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HMO authorization CRM

Process authorization requests, not scattered messages

Track every prior authorization, referral, and pre-certification request from first contact to approval or denial.

Workflow Engine

Request-to-decision turnaround

01. Receive request

Intake prior authorization forms securely from providers via email or portal.

02. Clinical review

Assign requests to medical directors with full patient history context.

03. Decision

Record approvals or denials with standardized codes and required reasoning.

04. Notify provider

Automatically dispatch the decision letter back to the provider's original channel.

05. Document record

Archive the complete communication log for compliance and future audits.

What teams get

Built around the work your team actually does

WhatsApp and email inboxes per team

Configured inside the same RouteHQ workspace your operations team already uses.

Authorization pipeline stages

Configured inside the same RouteHQ workspace your operations team already uses.

Provider and member history

Configured inside the same RouteHQ workspace your operations team already uses.

Follow-up automations

Configured inside the same RouteHQ workspace your operations team already uses.