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Prior Authorization

Improve Access and Outcomes with Automated Prior Authorizations

Expedite Authorizations with Intelligent Automation

Janus Health makes prior authorizations faster and easier by automating the whole process from establishing requirements through reconciliation. We integrate directly with your EHR so staff can work in the systems they already use. With Janus Health, the majority of authorizations happen without staff intervention, which means fewer delays, fewer denials, and better patient access across more specialties and payers.

Proven Results

10 %+

Authorization Write-off Reduction

$ 2 +M

Net Revenue Improvement

12 +

FTE Staff Hours Automated

*Customer Results from Janus Health Data

How it Works

Prior Authorization Requirement
Built-in to the EHR, and configured to your workflow, the automation validates the requirement of a prior auth and returns the most up-to-date payer response via 278R

Clinical Bundling
AI-generated clinical bundling compliant with payer requirements supported across 300+ CPT codes for automated submission

Prior Authorization Submission
Automated submission with pre-populated field requirements and AI-generated clinical bundle where applicable to achieve a 100% exception-based PA work queue

Payer Status Updates
Populated status updates within the EHR via 278I with screen capture details directly from the payer portal

Post-Service Reconciliation
Submit authorization for services rendered that were not included in the original approval to ensure compliance and reduce denials

What Our Customers Are Saying

“Janus Platform has been a really nice tool, and it has made me comfortable with prior authorizations. We tried to do prior authorizations with another company, and after a few years, we called that effort a failure because the vendor just couldn’t do what we needed.”

—Healthcare Executive, KLAS survey response (anonymous)

What’s New at Janus Health

Stay up to date on the latest trends in revenue cycle management. Read our latest blog posts.

Streamline Authorizations to Accelerate Outcomes