AI prior authorization automation

AI agents do the prior auth work. Your team approves it.

MedMojo™ agents check payer requirements, draft the letter, watch every request and draft the appeal when a denial comes back. Your team reviews, decides and stays in control. Less paperwork between your patient and treatment, without adding staff.

Run your prior auths on MedMojo™ free for 30 days. No credit card required. Love it or walk away, no strings attached. Or calculate your denial cost

HIPAA compliant No setup fees Monthly or annual 90-day money back
Illustration of the MedMojo dashboard with sample data: open denials, what needs attention today and revenue won back on appeal
Every case. Every deadline. One place.
Illustration with sample data

Meet your prior auth agents

They do the toiling. You make the calls.

Each MedMojo™ agent owns one part of the prior authorization lifecycle and hands your team only what needs a human decision.

R

Reader

Drop in the chart notes or referral. It pulls out the patient, payer, diagnosis and treatment, and opens the case.

Early access
C

Checker

Checks the request against the payer’s verified requirements and shows what’s missing before anything goes out.

Live
W

Writer

Drafts the letter of medical necessity from your case and the payer’s criteria, for any drug or procedure.

Live
T

Watcher

Flags requests a payer is sitting on and approvals about to run out, so nothing lapses quietly.

Live
A

Appeals

Shows why a denial happened and drafts the appeal, every line traced to the record.

Live
Your part: review what the agents prepared, approve it and send it. MedMojo™ never submits on its own, and every agent works under your practice’s signed BAA.
NewMedicare WISeR · New Jersey and 5 more states

Original Medicare now reviews 13 procedures before it pays.

Knee arthroscopy, epidural steroid injections, nerve stimulators, skin substitutes and more. Our free guide shows what to send, what to do after a non-affirmation, and how your doctors can earn an exemption.

Built for specialty practices

Everything you need to win back time, approvals and revenue.

One place for the entire prior authorization lifecycle: what the payer requires, where every request stands, and what to do when one comes back denied.

Prior Authorization Intelligence™

Every request checked against that payer’s own sourced, dated criteria before it goes out, then tracked all the way to a decision.

  • Pre-flight check as you work
  • Request letters for any drug or procedure
  • Requests stuck with a payer, flagged

Denial Recovery

Every denial gets a reason, a fix and a next step. Paperwork errors go to a guided fix, with the correction and the resubmission recorded in one save. Clinical denials get an AI-drafted appeal letter, every line traced to the record.

  • Appeal deadlines counted down from the payer’s letter
  • Fix and resubmission, recorded in one save
  • Every denial tracked until it’s won back or let go

Revenue Intelligence

See where your money stands: authorized, won back on appeal and still at risk. And where you are losing it, in your own numbers, never a network average.

  • Dollars at risk on every open denial
  • Where you lose money: by payer, reason and age
  • Payer turnaround, payer by payer

New Pre-flight

See what’s missing before you send it.

Pre-flight checks your request against the payer’s requirements as you work, and again every time you save: which ones your case meets, which are missing, and where each one comes from. It tells you how complete the request is, never whether it will be approved.

  • Checked against the payer’s verified requirementsEvery line shows the policy it came from and the day it was verified.
  • What’s missing, one click awayAdd the finding right in its row. The check updates the moment you save.
  • A count, not a guess“3 of 4 met” is a fact about your record. Optional, and it never stops you from filing.

New The case, start to finish

Open a case. Know the next move.

Five steps across the top, one next action with one button, and Pre-flight re-checking the request every time you save. When it’s time, write the request letter in one click, for any drug or procedure.

  • Always know where the case standsEvery step is a link to its part of the case. What’s done shows done.
  • The letter, drafted for youWritten from your case and the payer’s criteria, for any drug or procedure.
  • Notes for your staff, never sentAnything still missing is listed above the letter, and it never prints or copies.

New AI-drafted appeals

AI-drafted appeal letters, every line traced to the record.

On a clinical denial, MedMojo™ drafts a short appeal letter from the payer’s own words and the facts your team confirms from the chart. Your team reviews it and files it.

  • Built from your chart, not AI memoryEvery sentence comes from the payer’s notice, a fact your team confirmed, or criteria MedMojo™ verified.
  • Click any sentence to see its sourceCheck the letter line by line before it goes out.
  • What it cannot trace, it removes and shows youNothing is quietly rewritten. You see the line and the reason.

New My Calendar

Every approval and every follow-up, laid out by day.

See every approval before it runs out. Know exactly when to check back with a payer on a request that has gone quiet.

  • Expiring approvals stand outAnything that runs out in the next 14 days is marked, so a renewal starts in time.
  • Check-back days, already setA request a payer is sitting on shows up at day 10 and day 21, the days to pick up the phone.
  • One click opens the caseInside the portal, where your cases already are.

New Appeal deadlines

Every appeal deadline, counted down from the payer’s own letter.

Every denial gets its appeal deadline from the payer’s own letter, counted down on the case with the next move beside it, and put in front of you 14 days out. MedMojo™ never guesses a deadline.

  • Straight from the letter, with its sentenceYour team enters the date as printed and pastes the line that states it, so anyone can check it later.
  • In front of you 14 days outThe deadline turns amber at 14 days and moves to the top of Needs you today.
  • No date, no guessA denial with no deadline on file says so, and stays on your list until one is added.

Why practices use MedMojo™

The prior auth workload keeps growing. Your payroll doesn’t have to.

Payers keep adding requirements, and the work lands on whoever is already the busiest person in the office. The usual answer is another hire. MedMojo™ takes on the checking, the drafting, the tracking and the follow-up, so the person who owns prior auths stays ahead of it and your team gets back to patients.

What practice leaders say

  • 57%believe better automation would bring significant or major improvement
  • 48%report increased claim denial volumes
  • 41%take one to two weeks to learn about denied claims
  • 68%have only moderate or limited real-time visibility into accounts receivable

MedMojo™ is built for exactly that.

Source: Veradigm survey of 360 independent practice leaders, March 2026.

One person. The whole workload.

Run prior auths like a full department, with the team you already have.

Large groups have whole departments chasing payers. MedMojo™ gives any practice the same structure, so one person can run prior auths like a team. Every outcome your team records feeds MedMojo™’s community payer intelligence. Your patients and your practice stay private; payer patterns are shared.

BUILT FOR THESE SPECIALTIES & MORE

  • Sleep Medicine
  • Rheumatology
  • Dermatology
  • Gastroenterology
  • Endocrinology
  • Urology
  • Allergy & Immunology
  • Pulmonology
Same mission. Different specialties. One platform.

Security & compliance

HIPAA compliant. Healthcare-grade by design.

MedMojo™ is built for healthcare from the ground up, with administrative, technical and physical safeguards that protect your patients’ electronic protected health information (ePHI) through every prior authorization and every denial.

HIPAA compliant

Administrative, technical and physical safeguards protect the confidentiality, integrity and availability of ePHI.

Your BAA comes first

We sign a Business Associate Agreement with your practice before any patient data enters MedMojo™.

Protected in Microsoft Azure

MedMojo™ runs in Microsoft Azure data centers in the United States, covered by Microsoft’s HIPAA Business Associate Agreement, with data encrypted at rest and in transit.

Multi-factor authentication

Every account signs in with multi-factor authentication, so a stolen password alone opens nothing.

Activity is recorded

Access and activity are logged, so there is a record of who did what and when.

AI covered by a BAA

The AI that processes protected health information, Anthropic’s Claude, is covered by its own signed BAA.

Your patient data deserves more than a privacy policy. It deserves a partner who takes security seriously.

  • HIPAACompliant
  • Microsoft AzureBAA in place
  • MFARequired
Security questions? Ask here

Work with physician practices?

IPAs, associations, physician organizations and revenue cycle firms: we’d like to work with you and your members.

From the blog

Prior authorization, made plain.

All articles

5 Reasons Your Prior Auth Appeals Keep Getting Denied

Read the article

How Payers Use AI to Deny Claims Faster, and How to Fight Back

Read the article

The Biologic Burden: Why Independent Dermatologists Are Drowning in Prior Authorization

Read the article

Get your team back to patients.

First month free with no credit card required, month to month, no setup fees, a signed BAA before any patient data moves, and a 90-day money-back guarantee.