 41% prior auth failures = 2,847 rejected claims @ $847 avg = $1.7M evaporated. Chart reviews 78→156/week. Appeals crashed 28%→19%.

DETAILED breakdown:

MISSING AUTH: 1,167 claims ($987K) EXPIRED AUTH: 847 claims ($717K) WRONG CODE: 456 claims ($386K) INELIGIBLE: 378 claims ($320K) TOTAL: $2.41M RISK

3-STAGE EXECUTION:

8AM: Real-time auth lookup (89% catch) 10AM: Glaucoma IOP templates (66170 proof) 2PM: AI denial prediction (67% recovery)

revsynmd.com = 11.8%→4.2% denials. $1.7M BACK.

VMeDx: Simplifying Medical Prior Authorization for Healthcare Providers

Description :-

Our Medical Prior Authorization service ensures hassle free and timely approval of medical treatments and procedures for healthcare providers Navigating insurance requirements can be complex, but our experts handle the entire authorization process with precision and efficiency. Trust VMeDx to streamline approvals, reduce administrative burdens, and keep your focus on patient care.