A prior-auth agent built from your referral workflow.
The agent runs your referral intake: it collects the submission, reads every clinical document, chases what is missing while the referring office is still there, and hands your reviewers a cited, decision-ready chart. Patients get scheduled faster. Coordinators stop retyping and chasing.
One agent, configured to your referral workflow.
Step 01
Form
Guided intake collects the right documents in the right format.
Step 02
Fact
Every document is read. Every value is extracted and cited to its source page.
Step 03
Verify
Cross-check extracted facts against your rules or external systems. Surface mismatches before your team reviews.
The agent rebuilds your referral intake, runs on top of your existing EHR, and verifies every submission against payer requirements before a reviewer opens it. The redundant, error-prone work moves to the agent. The judgment stays with your team.
Purpose-built for
84% of claim denials are potentially avoidable. Incomplete intake turns that preventable work into delay.
50 to 200 referrals land per day by fax, email, and mail, and up to half are incomplete. Staff spend more time chasing referring offices for missing documentation than processing referrals. 75% of healthcare communication still runs on fax.
The usual answer is a bigger EHR portal or more front-desk staff. But CMS found $31.2 billion in improper Medicare payments last year, more than half from insufficient documentation. A portal does not read a faxed referral with handwritten notes. Someone still has to.
What the agent does for your referral team
Cited extraction
Diagnosis codes, referring provider, patient demographics. Every value traces to the exact quote and page your coordinator can open.
Gap detection
Missing authorization forms, incomplete notes, expired referrals, flagged before your coordinator opens the case.
Hosted intake
Referring offices submit through a guided form that asks for the right clinical documents in the right format.
Your team decides
Coordinators review the cited facts and approve every case. Their corrections sharpen the next extraction.
Measure the work before you automate it.
At 300 referrals a month, small amounts of reading, retyping, chasing, and waiting compound. A Klarefi pilot establishes your real baseline and shows which work disappears and which judgment stays with your team.
See it on your own referrals
Build your agent for free and test it on real referrals, or book a demo and we will show you cited extractions on your documents.
No credit card required