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Prior authorization

Prior auth without the chase.

Prior authorization touches the EHR, payer portals, the clearinghouse, intake and scheduling. OMNARA brings it into one queue, tracks every request against the clock, and keeps a person in charge of anything high-risk.

The workflow

From "is auth required?" to a decision you can prove.

Know what's required

See which scheduled services need prior auth and what documentation they need.

One queue for every request

Submitted, pending, approved and denied requests in one place, by facility, payer and owner.

Timeframes, tracked

Expedited (72-hour) and standard (7-day) decision timeframes tracked per request.

Denials with specific reasons

Every denial captured with its reason, so appeals and fixes start right away.

Human approval where it matters

Routine follow-ups can be automated under your policy. Submissions and other high-risk steps wait for approval.

A record of every step

Who did what, when, and under which policy, recorded in an immutable audit trail.

CMS-0057-F

Ready for the 2027 API wave.

From January 1, 2027, impacted payers must offer Prior Authorization, Provider Access and Payer-to-Payer APIs built on HL7 FHIR (the Da Vinci CRD, DTR and PAS guides). OMNARA tracks your Da Vinci readiness and timeframe performance so you can see where you stand.

Read the plain-language CMS-0057-F guide →

Today OMNARA runs end to end on synthetic data, with every integration built and running in simulation. Live connections to your payers, clearinghouse and systems are switched on as part of a contract, after your security review.

See your prior-auth queue in one place.

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