Prior Authorization Submission for Gastroenterology Practice Managers with athenahealth
The Problem
Prior auths for Gastroenterology procedures sit in gMed gGastro queues for days — the patient reschedules, the surgeon's OR time goes unused, and the practice eats the margin.
What We Build in athenahealth
AI checks payer-specific PA requirements, pulls the chart from gMed gGastro, submits the PA with clinical justification, and tracks status — turnaround drops from 7 days to under 48 hours. Purpose-built for teams running athenahealth — uses the native API or agent integration so nothing leaves the system of record.
athenahealth Integration Approach
Audit your athenahealth configuration
We map the specific athenahealth objects, custom fields, and workflows the automation needs to touch for your gastroenterology practice.
Build on the athenahealth API or agent
Integration happens inside athenahealth — 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 athenahealth with enough context to act — AI handles the 80%, your team owns the judgment calls.
See this running in your athenahealth instance
30-minute call. We'll look at your actual athenahealth setup and show exactly how this workflow fits.