Prior-authorization tracking
SI keeps each prior-authorization request, its status, and its expiration in one tracker and drafts routine status-check notes for staff.
Admin and operations help for small practices. SI drafts, tracks and organizes; clinicians and staff review and decide. No medical advice or clinical decisions, and patient information stays in tools covered by a BAA.
Worth knowing: Administrative support only: SI does not name a condition, recommend treatment, or make clinical decisions, and does not replace a clinician's judgment. A clinician or trained staff member reviews and approves anything clinical, billing-related or patient-facing. Patient information (PHI) is used only in tools covered by a signed business associate agreement, with access controls and the minimum necessary, never in consumer tools. SI tracks and drafts logistics only. It never writes or alters clinical justification, never invents documentation, and never decides whether a service is medically necessary.
The problem
Prior authorizations live in emails, portals, and sticky notes, and a lapsed or missing authorization can delay a visit or leave the practice with an unpaid claim.
What SI does
SI keeps a tracker of each request (patient reference, service, payer, date submitted, status, expiration, and follow-up due), drafts routine status-check notes from approved wording, and shows what is pending, expiring, or overdue.
Examples
The same job looks different in different businesses. These are illustrations, not client results.
- Specialty clinic
The tracker lists requests by status and expiration. A draft status-check note uses the clinic's approved wording, and staff send it.
- Small family-medicine practice
Items due for follow-up this week are listed with the payer and the date submitted. Clinical letters stay with the clinician.
- Solo therapy practice
An authorization nearing its end date is flagged for staff. SI does not decide whether another visit is appropriate.
What it takes to set up
GemmiSI sets this up on your own equipment and accounts; your data stays with you. Before connecting anything that holds patient information, the practice confirms the tool is covered by a signed BAA, sets role-based access, and limits SI to the minimum necessary. Start with sample or de-identified material. Use the tracker the practice already keeps. A clinician supplies any clinical information. SI does not write it.
What a human still checks
- A staff member or clinician approves before anything goes to a patient, a payer, or any outside party.
- SI never sends, submits, bills, or posts on its own.
- Anything unusual goes to a "needs clinician or manager review" queue.
- The practice decides what patient data SI may see, and testing starts with synthetic or de-identified samples.
- Staff submit requests and follow-ups. A clinician supplies and approves the clinical information, and a person handles denials and appeals.
Try it yourself
Paste this into your SI tool of choice and swap the [bracketed] parts for your own details. It asks SI to stop and show you before it does anything.
From this authorization log [paste], list what is pending, expiring, or overdue. For each overdue item, draft a status-check note from this approved wording [paste]. Do not write clinical justification, do not invent documents, and do not decide whether a service is appropriate. Pause and show me before sending, submitting, billing, posting or changing anything. Use only the sample or de-identified information I provide; do not include any patient names or health information.
Next step
Want this built? Book a free 30-minute consult
Bring one real example, such as an export, an inbox, or a spreadsheet. We will map the steps and decide what SI drafts and what you approve.