Prior Authorization Platform
Pre-auths, finally
out of the way.
Klivira submits, tracks, and resolves prior authorizations across every payer—right from your EMR. Starting with Epic.
Detect
Klivira reads orders directly from the EMR and identifies which require pre-auth, by payer and CPT.
Submit
We auto-fill and submit through CoverMyMeds, Availity, eviCore, Cohere, Carelon, RadMD and more.
Resolve
Status, denials, and approvals stream back into the chart. No portal logins, no faxes.
Coverage
Every payer. Every workflow.
From CoverMyMeds and Availity to eviCore, Cohere, Carelon, RadMD, Accredo, and the paper VA forms—across 33+ service lines and every major specialty.
Retail Medications
Pharmacy-benefit prior auths across PBMs and direct payer ePA.
Specialty Pharmacy
Specialty drug enrollment, benefits investigation, and ordering.
Infusion & Buy-and-Bill
Medical-benefit infusions, J-codes, and white-bag/clear-bag coordination.
TMS
Transcranial magnetic stimulation authorizations across major payers.
Spravato / Esketamine
REMS enrollment and PA across commercial and Medicare plans.
Psychiatry & Behavioral
Outpatient therapy, IOP/PHP, residential, and behavioral medication PAs.
Advanced Imaging
MRI, CT, PET, nuclear cardiology authorizations for most national payers.
Radiation Oncology
IMRT, proton therapy, SBRT, and brachytherapy authorizations.
Medical Oncology
Chemotherapy, immunotherapy, and oncology pathway authorizations.
Genetic & Molecular Testing
Hereditary cancer panels, tumor profiling, and pharmacogenomics.
Cardiology
Echo, stress tests, cath, EP studies, and implantable device authorizations.
Orthopedics & MSK
Joint replacements, spine surgery, injections, and DME bracing.
Physical, Occupational & Speech Therapy
Visit-limit authorizations and progress note submission.
Chiropractic & Acupuncture
Visit authorizations and SOAP note submission.
Neurology
EEG, EMG, MS infusions, migraine therapies, and neurostimulators.
Dermatology
Biologics, Mohs, phototherapy, and cosmetic-medical crossover PAs.
Rheumatology & Immunology
Biologics, IVIG, and infusion authorizations.
Gastroenterology
Endoscopy, biologics for IBD, and capsule studies.
Endocrinology
GLP-1s, growth hormone, CGMs, and insulin pumps.
Ophthalmology & Retina
Anti-VEGF (Eylea, Lucentis, Vabysmo), cataract, and retinal procedures.
ENT & Allergy
Sinus surgery, balloon sinuplasty, biologics for asthma, allergy immunotherapy.
Pulmonology & Sleep
Sleep studies, CPAP/BiPAP, and pulmonary biologics.
Urology
BPH procedures, oncology meds, and continence devices.
Nephrology & Dialysis
ESA agents, dialysis access, and transplant workups.
OB-GYN & Fertility
IVF, fertility meds, and surgical OB-GYN authorizations.
Pediatrics
Synagis, ABA therapy, growth hormone, and pediatric specialty referrals.
Pain Management
Injections, RFA, spinal cord stimulators, and intrathecal pumps.
Surgical Procedures
General, bariatric, and elective surgery authorizations across BCBS, UHC, Aetna, Humana, Tricare, VA.
DME & Prosthetics
Wheelchairs, braces, CGMs, pumps, and complex rehab equipment.
Home Health & Hospice
Home health, infusion at home, hospice, and skilled nursing PAs.
Multi-payer Portals
Aggregator portals used across many specialties and lines of business.
Botox
Authorization plus buy-and-bill or specialty pharmacy ordering.
Dysport
Authorization and direct ordering for Dysport injectables.
EMR Native
Lives inside your EMR. Starting with Epic.
Klivira embeds via SMART on FHIR. Staff trigger and review pre-auths without ever leaving the patient chart. Cerner, Athena, and Meditech follow.
- SMART on FHIR launch from any order
- Bidirectional sync of status, notes, and attachments
- Auto-routes paper-only payers to fax with tracked delivery
Give your team back their week.
See how Klivira can eliminate hours of pre-auth busywork from your clinic or hospital.
Request a demo