Alex
AI Staff MemberPrior Authorization Specialist

Meet Alex.

Prior auth approvals in minutes, not days

Alex handles everything prior auth — verifying insurance benefits, submitting auth requests, tracking approval status, flagging expirations, and alerting you before a patient's authorized visits run out. Alex works every insurance portal simultaneously so your front desk doesn't have to.

8 min
Processing Time
91%
First-Pass Approval
72%
Appeal Success
12+
Hours Saved/Week
Alex is monitoring 14 active authorizations
Interactive Preview

See Alex in action

This is a live preview of what Alex does every day for your practice.

app.practis.health/alex
Authorization Status
MC
Martinez, C.
Aetna · 2/20 visits
Extension Needed
Expires in 3 days
PS
Patel, S.
BCBS · 8/24 visits
Active
45 days remaining
TR
Thompson, R.
UHC · 15/20 visits
Renewal Queued
5 visits left
ON
Okafor, N.
Cigna · 0/12 visits
Approved
New auth
JA
Johnson, A.
Medicare · 10/12 visits
Extension Drafted
2 visits left
Payer Requirements
Aetna — Shoulder Impingement
Initial eval within 48hrs
Functional outcome measure
MD referral on file
Progress note every 10 visits
AI-Drafted Justification
"Patient demonstrates continued functional limitations requiring skilled PT intervention. AROM flexion improved from 95° to 120° (goal: 160°). DASH score improved from 62 to 44. Additional visits medically necessary to achieve functional independence in overhead activities required for ADLs and occupational demands..."
Process

How Alex works

Four steps. Fully automated. You just review and approve.

1

Detect

Alex identifies when authorization is needed based on payer rules and visit counts.

2

Draft

Clinical justification is generated from evaluation data, progress notes, and outcome measures.

3

Submit

Request is submitted through the payer's preferred channel with all required documentation.

4

Track

Status is monitored continuously with automatic follow-up on pending requests.

Performance

Alex by the numbers

8 min
Processing Time
Average time from request to submission
91%
First-Pass Approval
Requests approved without additional information
72%
Appeal Success
Denial overturn rate on AI-drafted appeals
12+
Hours Saved/Week
Administrative time saved per practice
Capabilities

What Alex can do

Payer-specific requirement matching
Automated clinical justification drafting
Multi-channel submission (fax, portal, electronic)
Real-time authorization status tracking
Visit limit monitoring with extension triggers
Denial appeal letter generation
Peer review preparation assistance
Authorization expiration alerts

"We used to lose 2-3 patients a month to auth delays. Since Alex took over, our approval rate went from 74% to 91%."

JW
Jennifer Walsh
Practice Manager, Summit PT
Applications

When to use Alex

Initial authorization for new patients
Extension requests for ongoing treatment
Concurrent review submissions
Denial appeals with clinical evidence
Workers' compensation authorization
Medicare Advance Beneficiary Notices

Enterprise-grade security

Alex operates within PRACTIS's HIPAA-compliant, SOC 2 Type II certified infrastructure. All patient data is encrypted at rest (AES-256) and in transit (TLS 1.3), with complete audit logging for every AI action.

Alex

Ready to add Alex to your team?

Start your 14-day free trial. No credit card required. Alex starts working for your practice on day one.

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