AuthFlow — Live Demo
⚕ HIPAA Compliant
Proprietary Platform
Apex AuthFlow — Proprietary Platform

The authorization process,
handled from start to finish.

Every prior authorization — from the moment a patient is scheduled through final appeal resolution — managed automatically on our HIPAA-compliant, proprietary cloud platform. Your team does not touch routine cases.

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Triggered by Scheduling The moment a patient appointment is confirmed, our system is already working. No manual handoff required.
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HIPAA-Compliant Cloud All patient data processed on certified, encrypted cloud infrastructure. BAA signed with every client.
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Automated Payer Follow-Up Our platform tracks every authorization and follows up with payers on a defined schedule — no one holds.
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100% Denial Appeals Every denied claim is captured and appealed automatically. No exceptions. This is where the revenue lives.
1 of 6 — Walk Through the Process
Step 1 of 5 · The Trigger — Scheduling

It starts the moment
a patient is scheduled.

Most practices treat scheduling and prior authorization as two separate processes. We connect them. The scheduling event is the trigger — everything that follows is automatic.

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Patient Scheduled
⚡
Event Received by Platform
✅
Eligibility Verified
📋
Auth Submitted
⚖️
Tracked & Appealed
Scheduling Event Received
✓ 9:00:04 AM EDT — Auto-detected
Patient
Maria T. Gonzalez, DOB 04/12/1968
Procedure
Total Knee Arthroplasty — CPT 27447
Payer
UnitedHealthcare — Medicare Advantage
Coverage Status
✓ Active — Verified in 28 seconds
Authorization Required
Yes — Platform proceeding automatically
Proprietary Platform Note: Our platform connects to your scheduling system through a secure, HIPAA-compliant channel. We never use general-purpose consumer tools to handle patient data. The scheduling event triggers everything — your team does nothing.
Step 2 of 5 · Prior Auth Submission

Complete auth request.
Built and submitted in 4 minutes.

Our platform constructs the full authorization package — every code, every document, every payer-specific requirement — and submits it directly. No coordinator involvement.

Submitted — Awaiting Payer Decision
Auth Reference
APX-2026-0414-0082
Diagnosis Code
M17.11 — Primary osteoarthritis, right knee
Ordering Provider
Dr. James R. Hoffman, MD — NPI confirmed
Place of Service
21 — Inpatient Hospital
Submitted
✓ 9:04 AM EDT — 4 min after scheduling event
SLA Status
✓ Met — 26 minutes ahead of window
4:02
Minutes from scheduling trigger to submission
0
Staff hours spent on this authorization
100%
Of required fields and documents included
Why this matters: Incomplete submissions are the #1 cause of avoidable denials. Our platform knows what each payer requires for each procedure type and ensures the submission is complete before it leaves our system.
Step 3 of 5 · Automated Payer Follow-Up

No one on hold.
Our platform follows up for you.

After submission, most practices wait and hope. We don't. Our platform contacts the payer at defined intervals, logs every response, and escalates if needed — automatically.

Payer Contact Log — Auth APX-2026-0414-0082 — UnitedHealthcare
Day 3
Completed
Status: Under review. Est. decision Apr 17. Logged automatically.
Day 5
Completed
Status: Escalated to senior clinical reviewer. Additional note submitted.
Day 7
Completed
⚠ Decision received: Denied — Reason A117: Medical necessity not established.
What your team saw during this entire process: Nothing that required action. The platform handled every contact, logged every response, and detected the denial within minutes of receipt. The appeal process began automatically.
Denial detected: This is where most practices write the claim off. We don't. Every denial triggers our appeal workflow — immediately, automatically, without exception.
Step 4 of 5 · Denial Management & Appeal

Every denial.
Appealed. No exceptions.

This is the most important differentiator we offer. Most practices appeal fewer than 30% of denials — not because the appeals aren't valid, but because they don't have the bandwidth. Our platform appeals 100%.

Appeal In Progress — Auto-Generated
✓
Denial Captured & Classified
Reason code A117 identified. Denial classified as clinically appealable. Appeal pathway selected automatically.
Apr 21, 2026 · 9:04 AM · Automatic — within minutes of payer response
✓
Appeal Package Compiled
Our platform reviewed the clinical documentation, identified the denial basis, and constructed a complete appeal package — including payer-specific argumentation and supporting documentation.
Apr 21, 2026 · 9:09 AM · Automatic — no coordinator involved
→
Formal Appeal Submitted
Complete written appeal submitted to UnitedHealthcare appeals department with full supporting documentation package attached.
Apr 22, 2026 · 8:45 AM · Within 5 business days — contractual SLA met ✓
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Appeal Decision Monitored
Platform monitors for payer response. You and your team are notified the moment a decision is received. If the appeal is won, revenue is recovered. If a second-level appeal is warranted, the platform escalates.
Estimated payer decision: 10–14 business days
Step 5 of 5 · What Your Operation Looks Like

One secure dashboard.
Complete visibility. Zero admin.

0
Auths processed this month
↑ 100% platform-managed
0%
SLA compliance rate
All within submission window
0%
Denial appeal rate
Every denied claim appealed
$0
Revenue recovered this month
From appeal wins — paid from recovery
0h
Coordinator hours saved
Redirected to patient care
0
Auths in flight right now
Real-time — full audit trail
✓ HIPAA-compliant cloud infrastructure
✓ Business Associate Agreement with every client
✓ All PHI encrypted in transit and at rest
✓ Full audit log — 6-year retention standard
$0
Projected annual revenue recovered from previously unworked denials — based on 300 auths/month at 8% denial rate with $700 average claim value. This is revenue your operation is currently writing off because there isn't time to appeal it. We appeal all of it.