Get prior authorizations right the first time
Plenful's Prior Authorization handles the work behind prior authorization — finding the right payer requirements, pulling supporting clinical evidence from the patient record, preparing the submission, and tracking it through approval or appeal. Your team spends less time assembling paperwork and more time moving patients toward therapy.
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Prior authorization shouldn't be where patient care gets stuck.
The Hardest Questions Still Require Manual Chart Review
EHR-generated requests may prefill basic patient, prescriber, and drug information, but the clinical questions that determine approval still send staff back into the chart. Teams search through notes, labs, diagnoses, and treatment history one question at a time.
Every Payer Plays by Different Rules
Forms, clinical criteria, submission channels, and medication-specific requirements vary by payer. Staff have to know which process applies to each case, and small mistakes can mean rework, denials, and another round of waiting.
Submission Isn't the Finish Line
After an authorization goes out, someone still has to track the response, follow up when it stalls, understand a denial, gather additional documentation, and start an appeal. Without one workflow managing the process end to end, cases can sit while patients wait.
We Don't Just Submit Authorizations. We Manage the Work.
Plenful's Prior Authorization solution manages prior authorization from preparation through approval or appeal. It finds the right requirements, pulls supporting evidence from the patient record, prepares the submission with cited sources, sends it through the appropriate channel, and keeps the next action moving until the case is resolved.
Spend Less Time Digging the Chart
Plenful reads across the patient record to find the clinical evidence required for payer-specific questions and pre-fills the authorization with cited sources. Your team can verify the answer instead of searching the chart from scratch.
One Workflow Across Medical and Pharmacy Benefit
Manage authorizations across both benefit pathways without creating separate processes for each one. Plenful brings the work, status, and next steps together so your team knows where every case stands.
Keep Every Authorization Moving Through Resolution
Plenful tracks what happens after submission, prompts follow-up when a case needs attention, and routes denials into an appeals workflow with the reason and supporting documentation attached. The work doesn't disappear into a payer queue after you hit submit.
Trusted by 100+ leading healthcare organizations and pharmacy teams
"Plenful comes from pharmacy operations, they just get it. Their AI platform gives us the scalable infrastructure we need to handle increasing medication volumes without proportionally increasing our staffing costs. We've been able to streamline our workflows, reduce processing times, and dedicate more time and care to our in-need patient population.”
Adam Porath
