Prior authorization denies or delays 25-30% of imaging requests. Physicians spend 16 hours/week battling paperwork. GreenLight by Medivis deploys AI agents that automate prior auth for imaging, surgery, and procedures — turning days into seconds.
$35B
Prior auth admin spend/year
25-30%
Imaging denial rate
16 hrs/wk
Staff time on PA per physician
78%
Patients who abandon care
The Problem
Imaging and procedures face the highest prior auth burden in medicine. Every denial delays care, loses revenue, and burns out staff.
2019 - 2024 (millions of requests)
$118
Per denied imaging claim rework cost
$2M
Annual revenue leakage per imaging center
5 days
Average imaging PA turnaround
80.7%
Of MA appeals overturned (denials are wrong)
$83B
Medical admin transactions (eligibility, claims, prior auth)
200M+
Prior auth requests annually across all payers
$11K
Per-clinician annual PA cost
The Platform
GreenLight by Medivis automates the entire prior authorization lifecycle for imaging, surgical, and procedural services.
Automatically builds and submits prior auth requests with complete clinical documentation. Matches clinical indications to payer-specific guidelines (ACR, MCG, InterQual).
Instant PA requirement detection at the point of order. Knows which payers require auth for which imaging modalities and procedures before you schedule.
AI reviews every submission against historical denial patterns and payer-specific criteria. Catches missing documentation and coding errors before they become denials.
When denials happen, GreenLight by Medivis auto-generates peer-to-peer prep, clinical evidence packages, and appeal letters. Tracks deadlines and escalation paths.
Real-time dashboard across all payers and RBMs (EviCore, Carelon, NIA). No more logging into 15 portals. One view for every pending authorization.
Connects PA status to scheduling workflow. Automatically holds, releases, or reschedules imaging and surgical appointments based on authorization status.
ROI Calculator
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Annual Net Savings
$0
0
Staff Freed
0x
ROI Multiple
0
Denials Prevented
$0
Revenue Recovered
Process
No rip-and-replace. GreenLight by Medivis connects alongside your existing EHR and payer systems.
EHR, PACS, RIS, and payer APIs via FHIR/HL7. We integrate with your existing stack.
2-week learning period. Maps payer rules and RBM requirements specific to your contracts.
Agents process live PAs with human oversight. Your team reviews and approves AI decisions.
Full autonomous operation. Staff handle exceptions only. Continuous learning improves over time.
GreenLight by Medivis charges $8 per automated PA transaction. If we automate 15,000 PAs/month, that's $96K/year — while saving you $2M+. If we don't deliver savings, you don't pay.
$8
/transaction
Our fee per automated PA
$2M+
annual savings
Average for hospital systems
$0
if no savings
Performance guarantee
Get a custom ROI report for your imaging center, surgical center, or hospital system.
No commitment. Custom savings analysis delivered within 24 hours.