Prior authorization automation
MedMojo™ automates prior authorization for specialty practices with AI agents. They check each payer’s requirements, draft the request and the appeal from your records, and track every case to a decision. Your staff stops doing the busywork and spends its time on approvals.
See it on one of your own procedures or drugs. No patient information needed.
What gets automated
Searching payer policies, rewriting letters, chasing status and tracking dates. AI agents take that on, case after case.
Before a request goes out, an agent checks it against that payer’s own sourced, dated criteria and flags anything missing, while there is still time to fix it.
An agent drafts the request letter for any drug or procedure from the record, with every sentence traced to the note it came from. Your team reviews and sends it.
Status, response deadlines and approval end dates are tracked for every case, so stuck requests and expiring approvals come to the top before they cost a treatment.
When a request comes back denied, the agent sorts the reason and drafts the appeal from the same records and sources, ready to sign.
How it works
Enter the patient, the payer and the drug or procedure. No patient information is needed to see a demo.
MedMojo™ compares the case to that payer’s criteria and shows what is met and what is missing.
The request letter is written from the record, with sources attached to every line.
One review, one click to copy, and the request goes to the payer the way your team chooses.
Status, deadlines, expiring approvals and any denial are tracked, and an appeal is drafted if one is needed.
Manual vs. automated
Most practices still run prior auth by hand across payer portals, a spreadsheet and one person’s memory.
| Manual prior auth | MedMojo™ automation | |
|---|---|---|
| Look up each payer’s requirements | By hand, case by case | Checked automatically |
| Write the request letter | From scratch, about an hour | Drafted, ready to review |
| Know where every request stands | Portals, spreadsheets, memory | One live list |
| Catch expiring approvals | When a patient is turned away | Flagged ahead of time |
| Answer a denial | Often never appealed | Appeal drafted from the record |
| When your coordinator is out | The work stops | The work keeps moving |
Why your team stays in the loop
Payers hold practices responsible for every request that goes out under their name. That is why MedMojo™ is built so AI agents do the searching, drafting and tracking, and a person on your team approves each request and appeal before it goes to the payer. You get the speed of automation without handing a payer decision to a machine.
Security & compliance
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.
Administrative, technical and physical safeguards protect the confidentiality, integrity and availability of ePHI.
We sign a Business Associate Agreement with your practice before any patient data enters MedMojo™.
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.
Every account signs in with multi-factor authentication, so a stolen password alone opens nothing.
Access and activity are logged, so there is a record of who did what and when.
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.
Common questions
Prior authorization automation uses software to do the repetitive work behind each request: checking what the payer requires, pulling the supporting details from the record, drafting the request letter, and tracking the case until a decision. With MedMojo™, AI agents do that work and your staff approves it.
Payer criteria checks before a request goes out, the request letter for any drug or procedure, status and deadline tracking for every case, expiring approval alerts, and the appeal letter when a request is denied. Every drafted line traces back to the record it came from.
No. Your team reviews every request and appeal and submits it. MedMojo™ does the preparation, so the person who approves it spends minutes instead of an hour.
No. MedMojo™ works alongside the systems you already use. Nothing gets replaced.
That is what MedMojo™ is built for: your own team running prior auth with AI agents doing the heavy lifting, so the work and the payer knowledge stay inside your practice.
Yes. We sign a Business Associate Agreement with your practice before any patient data moves. MedMojo™ runs on Microsoft Azure with data encrypted at rest and in transit, and the AI it uses is covered by its own signed BAA.
One monthly rate based on your providers. No per-authorization fees and no setup fees. Book a demo and we will walk through it for your practice.