AI-Powered Prior Authorization

Stop writing the same letter forty times a week.

Clearway drafts prior authorization letters from your chart notes — citing the exact medical necessity criteria each payer requires — in minutes, not hours.

Start Free Pilot →See How It Works

No EHR migrationHuman reviews every letterHIPAA-ready

Hours Lost Weekly

Per physician, per week, spent on prior authorizations. (AMA, 2024)

Rising Denials

89%

Of hospital systems report rising claim denials, driven mainly by prior auth.

Approval Rate

82%

When letters explicitly cite CPB criteria, versus unstructured submissions.

How It Works

From chart note to letter, in three steps.

No new system to learn. No EHR migration. Your staff works the same way — just without the blank page and the guesswork.

Intake — enter the case

Staff fills a short intake form — diagnosis, exam findings, conservative treatment already tried. Under three minutes.

Draft — Clearway writes it

Matched against the payer's exact published medical necessity criteria. Missing fields are flagged before submission, not after a denial.

Review — sign and send

A physician reads the draft, edits as needed, and submits as usual. Clearway drafts — your clinic decides.

PA Request #0041

Lumbar MRI — Aetna CPB #0236

DRAFTING

Criteria Match

Checking conservative care history…

Documentation Flags

Scanning for missing fields…

Download PDF

Review Letter →

3/3 criteria met

Aetna CPB #0236

Denial risk: Low

Ready for review

Payer Coverage

We only cover what we can get right.

Two insurers with real public criteria now. More — once a pilot gives us genuine denial data to work from, not guesswork.

Aetna

LIVE

800+ Clinical Policy Bulletins, publicly available and mapped into Clearway. Imaging criteria all reference the exact CPB clause reviewers check for.

Cigna / eviCore

LIVE

eviCore manages imaging PA for Cigna and several delegated plans. Public clinical guidelines mapped into Clearway — one criteria set, multiple insurers.

UnitedHealthcare

SOON

UHC's criteria (InterQual) are proprietary. Coverage is being built from real client submission data — priority access if UHC is your top payer.

BCBS / Humana

SOON

BCBS runs 34 independent state plans; Humana relies on MCG criteria. Tell us your state and payer mix — we'll scope the right one first.

The Difference

What changes for your front desk.

Without Clearway

30–45 minutes per letter, written from scratch

Every prior auth starts from a blank page, with staff re-typing the same structure case after case.

With Clearway

5–10 minutes to review a criteria-matched draft

Clearway writes the first draft. Your staff reviews, edits if needed, and sends.

Without Clearway

Guessing which clause the payer actually wants

Staff rely on memory or outdated templates to match a payer's medical necessity criteria.

With Clearway

The exact payer clause cited automatically

Every letter references the specific CPB or guideline clause that applies to this case.

Without Clearway

Denials discovered weeks later, care already delayed

By the time a denial letter arrives, the patient has already been waiting.

With Clearway

Denial risks flagged before you hit submit

Missing documentation is caught and flagged at draft time, not after rejection.

Without Clearway

Missing documentation found only after rejection

A gap in conservative-care history often isn't noticed until the denial comes back.

With Clearway

Every request tracked — nothing falls through

A standing record of every letter, its status, and its outcome.

Pricing

Earn a place before charging for it.

Start with a free pilot. No setup fees, no contracts, no salespeople chasing you down.

Pilot

Free

First 10 letters, no card required

✓10 prior auth drafts included

✓De-identified test cases

✓Direct line to the founder

Start Pilot

Stop writing the same letter forty times a week.

From chart note to letter, in three steps.

We only cover what we can get right.

What changes for your front desk.

Earn a place before charging for it.

Bring us your next 10 prior authorizations.