Prior authorization software

Prior authorization software built for independent practices.

MedMojo™ gives your team one place to manage prior authorizations from request to decision. Prior Authorization Intelligence™ checks each request against that payer’s criteria, shows what’s stuck, catches expiring approvals, and turns every denial into a clear path to fix or appeal.

Book a 30-minute demo Start your free month

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

HIPAA compliant Signed BAA before patient data No setup fees Month to month
Illustration of the MedMojo dashboard with sample data: open denials, what needs attention today and revenue won back on appeal
Illustration with sample data

What it does

One place to run the whole prior authorization job.

What the payer requires, where every request stands, and what to do when one comes back denied.

One shared queue

Every prior auth for every payer in one place, from request to decision, so nothing lives in one person’s inbox or memory.

  • Every request, every payer, one view
  • Each case shows its next step
  • Your whole team sees the same list

Payer criteria, checked first

Each request is checked against that payer’s own sourced, dated criteria as you work, and again every time you save. Then write the request letter in one click, for any drug or procedure. Your team reviews and sends it.

  • Payer-specific criteria checklists
  • Missing documentation flagged early
  • AI-prepared, reviewed by your staff

Nothing sits unnoticed

Requests stuck with a payer and approvals about to expire come to the top of the list before they turn into a missed treatment.

  • Requests stuck with a payer, flagged
  • Approvals about to expire, caught early
  • Deadlines surfaced first

Denials get a next step

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.

  • Denials sorted by root cause
  • Guided fix and resubmit
  • Dollars at risk on every open denial

Thinking about outsourcing prior auths?

Keep the work, and the knowledge, inside your practice.

Outsourcing hands your payer knowledge to someone else. MedMojo™ gives your own team the structure a large health system has, so one person can run prior auths like a team and nothing is lost when someone leaves.

BUILT FOR THESE SPECIALTIES & MORE

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

Why practices switch

Portals and spreadsheets show what happened. MedMojo™ shows what’s next.

Most practices run prior auths across payer portals, a spreadsheet and one person’s memory.

Portals + spreadsheetsMedMojo™
Every auth, every payer, one viewNoYes
See what’s missing before a request goes outNoYes
Request letter in one click, any drug or procedureNoYes
Expiring approvals and payer silence flaggedNoYes
Every denial given a reason and a next stepNoYes
AI-drafted appeals, ready to signNoYes
Dollars at risk on every open denialNoYes
Works when your coordinator is outNoYes

The size of the job

Prior authorization is a full-time job in most practices.

The workload below is what a practice carries every week, usually on the shoulders of one or two people. Most denials that could be overturned are never appealed, because nobody has the time. MedMojo™ is built to make that workload manageable for the team you already have.

Prior authorization by the numbers

  • 13 hrsspent on prior auth per physician per week, by physicians and staff
  • 39prior authorizations per physician per week
  • 11.7%of Medicare Advantage prior auth denials were appealed
  • 81.7%of those appeals were overturned

Sources: AMA Prior Authorization Physician Survey, 2024 (1,000 physicians). KFF analysis of Medicare Advantage data. The appeal figures cover Medicare Advantage only.

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

Common questions

What practices ask before they start.

Does MedMojo™ submit prior authorizations for us?

No. MedMojo™ prepares each request and checks it against the payer’s criteria. Your team reviews it and submits it. You stay in control of what goes to the payer.

Does it replace our billing team or our current systems?

No. MedMojo™ works alongside your existing billing setup. Nothing gets replaced. It gives the people who already handle prior auths one place to run them.

How do we get started?

Tell us about your practice. We reply within one business day with your agreements, then set up your practice and payers for you. Your free month starts the day you go live.

What happens after the free month?

You do not need a credit card to start. If you want to keep going after 30 days, you continue month to month. If not, you walk away, no strings attached.

How is it priced?

One rate covers every prior auth your providers submit. There are no per-auth fees, no setup fees and no long contract, and there is a 90-day money-back guarantee.

Is it HIPAA compliant?

Yes. We sign a business associate agreement with your practice before any account exists or any patient data moves. The platform runs on Microsoft Azure with data encrypted at rest and in transit, and the AI we use is covered by its own signed BAA.

Which specialties is it built for?

Independent specialty practices, including rheumatology, dermatology, gastroenterology, endocrinology, urology, allergy and immunology, pulmonology and sleep medicine.