Prior Authorization Submission for Cardiology Practice Managers with Epic
Run prior authorization submission on autopilot inside Epic.
The Problem
Prior auths for Cardiology procedures sit in Epic queues for days — the patient reschedules, the surgeon's OR time goes unused, and the practice eats the margin.
What We Build in Epic
AI checks payer-specific PA requirements, pulls the chart from Epic, submits the PA with clinical justification, and tracks status — turnaround drops from 7 days to under 48 hours. Purpose-built for teams running Epic — uses the native API or agent integration so nothing leaves the system of record.
Epic Integration Approach
Audit your Epic configuration
We map the specific Epic objects, custom fields, and workflows the automation needs to touch for your cardiology practice.
Build on the Epic API or agent
Integration happens inside Epic — no data leaves the system, no parallel tool for your team to learn, no license changes.
Human-in-the-loop handoff
Every automation routes exceptions back to a human in Epic with enough context to act — AI handles the 80%, your team owns the judgment calls.
Frequently asked
Does this prior authorization submission automation work natively in Epic?+
Yes — we build directly on Epic's API or agent integration. Your data stays in Epic, your cardiology practice managers keep the same login and UI, and there's no parallel system for the team to learn.
What Epic configuration do we need before deployment?+
We work with your existing Epic setup. During discovery we map the specific objects, custom fields, and workflows the automation touches — no rip-and-replace required for cardiology teams.
Can Epic handle prior authorization submission on its own?+
Epic handles configuration; AI handles judgment. Native Epic workflows route deterministic tasks; our automation layer adds the AI judgment Epic doesn't ship out of the box — document classification, exception triage, drafting.
Is Epic the right tool for prior authorization submission for cardiology practice managers?+
Epic is widely used among cardiology teams precisely because of its data model around prior authorization submission. We've deployed this workflow on Epic for similar firms and the integration is well-trodden.
What's the typical ROI of prior authorization submission automation in Epic?+
For cardiology firms running Epic, automation typically pays back inside the first quarter — measured against the loaded cost of the cardiology practice manager hours absorbed. Higher volumes deploy faster.
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See this running in your Epic instance
30-minute call. We'll look at your actual Epic setup and show exactly how this workflow fits.