Agent Workflows
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Healthcare Operations

Prior Authorization Request Processing

Woodrow checks whether each order needs prior authorization, gathers the required documentation, submits the request, and tracks it through determination, so authorization work keeps moving without constant portal follow-up.
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Prior Authorization: Execution Plan
step 1
Check Authorization Requirements
Determine whether the ordered service, drug, or procedure requires prior authorization, then gather the payer rules, benefit details, and submission requirements that apply.
step 2
Assemble Clinical Documentation
Pull the diagnosis codes, clinical notes, labs, imaging, and prior treatment history each payer requires, and complete the authorization request package.
Output
Submit & Track to Determination
Submit the request through the payer portal, monitor status, and route denials, peer-to-peer requests, missing information, and expiring authorizations for review.

Less portal work for every authorization

Woodrow connects to your EHR, payer portals, benefit verification tools, and shared files to keep prior authorization work moving. It checks requirements, assembles request packages, submits through the right channel, tracks determinations, and flags exceptions—so your team spends less time checking portals and more time resolving the requests that need attention.
+ Payer portals, billing systems, spreadsheets, and any other tool your team uses.
Requirements checked
Determine whether each ordered service, drug, or procedure needs prior authorization and surface the clinical criteria that apply.
Documentation assembly
Gather the diagnosis codes, notes, labs, imaging, and treatment history each payer requires, and complete the authorization request package.
Submission & tracking
Submit through payer portals, monitor determinations, and flag denials, peer-to-peer requests, and authorization expirations for review.
HOW WOODROW WORKS

Automate your processes with enterprise AI

Woodrow helps teams automate cross-system workflows with the accuracy, auditability, and controls enterprise work requires. Connect your systems, describe the process, and Woodrow runs the workflow while keeping every step visible and reviewable.
01
Describe your workflow
Tell Woodrow what you want to automate in natural language. AI maps the necessary steps, systems, rules, and review points, then builds the complete workflow for you.
02
AI works across your stack
Woodrow plugs into your existing tools, pulling and pushing data where it's needed and running every step in place. No manual handoffs or copy-paste between systems.
03
Woodrow keeps the workflow current
As your process changes, Woodrow updates the steps behind the scenes so the workflow stays accurate without manual rebuilds or constant maintenance.
Auditable and secure
Woodrow is SOC 2 Type II certified. Every workflow runs with scoped permissions, clear review steps, and an audit trail of the actions taken. PII stays within your environment and is never used to train any model.
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Common questions

What types of prior authorization requests can Woodrow handle?

What information can Woodrow gather for the request?

Can Woodrow submit requests through payer portals?

What happens when information is missing?

Does Woodrow track authorization status?

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