Submit and track prior authorizations on the utilization-management portals payers delegate them to. When the payer’s answer is “that service goes through our UM vendor,” the authorization leaves the payer’s portal entirely, and this is the workflow that follows it there.
Step by step
For whole categories of care, payers delegate utilization management to specialist UM organizations. For those services, the authorization is submitted, reviewed, and tracked on the UM vendor’s own portal: one more credentialed system per payer relationship, with its own forms and review states.
A peer-to-peer review request, a demand for more information, or anything the portal disputes goes to a person immediately, with the reviewer’s actual ask attached.
UM portals are where authorizations sit the longest, because clinical review happens there, and “pending” is where scheduling quietly dies. Staff re-checking pended auths is a person being used as a polling loop. Run as agents, every pended authorization gets re-checked on cadence, and your team gets the changes, not the checking.
At scale
These UM-portal agents are in the catalogue pipeline. The same submission discipline already runs in production on clearinghouse-style portals and payers’ own provider portals; see the prior authorization workflow library for the full set. If delegated services dominate your PA queue, scoping a build against your UM mix is the fastest path to running.
Questions
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.