skyAuth

Overview

skyAuth is an agentic prior authorization app that automates the entire PA lifecycle. It orchestrates the full prior auth workflow from eligibility checks to status monitoring, using AI to dramatically reduce manual effort and accelerate patient access to care.

What It Does

Full Workflow Orchestration

Orchestrates the complete prior auth workflow: eligibility checks, criteria detection, gathering clinical evidence, form completion, submission to payers, and status monitoring.

AI-Powered Automation

Uses AI to read charts, extract required fields, prefill payer-specific forms, and generate clinical letters.

Enterprise Scale

Supports multi-tenant architectures and robust data consistency (e.g., Cosmos atomicity) so large IDNs and groups can run high-volume PA at scale.

EHR Integration

Integrates with EHR data, payer rules, and documentation for seamless end-to-end automation.

Why It’s Needed in the Market

Prior auth is one of the most painful, labor-intensive workflows in healthcare, contributing heavily to clinician burnout and delayed patient care. Many solutions only digitize forms without truly automating data gathering and reasoning. skyAuth is an AI-first, agentic PA stack that integrates with EHR data, payer rules, and documentation to unlock up to 30% more care capacity by slashing manual effort in PA and related back-and-forth.

Key Metrics It Moves

Care Capacity

Up to 30% more care capacity by reducing time spent on PA.

Time-to-Authorization

Fewer days from order to decision via automated data prep and submission.

Denial Rate

Improved completeness and alignment with payer criteria can lower avoidable denials.

Administrative FTE Load

Fewer staff hours per case.