AuthLens

AuthLens is a point-of-capture prior authorization readiness agent that helps clinicians prevent avoidable denials before they happen. Prior authorization often fails not because a patient is ineligible for care, but because the evidence required to demonstrate medical necessity is missing, buried across the chart, or not clearly connected to the payer’s criteria. A clinician may make an appropriate treatment decision during the visit, yet administrative staff must later interpret a lengthy payer policy, search through notes and FHIR records, identify supporting evidence, request missing documentation, and manually assemble a submission packet. By that point, the encounter context has gone cold. The clinician may receive an inbox message days later asking them to clarify symptom duration, document failed treatments, rewrite the clinical rationale, or participate in a peer-to-peer review. This creates repeated interruptions, duplicated documentation, and administrative work that contributes directly to physician burnout.