A simple auth tracker for small PT, OT and speech clinics. See which payers need auth, how many visits are left, and when to re-auth, without putting patient health information in the tool.
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Cigna may route review through American Specialty Health. UHC Medicare Advantage wants the request after the initial evaluation in some states. Aetna and your local BCBS plan have their own rules. The answer lives in a portal, a PDF and someone's memory.
The auth said 12 visits through the end of the month. The patient is on visit 11 and nobody sent the re-auth. Now it's a gap in care, a retro request, or a denial you write off.
Your EMR shows the auth number but not a clear count of visits used vs remaining across payers. So the front desk keeps a spreadsheet or a whiteboard, and it breaks the week that person is out.
Enter the payer, plan type, the reviewing company (ASH, Optum, Evicore and so on), the auth number, approved CPT codes, visit count and date range. Use your own case code, not the patient's name, birthdate or member ID.
Tick off each visit, or import a simple visit count from your schedule. The tracker keeps visits used vs remaining for every open auth.
Set the lead time per payer, for example when 3 visits or 7 days are left. You get a short list each morning of auths to renew, with that payer's rule notes attached.
You won't be charged. This saves your spot at the early-access price.
No. AuthLedger is in development. Joining early access puts you on the list to try it first. The button collects your email and does not charge you.
It depends on the plan and the state. In many markets Cigna has American Specialty Health handle review for PT, OT and speech, and some plans need no auth at all. Always confirm the patient's specific plan. The tracker stores what you learn for each plan so you don't look it up twice.
It is built to hold no names, birthdates, member IDs or clinic notes. You track each auth by a case code you make up, plus payer, CPT codes, visit counts and dates. Your EMR stays the place for patient records.
No. You still submit through Availity, the payer portal, or the review company. AuthLedger tracks what was approved, what's been used and when to renew.
A clinical billing specialist who works with therapy and chiropractic claims. Notes are dated and link to the payer's own source, because payer rules change often.