Prior Authorization Automation for Physical Therapy

Stop chasing approvals. Start treating patients.

Physical therapy runs on repeat authorizations. Visit caps of 6, 8, or 12 mean every episode of care requires multiple rounds of insurer approval, and every re-auth is another opportunity for delays, denials, and rescheduled patients.

Athelas automates the work.

Healthcare professional reviewing patient data on multiple computer monitors.

The Problem

The problem with manual PA

Every payer, a different portal. Different forms, different logins, different clinical templates.
Visit counts are unforgiving. One session over the cap is a denial.
Re-auths need real documentation. Progress notes, functional outcomes, medical necessity, every time.
Follow-up eats the day. 12 hours a week on average, per the AMA.

The Solution

How Athelas helps

The Prior Authorization Agent submits and tracks approvals across payers automatically:

Files evaluations, initial visit blocks, and re-authorizations with the right documentation.
Visit counts are unforgiving. One session over the cap is a denial.
Re-auths need real documentation. Progress notes, functional outcomes, medical necessity, every time.
Follow-up eats the day. 12 hours a week on average, per the AMA.