Meet PAULA

Voice Enabled

What does Voice Enabled mean?
Voice Enabled PAULA automates prior authorization calls to insurers, ensuring swift approvals and freeing you from manual follow-ups to improve patient access to timely care.

Prior Authorization on Autopilot

Transform your prior authorization process from a burden into a competitive advantage.

10x
Faster than manual authorization submissions
98%
First-pass resolution rate

Automated Submissions

Submit with confidence and stay up-to-date on payors' rules

Transform the way your practice manages prior authorizations by cutting manual workloads and approval times. PAULA stays current with payor requirements and checks each patient’s health plan policy to determine prior authorization requirements, and then submits all the needed information to payors with perfect accuracy.

Intelligent Appeals

Seamless prior authorization tracking and appeals

Keep track of your authorizations in real-time, improving visibility and reducing delays in patient care. PAULA monitors the status of all requests until they reach a resolution, automatically follows up with payors, and generates appeal letters for denials with all the necessary supporting clinical evidence.

All Features

Description

Voice Enabled

Voice Enabled PAULA automates prior authorization calls to insurers, ensuring swift approvals and freeing you from manual follow-ups to improve patient access to timely care.

Real-Time Status Tracking

Provides real-time updates on the status of authorization requests, allowing healthcare providers to monitor approvals, denials, and any need for additional information quickly.

Efficient Insurance Verification

Automatically verifies insurance coverage requirements to ensure the correct PA is submitted, minimizing the risk of rejections.

Multi-Channel Submission

Submits authorizations through various channels including web portals and phone (in BETA), ensuring compliance with payer-specific requirements and preferences.

Seamless Integration with EHRs

Integrates smoothly with existing EHR systems, extracting relevant patient and treatment information directly, ensuring a streamlined process.

Dynamic Adaptation to Payer Rules

Easily updates rules and processes to adapt to different payer requirements, ensuring submissions meet specific payer guidelines and reduce denial rates.

Denial Management & Resolution

Detects and flags rejected authorizations, guiding staff through quick resolutions, appeals, or alternative treatment options, thus speeding up the entire process.

Detailed Reporting & Analytics

Generates insights and reports on PA trends, approval rates, and reasons for denials, helping healthcare providers optimize their authorization strategies and improve financial outcomes.

Scalable Across Practice Sizes

Designed to handle high volumes of PA requests effortlessly, making it suitable for both small practices and large healthcare networks with diverse and complex authorization needs.

Enhanced Security & Compliance

Ensures all PA-related data is securely managed and complies with regulatory standards, maintaining the confidentiality of patient information.

Automated Prior Authorization Requests

PAULA quickly processes and submits prior authorization requests, reducing the time and manual effort needed to get approvals from payers.

Cara Perry

VP of Revenue Cycle Management
Signature Dental Partners

Everything is running 24 hours a day, and accurately, which is all you can ask for when it comes to RCM.

It's like training a perfect employee, that works 24 hours a day, exactly how you trained it.

Cara decreased days sales outstanding to 45% below industry standards

Achieving Guaranteed Outcomes and ROI

Join leading healthcare providers and:

  • Collect more money, faster
  • Higher capacity, less headcount
  • Acquire and retain more patients