# Prior Authorization Submission for Orthopedic Practice Managers with NextGen

> 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 NextGen — uses the native API or agent integration so nothing leaves the system of record.

- **Tool:** [NextGen](https://calish.com/workflows/tool/nextgen/)
- **Role:** [Orthopedic Practice Manager](https://calish.com/workflows/for/orthopedic-practice-manager/)
- **Specialty:** Orthopedics
- **Category:** Operations & Workflow
- **Canonical URL:** https://calish.com/workflows/with/prior-authorization-submission-for-orthopedic-practice-manager-with-nextgen/

## The Problem

Prior auths for Orthopedics 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 NextGen

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 NextGen — uses the native API or agent integration so nothing leaves the system of record.

## NextGen Integration Approach

1. **Audit your NextGen configuration.** We map the specific NextGen objects, custom fields, and workflows the automation needs to touch for your orthopedics practice.
2. **Build on the NextGen API or agent.** Integration happens inside NextGen — no data leaves the system, no parallel tool for your team to learn, no license changes.
3. **Human-in-the-loop handoff.** Every automation routes exceptions back to a human in NextGen with full context — AI handles the 80%, your team owns the judgment calls.

## About This Workflow

- [Prior Authorization Submission for Orthopedic Practice Managers](https://calish.com/workflows/prior-authorization-submission-for-orthopedic-practice-manager/)
- 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.

## Other NextGen Automations

- [Surgical Case Scheduling for Orthopedic Practice Managers](https://calish.com/workflows/with/surgical-case-scheduling-for-orthopedic-practice-manager-with-nextgen/)
- [Claim Denial Appeal for Orthopedic Practice Managers](https://calish.com/workflows/with/claim-denial-appeal-for-orthopedic-practice-manager-with-nextgen/)
- [Referral Management & Loop Closure for Orthopedic Practice Managers](https://calish.com/workflows/with/referral-management-and-loop-closure-for-orthopedic-practice-manager-with-nextgen/)
- [No-Show Reduction & Recall for Orthopedic Practice Managers](https://calish.com/workflows/with/no-show-reduction-and-recall-for-orthopedic-practice-manager-with-nextgen/)
- [Chart Closure & Encounter Documentation for Orthopedic Practice Managers](https://calish.com/workflows/with/chart-closure-and-encounter-documentation-for-orthopedic-practice-manager-with-nextgen/)
- [Coding & CDI Quality Check for Orthopedic Practice Managers](https://calish.com/workflows/with/coding-and-cdi-quality-check-for-orthopedic-practice-manager-with-nextgen/)
- [Insurance Eligibility Verification for Orthopedic Practice Managers](https://calish.com/workflows/with/insurance-eligibility-verification-for-orthopedic-practice-manager-with-nextgen/)
- [Prior Authorization Submission for Neurology Practice Managers](https://calish.com/workflows/with/prior-authorization-submission-for-neurology-practice-manager-with-nextgen/)

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