Prior Authorization
AI workers submit, track, and follow up on prior auth requests across payer portals until a decision is reached.
AI Workforce for Healthcare RCM
Your AI Workforce for Revenue Cycle Management.
MitoWiz deploys AI workers that handle prior authorizations, eligibility checks, and claim status follow-ups across payer portals — so your RCM team clears more volume without adding headcount.
AI Workforce
WORKFLOW VIEWPrior Authorization
AI Worker 01 · Submitting request · AvailityEligibility Verification
AI Worker 08 · Coverage details ready for reviewClaim Status
AI Worker 15 · Checking 28 claims · UHC portalAppeals & Follow-ups
AI Worker 23 · Next batch · 14 claimsHUMAN-REVIEWED WORKFLOW
CAPACITY
68%
The problem
Stop hiring for repetitive work.
Every prior auth, eligibility check, and claim status inquiry means another portal login, another form filled by hand, and custom scripts that break every time a payer updates their UI. MitoWiz gives that time back with AI workers that navigate payer portals end-to-end and adapt automatically — while your team handles only the exceptions.
Staff toggling between a dozen payer portals, each with its own login, layout, and quirks
Hours on hold with payers just to confirm what a portal already knows
The same patient demographics re-keyed into portal after portal
Auth windows and filing deadlines missed because follow-up lives in someone’s memory
Workflows
Built for the work that fills your team's day.
Eligibility Verification
Coverage, benefits, and plan details verified before a claim is ever submitted — not after it comes back denied.
Claim Status
Continuous status checks across payer systems, with updates routed straight into your workflow.
Appeals & Follow-ups
Timely follow-ups and appeal submissions on outstanding claims, without a single missed deadline.
How it works
From connection to completion.
- 01
Connect your workflow
Integrate with your existing systems and payer portal workflows in days, not months.
- 02
AI workers take over the repetitive tasks
Prior auth, eligibility, claim status, and appeals run continuously in the background.
- 03
Your team reviews only exceptions
People step in only when a workflow needs judgment. Everything else completes on its own.
Built for portal changes. When payers update their UI, MitoWiz workers adapt automatically — no broken scripts, no maintenance burden.
Enterprise security
Built for enterprise healthcare.
Security isn't a feature layer — it's how the platform is architected. Every AI worker operates inside controls your compliance team can inspect.
HIPAA-ready architecture
Designed with HIPAA-ready architecture — infrastructure and data handling built around healthcare requirements from day one.
End-to-end encryption
Data is encrypted in transit and at rest across every workflow.
Complete audit trail
Every action an AI worker takes is logged, timestamped, and reviewable.
Role-based access
Granular permissions control exactly who can view and act on what.
Outcomes
Scale operations, not headcount.
Increase operational capacity
Process more prior auths, eligibility checks, and claims without proportionally more staff.
Reduce repetitive manual work
Free your team from payer portal navigation, hold queues, and manual status checks.
Improve turnaround times
AI workers run continuously — nights, weekends, and holidays included.
Scale without expanding headcount
Absorb volume growth and seasonal spikes without a hiring cycle.
Ready to scale your revenue cycle team?
Talk with MitoWiz about automating repetitive payer portal work across your revenue cycle. We’ll review your current workflow and identify where an AI worker can reduce manual follow-up.