Dopriorauth provides an AI‑driven, web‑based platform that consolidates prior authorization, eligibility verification, and claim appeal processes into a single interface. By using a unified medication form and real‑time payer intelligence, the system delivers coverage decisions in under two minutes and automatically generates pre‑filled appeal letters and supporting documents, eliminating repetitive forms and phone calls for hospitals, clinics, and pharmacies.
Funding
Funding not disclosed
Founders
Product
Problem
Healthcare providers and pharmacies spend significant staff time handling prior authorizations, eligibility checks, and claim appeals, often requiring multiple forms, phone calls to insurers, and manual data entry. This process delays patient care and increases administrative overhead.
Solution
Dopriorauth offers an AI‑driven platform that consolidates prior authorization, eligibility verification, and claim appeal workflows into a single, web‑based interface. Users enter a single medication form, and the system automatically retrieves coverage criteria, required labs, contraindications, and necessary documentation from leading payer intelligence sources. The platform generates pre‑filled appeal letters and compiles supporting clinical study documents, reducing the need for phone calls and repetitive form changes. By delivering coverage decisions in under two minutes, Dopriorauth accelerates care delivery while freeing staff to focus on clinical tasks.
Target Audience
Primary customers are hospitals, clinics, and retail or specialty pharmacies that manage medication prior authorizations and insurance claim appeals.
Features
- Unified medication form that captures all required data for prior authorization and appeals
- Real‑time eligibility verification using AI and up‑to‑date payer intelligence
- Automatic population of ICD‑10 codes, required labs, contraindications, and supporting documents
- One‑click generation of appeal letters and compilation of clinical study evidence
- No need for multiple form versions or phone calls to insurers
- Cloud‑based dashboard for tracking request status and managing claim workflows