Karova provides a prior‑authorization platform that blends automation with expert human review to reduce workload for medical practices. Built by former payer‑side specialists, the service offers faster, higher‑quality submissions and helps avoid common denials, available via a simple monthly subscription plus a per‑authorization fee.
Funding
Funding not disclosed
Founders
Product
Problem
Medical practices spend significant staff time preparing and submitting prior authorization requests, leading to administrative bottlenecks, delayed care, and a high rate of claim denials due to incomplete or inaccurate information.
Solution
Karova offers a prior‑authorization platform that blends automation with a human‑in‑the‑loop workflow. Automation handles repetitive data entry and routing, while experienced former payer‑side specialists review each submission for accuracy and compliance. This combined approach reduces the workload on clinic staff, speeds up turnaround times, and improves the quality of authorization requests to lower denial rates. Practices access the service through a simple monthly subscription and a per‑authorization fee, with transparent pricing and no hidden costs.
Target Audience
Primary customers are outpatient medical practices and specialty clinics that manage high volumes of prior‑authorization requests and need to reduce administrative overhead.
Features
- Automated capture and pre‑population of required fields from electronic health record data
- Human review by prior‑authorization experts who verify details and resolve complex cases
- Structured workflow engine that tracks request status and provides real‑time visibility to staff
- Integrated knowledge base built from insider payer experience to anticipate common denial triggers
- Secure, HIPAA‑compliant data transmission and storage throughout the submission process