Prior Auth & Eligibility

AI-Native Prior Authorization for Rehab Therapy Clinics

Automate 80% of workflows, reduce denials by 75%, and secure approvals one week before appointments—all while preparing for CMS’s 2026 mandate.
Cut authorizations wait time from weeks to minutes
Automate PA submissions, reduce staff overload instantly
Slash claim denials with correct documentation upfront
Real-time PA status updates — no guesswork
Prior Auth & Eligibility

AI-Native Prior Authorization for Rehab Therapy Clinics

Automate 80% of workflows, reduce denials by 75%, and secure approvals one week before appointments—all while preparing for CMS’s 2026 mandate.
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80%

Prior Auth Requests Automated
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75%

Fewer Denials Across Clinics
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30+

Minutes Saved Per Auth Submission
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95%+

Accuracy On Eligibility Matches

Trusted by leading rehab therapy clinics

See it for yourself

How SPRY’s Prior Authorization & Eligibility Works

Centralize Every Insurance Workflow in One Dashboard

Streamline insurance operations by unifying eligibility, coverage, and authorizations in one system—eliminating portal-hopping and manual entry.

Accelerate Approvals and Prevent Costly Administrative Errors

Automate submissions with AI that files requests, attaches documentation, and flags issues early.

Deliver Real-Time Eligibility Results to Your Front Desk

Confirm coverage instantly with copays, deductibles, and limits verified at scheduling.

Simplify Exception Handling with AI and RCM Support

Resolve failed requests seamlessly through automated tagging, reference IDs, and direct routing to RCM teams for fast closure.

Stay Ahead with Proactive Alerts and Renewals

Stay ahead of expirations as SPRY identifies inactive plans and resubmits renewals automatically to keep patients cleared.

Complete Authorization and Eligibility Management in One System

01

Submit Requests Automatically

AI agents complete prior authorization submissions end-to-end.
CPT codes and clinical notes are pulled directly from documentation.
Payer-specific forms are attached and submitted through portals or APIs.
Audit-ready logs ensure compliance and full process visibility.
02

Verify Eligibility Instantly

Coverage, copays, deductibles, and visit limits surface in seconds.
Suspicious values or inactive plans are flagged for staff review
Nightly re-checks identify mid-month coverage changes automatically.
Eligibility accuracy exceeds 95% across top payers.
03

Renew Authorizations Before Expiration

Expiring authorizations are identified in advance by the system.
Renewals are proactively resubmitted to avoid care interruptions.
Alerts notify staff when action is needed for special cases.
Patients continue treatment without last-minute disruptions.
05

Support Walk-In Patients Seamlessly

Same-day eligibility and authorization checks run instantly.
Urgent requests are submitted and tracked in real time
Reduces cancellations and protects clinic revenue
Ensures patients never face delays due to paperwork.
06

Track Everything in a Unified Dashboard

Real-time view of eligibility results and authorization statuses
Pending requests, approvals, and expirations shown in one place.
Works with or without EMR integration for full flexibility.
Eliminates portal-hopping, spreadsheets, and manual tracking.

One platform for every clinic size

BEST Physical Therapy
"SPRY’s updated authorization tracking and insurance verification tabs have greatly improved our admin processes, making it easier to manage authorizations"

Noelle Ferree

Physical Therapist
BEST Physical Therapy
"SPRY’s insurance verification and authorization automation have been a huge help for us, streamlining our workflow significantly."

Marc Douek

Owner
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Got questions? We’ve got answers.

Need more help? Reach out to us.

How much of prior authorization is automated?
Can SPRY work across multiple payer portals?
What happens if an authorization attempt fails?
How does nightly re-checking reduce denials?
How does SPRY ensure CMS 2026 compliance?
How fast can a clinic go live?

The Therapy Breakthrough: Reimagining Rehab with AI + Prior Authorization

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