AuthFlowHQ

AuthFlowHQ is a web-based vertical SaaS for healthcare administrative teams that reduces time spent on prior authorizations, insurance verification, and billing/claims follow-ups. Staff can submit prior auth requests from standardized templates, auto-populate payer forms, and track status in a single queue with deadlines and escalation rules. For eligibility, the app verifies coverage, copays, and referral requirements before the visit and flags mismatches that cause denials. For claims follow-up, it organizes outstanding claims by payer, age, and denial reason, generating call lists, appeal packets, and patient-ready balance explanations. The platform integrates with common EHR/PM systems to pull demographics, CPT/ICD codes, and appointment context, while maintaining an audit trail for compliance. Clinics and outpatient centers use it to shorten authorization cycles, reduce denials, and improve cash flow without adding headcount.