Prior Authorization

High-Volume Prior Authorization Submission

Work a queue of prior authorizations across regional and national health-plan portals, one case at a time, each with its own confirmation number and audit trail. At forty a day the failure mode is the easy case that got skipped, not the hard one.

This workflowManaged-care payer portals
StatusComing soon
AccessBrowser agent
AuthCustomer portal login

Step by step

What this workflow covers

Past a certain volume, PA stops being a task and becomes a production line: a worklist of cases against a handful of plan portals, where the real risks are a skipped row, a mixed-up member, and a failure that silently takes the rest of the batch with it.

  1. 01Take the next case from your worklist, with member, provider, and service details as inputs.
  2. 02Sign in to that plan’s portal with credentials from an agent profile.
  3. 03Submit the authorization and attach documentation, from the case’s inputs only. A missing field fails that case by name.
  4. 04Record the confirmation number and status against the case.
  5. 05Move to the next case. A failed case is reported and isolated; it never stops the queue.

Anything a portal disputes, from an eligibility mismatch to a clinical question, escalates that single case to a person while the rest of the queue keeps moving.

There’s no such thing as a batch. There are 400 individual authorizations.

Portals don’t accept batches; they accept one authorization at a time, and every shortcut people invent under volume pressure, copied fields, assumed answers, skipped confirmations, is a per-case error multiplied by the queue. Agents scale the honest version instead: per-case discipline, per-case audit trail, throughput that grows by running more agents rather than hiring more people to be careful faster.

At scale

What runs today

The per-case submission running in production on payer portals is the unit this queue is made of; the high-volume harness around it is built per plan mix, on request. Scope it against your volumes, or start from the prior authorization workflow library.

Questions

Frequently asked questions

Concurrency is a configuration choice, not a limit of the workflow: each case runs as its own agent execution with its own trail, so a queue is worked in parallel up to whatever rate the portal and your review process support.

Disclaimer

Third-party names, including government agencies and registries, are used only to identify systems commonly involved in healthcare operations workflows. Asteroid is not affiliated with, endorsed by, sponsored by, or certified by those third parties unless expressly stated. Workflow availability depends on customer authorization, account permissions, configuration, and applicable system terms.