Patient access,
automated.
Ascertain runs eligibility, prior auth, referrals, and care gap closure end to end, so your teams reclaim capacity and patients get to care sooner.
Operating your administrative workload, end to end
Cardiology
Imaging, devices, and high-cost medications each bring their own payer rules, and those rules shift every quarter, making prior auth, eligibility, and payer follow up some of cardiology's heaviest administrative work.
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Health systems
Running prior auth, eligibility, and denial management across dozens of sites and EHRs usually means a different point solution for each, with staff stuck doing the work in between.
Oncology
Multi-drug regimens, frequent reauthorizations, and step therapy make oncology's authorization burden uniquely complex, and every delay carries a real clinical cost.
Primary Care
For FQHCs and ambulatory practices, administrative overhead per visit is crushing. We reduce the referral and authorization burden so primary care teams spend time on prevention, not paperwork.
Physical therapy
Visit limits, ongoing authorization renewals and high denial rates make PT one of the most admin-heavy specialties per patient. We manage the full payer cycle, renewal to renewal.
Behavioral Health
Specialty drug authorizations are among the most complex workflows in healthcare.
Ascertain handles step therapy requirements, prior auth submissions, and payer portal follow-up without staff lifting a finger.
Orthopedics
Surgical scheduling windows are tight. Authorization delays cost procedures and patient trust. Ascertain handles the submission, status follow-up, and escalation so surgery stays on schedule.
Cardiology
High authorization volumes, complex payer rules, and narrow approval windows make cardiology one of the most administratively intensive specialties.
Health systems
Multi-site health systems face authorization
backlogs, referral leakage, and cross-
department coordination. Ascertain works
above the stack across Epic, Athenahealth,
and every portal in between.
Oncology
Treatment delays caused by prior auth backlogs are not acceptable in oncology. We execute authorizations, payer communications, and documentation end to end — so treatment starts on time.
Primary Care
For FQHCs and ambulatory practices, administrative overhead per visit is crushing. We reduce the referral and authorization burden so primary care teams spend time on prevention, not paperwork.
Physical therapy
Visit limits, ongoing authorization renewals,
and high denial rates make PT one of the most admin-heavy specialties per patient. We manage the full payer cycle, renewal to renewal.
Behavioral Health
Specialty drug authorizations are among the most complex workflows in healthcare.
Ascertain handles step therapy requirements, prior auth submissions, and payer portal follow-up without staff lifting a finger.
Orthopedics
Surgical scheduling windows are tight. Authorization delays cost procedures and patient trust. Ascertain handles the submission, status follow-up, and escalation so surgery stays on schedule.
Also serving SNFs, imaging, and other ambulatory settings.
100+ clinics.
Under 8 weeks.
ROI in 90 days.
Prior auth workload reduction
First-pass approval rates maintained
Faster submission times
Cost reduction per authorization
In FTE avoidance — without eliminating the administrative function, just the burden that didn't need to be human.
How Ascertain works in your setting
to end — no new infrastructure required.
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