Turn Prior Authorization Into A Competitive Advantage
AI-powered solution designed by clinicians that eliminates guesswork and delays of traditional PA processes. Deliver faster approvals, better outcomes, and fewer headaches with real-time guideline validation and automated documentation.
Payer-Agnostic Authorization Intelligence
Works across Medicare, Medicaid, and all major private payers. Covers clinical guidelines for 90%+ of the U.S. population—physicians no longer need to memorize payer-specific rules.
Real-Time Clinical Guideline Validation
Instant feedback at the point of care. Detects missing criteria before submission and validates against guidelines for 14+ high-volume orthopedic procedures.
AI-Driven Documentation Generation
Produces complete clinical care summaries with one click. Captures smoking status, prior treatments, shared decision-making conversations—fully aligned with payer adjudication logic.
Built for Clinicians with Patient Safety
Simple interface with intuitive click-through options. Checks for contraindications in real time, validates cortisone injection timelines, and captures granular classification data.
The Prior Auth Struggle
Today, prior authorization is a nightmare—complex insurance rules, piles of paperwork, and constant delays bog down healthcare providers. Hours are spent wrestling with bureaucracy instead of focusing on patients.
Optimoz AI: Built for Prior Auth
Optimoz AI is a tool designed specifically for prior auth practitioners. It simplifies the process, letting providers submit requests quickly and securely without the hassle of outdated systems.
Easy Form Filling
With Optimoz, doctors can simply fill out forms without worrying about deciphering complex clinical guidelines. The AI handles the heavy lifting, ensuring accuracy and compliance effortlessly.
More Time for Patients
Doctors can now spend their energy understanding patient needs instead of stressing over missing a guideline detail. Optimoz frees them up to focus on what matters most—care.
Happier Patients
With faster approvals and less waiting, patients get the care they need sooner. A streamlined process means happier, healthier outcomes for everyone involved.
Clearing the Backlog
Optimoz helps clinicians make decisions without stress, cutting through the prior auth backlog. This efficiency transforms workflows and boosts satisfaction across the board.
Delivering Better Outcomes With Measurable Results
Designed by Clinicians, Powered by AI
Developed in partnership with a world-renowned orthopedist. Our platform leverages AI and evidence-based clinical guidelines to create an intelligent prior authorization workflow with up to 80% reduction in staff time.
Proven Results That Speak for Themselves
95%+ first-pass success rates, major reduction in peer-to-peer reviews, faster surgery scheduling leading to faster collections, and comprehensive support for 14+ orthopedic procedures.
Comprehensive Payer Coverage & Future-Ready
HIPAA-compliant, EHR-agnostic, and scalable across clinics and health systems. Built in alignment with payer AI-driven evaluation systems and supports guidelines from Carelon, Cohere, Evicore, Medicare, Medicaid & others.
Less Admin, More Revenue, Better Patient Experience
Whether you're dealing with Medicare, Medicaid, or commercial payers, our platform delivers real-time guideline validation, automated documentation, and unmatched ease of use.