Gravity PriorAuth
Every exam that needs a prior authorization has one.
Authorized before arrival. The denial is fixed before it exists.
Iowa Radiology on Gravity PriorAuth
- 80%+of Iowa Radiology's prior authorizations go through Gravity
- Day 4a backlog of about 430 orders, gone
- 0people added: two specialists keep up with four clinics
Within just a matter of maybe four weeks, we took a huge backlog and were able to also incorporate all of the orders still incoming. We are totally caught up. We have no backlog.
How a radiology practice in Iowa cleared its prior authorization backlog in days. Read the Iowa Radiology story
Trusted by more than 460 imaging centers across the US.
Before the exam
Prior authorization software for imaging centers and radiology groups
Rules say which exams need one for each payer and code, and every authorization sits on the order with its status, number and dates.
Requirement rules
Staff know right away which exams need an authorization, from rules that stay checked and current.
Auth rules decide which exams need a prior authorization for each payer and code, with global and local rules, admin approval, verification and renewal.
Prior auth workspace
Every authorization for the visit, and its current status, is in one place.
One tab on the order holds every exam’s authorization details, status, number and dates, with pending and denied lists and manual updates.
AI case assistant
Clinical answers for the authorization come from the progress notes in seconds, without reading the whole chart.
An AI assistant in the extension answers questions about the case from the patient’s progress notes and visit details, such as diagnoses that support medical necessity.
Also on every authorization
Progress note and prior auth requests
From the order or the Prior Authorization tab, staff ask the referring office for the progress note or the prior auth, sent through Gravity Communication.
Review setting
Each record is set to review every run, let it finish on its own, or off, so staff choose which authorizations run without them.
Benefit manager portal mapping
Maps each insurance to the benefit manager portal where its authorizations are handled.
Portal credential vault
Stores each user’s portal logins in the extension so it can sign in to payer portals.
In the Flow Store
Flows that get the authorization before the exam
Each flow is one task your team did by hand, now run by Gravity. Install it from the Flow Store and it runs the same day.
Gravity does it
A flow, in its mode
The flows below submit, track and check authorizations. Portal submissions can wait for your team’s review.
The office does it
Through Gravity Referral
The office uploads the order once and watches it move. No mode: the office acts, not Gravity.
Your team does it
Only the exceptions
What a flow can’t finish lands on a worklist in Gravity Work, with the history attached.
An event or a schedule starts it, and fixed rules do it. Nothing to decide, so nothing to review.
An agent reads, decides and does the work. Where a flow has a review setting, you choose: Review first. Let it finish when you’re ready.
Gravity PriorAuth’s flows
Submission and status on portals
Authorizations submitted and tracked on payer portals without retyping the order.
AgenticReview settingStartsWhen an authorization is needed, one order or in bulk
Exceptions go toOrders worklist
Medical necessity check
Before an authorization is requested, an agent checks the order and progress notes against the payer’s medical-necessity criteria, and flags what doesn’t meet them so it’s fixed before submission.
AgenticStartsBefore an authorization is requested
Exceptions go toOrders worklist
Prior auth status checks
Prior auth is started for pending orders and its status checked on booked MR and CT orders every weekday, on its own.
AutomatedStartsEvery weekday
Exceptions go toOrders worklist
Also in the Flow Store, for this job
- Gravity Estimate
Financial clearance
When an order is created, coverage, eligibility and authorization gaps are flagged before the exam, for a person to resolve.
AgenticStartsWhen an order is created
Exceptions go toOrders worklist
- Gravity Doc
Request a missing order
Asks the referring provider for a missing order, progress note or authorization from the order, one at a time or in bulk, and tracks each request.
AutomatedStartsWhen sent by rule
Exceptions go toDocument worklist
Works with
The same authorization, across the system
The coverage first
Estimate verifies the coverage; PriorAuth gets the authorization the coverage needs, on the same order.
Gravity EstimateThe right slot
Authorization status and lead times decide which slots Booking offers, so no patient is booked before the payer is ready.
Gravity BookingThe referring office
Referring coordinators are told what the order still needs (clinical notes, an authorization) and what is delaying care.
Gravity ReferralThe center’s marketers
Marketers are told when a referring office owes clinical notes or an authorization, or an exam was denied.
Gravity GrowCoverage and authorization are fixed before the exam, not discovered after the claim.
Questions
Questions about prior authorization software
What is Gravity PriorAuth?
Gravity PriorAuth makes sure every exam that needs a prior authorization has one. Rules say which exams need one for each payer and code, requests are submitted and their status checked on the payer’s portal without retyping the order, and every authorization sits on the order with its status, number and dates.
What happens to my team?
Gravity takes over the tasks, not the people. The routine work completes on its own, so your team can give patients the attention the paperwork used to take.
How does Gravity know which exams need a prior authorization?
From auth rules for each payer and code, global and local, kept with admin approval, verification and renewal, so staff know right away which exams need an authorization.
Can we choose which authorizations run without us?
Yes. Every agentic flow has a review setting. You choose it. Each record is set to review every run, let it finish on its own, or off.
Is the referring office told what an order is missing?
Yes. Referring coordinators are told what the order still needs, such as clinical notes or an authorization, and what is delaying care, and the center’s marketers are told when a referring office owes them. Staff can also ask the office for the progress note or the prior auth from the order.
How is our data protected?
Hosted on AWS in US regions only. A HIPAA Business Associate Agreement with every customer. Every sub-processor used in Gravity has a BAA with Alpha Nodus. Independently penetration-tested every year. Data encrypted at rest with per-tenant keys. MFA on every production login, SSO on Enterprise. Controls monitored continuously, with a public Trust Center.
Trust Center