Prior Authorization
Clinical notes, lab results, imaging reports, and formulary documents — manually reviewed, extracted, and checked against payer guidelines.
Healthcare
Automate clinical document workflows.
From prior authorizations to claims adjudication, Retab processes the medical documents your staff spends hours on manually — with HIPAA compliance and full audit trails.
The Problem
Every patient runs on documents. Most of the work is still manual.
Across clinical operations, revenue cycle, and compliance, your staff reads, keys, validates, and cross-checks documents by hand. These are all automatable.
Claims Adjudication
EOBs, itemized bills, and procedure notes — CPT codes, diagnoses, and billing details manually extracted and cross-referenced against coverage policies.
Medical Records Processing
Hundreds of pages of mixed documents — physician notes, lab results, imaging reports — manually abstracted for utilization review.
Patient Intake
Intake forms, insurance cards, and consent documents — manually entered into EHR systems with frequent transcription errors.
Clinical Trial Data
Case report forms, adverse event reports, and consent documents — manually transcribed from source documents into EDC systems.
Coding & Billing
CPT and ICD codes extracted and validated manually — coding errors lead to claim rejections and revenue leakage.
Case Study
How a regional health network cut prior auth turnaround from days to hours.
Prior authorization requests arrive with clinical notes, lab results, imaging reports, and formulary documents — all in different formats from different providers, all manually reviewed.
Today
- Staff manually reviews each faxed attachment for clinical criteria
- Authorization turnaround takes days, delaying patient care
- No automated mapping to payer authorization guidelines
- Coding errors cause claim rejections and revenue leakage
With Retab
- Auto-extract clinical criteria from mixed document bundles
- Map extracted data to payer authorization guidelines instantly
- Route approved requests straight through — review only exceptions
- Validate CPT and ICD codes against coverage policies automatically
Impact
- less manual data entry
- 80%
- extraction accuracy
- >99%
- compliant with full audit trails
- HIPAA
Retab Platform
From process to automation.
Describe the clinical process once, then refine how Retab extracts, validates, routes, and monitors every medical document workflow.
Describe your process. Retab automates it.
Upload a few sample prior auth requests or claims documents and explain how your staff processes them today: which clinical criteria matter, what payer rules you check, what gets flagged. Retab builds the automation with full HIPAA compliance.
Results
“Prior authorization was our biggest operational bottleneck — staff spending hours extracting clinical data from faxed documents. Retab automated the extraction and criteria matching, cutting turnaround from days to hours.”
Director of Health Informatics
Head of Clinical Operations
Regional Healthcare Network
“We process thousands of medical records for disability determinations. Retab extracts and organizes clinical data from mixed document bundles that would take our abstractors hours to review manually.”
VP of Operations
Head of Clinical Review
National Health Plan
Security
Enterprise-grade security
Industry-leading document processing without compromising trust.
SOC2 Type II
Audited controls for secure document operations.
HIPAA
Workflows designed for protected health information.
CCPA
Privacy controls for sensitive customer data.
GDPR
Data handling patterns for regulated EU workflows.
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