Easy PriorAuth — AI-Powered Prior Authorization in Seconds

Fill out the form, upload clinical documents, or do both. The more information you provide, the stronger your prior authorization letter will be.

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Patient & Request Details

Patient Information

Patient Name

Date of Birth

Insurance ID

Payer / Insurance Company

Clinical Information

Diagnosis

ICD-10 Code

Requested Procedure / Service

CPT Code

Treating Physician

Specialty

Supporting Details

Clinical Justification / Reason for Request

Urgency Level

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Upload Clinical Documents

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Drag & drop files here

or browse files

PDF, Word, Images, Text — up to 10MB each, max 5 files

Tip: Upload clinical notes, lab results, imaging reports, or referral letters. The more supporting documentation, the stronger the authorization request.

Drag & drop files here

✅ Prior Authorization Letter Generated