Clinics, providers, and patients contribute directly to a single case file. You receive structured, complete submissions from day one, make faster determinations, and keep audit-ready records without chasing paperwork.
From case invite to defensible export.
Open a structured packet with the RFA, supporting documentation, prior auths, and related forms in one workspace.
Request clarifications or additional documents. Track responses without losing history.
Enter your determination and rationale. It’s captured alongside the case record with timestamps.
Generate a complete UR/IMR packet with documents and access logs in minutes.
Today your adjusters chase missing documents by email, reformat inconsistent submissions, and piece together case history from multiple systems. Auth Hero puts the full case in front of them from the start.
Every document type, every contributor, versioned and organized before it reaches your desk.
Auth Hero layers on top of your existing claims workflow. Secure links and scoped invites connect you to the case file without replacing your internal systems.
Pilot with a single line of business and a partner clinic. Measure decision cycle time, resubmission rates, and appeal outcomes in your first month.