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Faster approvals. Fewer denials. Zero bottlenecks.

Manual prior authorizations delay care, frustrate staff, and drive unnecessary denials. CIVIE automates authorization workflows using AI, payer intelligence, and real-time tracking—so exams move forward without friction.

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Authorizations are a hidden bottleneck in radiology operations

Prior authorizations remain one of the most manual, error-prone steps in imaging workflows. Staff juggle portals, phone calls, faxes, and payer rules—often leading to delayed exams, missed approvals, and downstream claim denials. Without automation, authorization work consumes valuable time and increases patient leakage.

Manual authorization chaos across multiple payer systems

Authorization built into the workflow—not bolted on

CIVIE Authorization is embedded directly into RIS and RCM workflows. Using AI-driven decisioning, payer rules, and robotic process automation, CIVIE reduces human intervention while improving approval accuracy and turnaround times.

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AI-Driven Decisioning

Automatically determines authorization requirements based on payer, modality, diagnosis, and contract rules—reducing unnecessary submissions.

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Robotic Automation

RPA bots submit authorizations, check status, and retrieve approvals across payer portals, fax, and EDI channels.

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Real-Time Status Tracking

Track every authorization in real time with clear visibility into pending, approved, denied, or escalated requests.

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Native RIS + RCM Integration

Authorization status flows directly into scheduling, exam readiness, billing, and claim submission—eliminating rework.

How It Works

From order to approval—fully automated

CIVIE Authorization removes manual effort at every step while keeping staff informed and in control.

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As soon as an order is created, CIVIE evaluates authorization requirements using payer rules, diagnosis codes, and exam details.

  • Identifies authorization needs instantly
  • Flags missing documentation
  • Prevents unnecessary submissions
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CIVIE automatically submits authorization requests using the appropriate channel—portal, fax, EDI, or API.

  • RPA-driven portal submissions
  • Intelligent form population
  • Payer-specific workflows
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Authorization status is continuously monitored. Approvals trigger scheduling readiness while denials or delays are escalated automatically.

  • Real-time status updates
  • Automated follow-up
  • Authorization linked to exam and claim
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Reducing Authorization Delays in Radiology

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Authorization works best when everything is connected

CIVIE Authorization integrates seamlessly across the platform to eliminate silos and maximize efficiency.

Radiology Information System (RIS)

Automated authorization checks during order creation and scheduling.

Revenue Cycle Management (RCM)

Approved authorizations flow directly into clean claims and denial prevention.

Patient Engagement

Keep patients informed about authorization status and scheduling readiness.

Analytics & Reporting

Track authorization turnaround time, approval rates, and payer performance.

Real-World Success

Authorization without the administrative burden

CIVIE customers dramatically reduce authorization delays while improving patient access and staff productivity.

Radiology Practices
40%

faster authorization turnaround

30%

reduction in authorization-related denials

Authorization used to slow everything down. With CIVIE, approvals happen in the background and exams move forward without delays.

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Frequently Asked Questions

Find answers to your key questions about CIVIE. Whether you want to dive deeper into how our technology works or better understand how it can fit into your business, we have the answers you need.

  • Does CIVIE support all major payers?

    Yes. CIVIE supports Medicare, Medicaid, and commercial payers using portal automation, fax, EDI, and API-based workflows.

  • Can authorizations block scheduling if not approved?

    CIVIE can automatically enforce scheduling rules based on authorization status to prevent downstream denials.

  • How does CIVIE handle denials or delays?

    Denials and pending requests are automatically escalated for follow-up with full audit visibility.

  • Is authorization data linked to claims?

    Yes. Approved authorizations flow directly into RCM to support clean claim submission.

  • Can workflows be customized per client?

    Absolutely. Authorization rules, escalation paths, and payer logic are fully configurable.

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