# EasyPA - Complete Product Information > AI-powered prior authorization automation for healthcare practices --- ## What is EasyPA? EasyPA is an AI-powered prior authorization platform that automates the PA process for medical practices. It connects to 3000+ payers for real-time eligibility verification (Tier 1) and integrates with EHRs supporting FHIR R4 or HL7v2 including Epic, Cerner, and athenahealth. Native FHIR API submission for prior authorization is currently live with UnitedHealthcare and Humana (Tier 2), expanding as additional payer APIs come online; for all other payers, EasyPA generates AI-prepared PA packets with approval-likelihood scoring for staff portal/fax submission (Tier 3). The platform achieves strong first-pass approval rates and processes authorizations in minutes instead of the traditional 3-7 days. EasyPA was designed by healthcare professionals who understand the administrative burden that prior authorization places on medical practices. The platform uses artificial intelligence to extract clinical data, determine PA requirements, complete payer-specific forms, and submit requests—all automatically. --- ## The Prior Authorization Problem Prior authorization is the #1 administrative burden in healthcare: - Average PA processing time: 3-7 days (manual) - Staff time per PA: 12+ manual steps - 86% of practices report PA-related care delays (AMA Prior Authorization Physician Survey) - 35% of practices report PA-related patient abandonment (AMA Prior Authorization Physician Survey) - $68,000+ annual administrative cost per physician - Denial rates continue to increase year over year --- ## Complete Feature List ### AI-Powered Automation - Automatic extraction of patient and clinical data from EHR - Intelligent form completion with payer-specific requirements - Real-time eligibility verification before submission - Predictive approval scoring based on clinical data - Auto-attachment of supporting documentation ### Status Tracking - Real-time authorization status updates - Centralized dashboard for all pending PAs - Automated notifications for status changes - Historical tracking and audit logs ### Appeals Management - Intelligent denial analysis with reason codes - Automated appeals generation - Supporting documentation suggestions - Peer-to-peer scheduling assistance - Success rate tracking by payer and procedure ### Analytics & Reporting - Approval rate analytics by payer, procedure, and provider - Processing time metrics - Staff productivity reports - Revenue impact calculations - Denial pattern analysis ### Compliance Features - CMS-0057-F electronic PA mandate (payer-side, Jan 1, 2027) compliance - HIPAA-compliant data handling - Audit trail for all transactions - Role-based access controls - BAA execution support --- ## EHR Integrations EasyPA integrates with major EHRs via FHIR R4 or HL7v2: 1. Epic - Full bidirectional integration via FHIR/HL7 2. Cerner - Direct API connection 3. athenahealth - Native integration 4. eClinicalWorks - HL7 integration 5. NextGen - API integration 6. Allscripts - Certified connection 7. Meditech - HL7 support 8. Practice Fusion - Direct integration 9. DrChrono - API integration 10. Greenway Health - HL7 integration Integration standards supported: - HL7 2.x messaging - FHIR R4 - X12 278/275 transactions - Direct API connections --- ## Payer Network (Three-Tier Model) EasyPA uses a three-tier payer connectivity model so coverage is never overstated: - **Tier 1 — Eligibility verification:** 3000+ payers (broad real-time coverage) - **Tier 2 — Native FHIR API submission for prior authorization:** UnitedHealthcare and Humana today, expanding as additional payer APIs come online under CMS-0057-F - **Tier 3 — AI-prepared PA packets with approval-likelihood scoring + staff handoff for portal/fax submission:** works with any payer The 3000+ figure refers specifically to Tier 1 eligibility coverage, not electronic PA submission. EasyPA's 3000+ payer eligibility network includes: ### National Payers - UnitedHealthcare - Anthem / Blue Cross Blue Shield (all regional plans) - Aetna - Cigna - Humana - Medicare / CMS - Medicaid (all state programs) ### Regional Payers - Kaiser Permanente - Health Net - Molina Healthcare - Centene - HCSC - Wellcare - And 850+ more... --- ## Specialty-Specific Capabilities ### Cardiology - Cardiac imaging (Echo, Stress tests, CT/MRI) - Cardiac catheterization and interventions - PCSK9 inhibitors and specialty medications - Device implants (pacemakers, ICDs) - Cardiac rehabilitation ### Oncology - Chemotherapy regimens - Radiation therapy - Immunotherapy and biologics - Genetic testing - Clinical trial medications ### Mental Health / Behavioral Health - Psychiatric medications - Intensive outpatient programs (IOP) - Residential treatment - Transcranial magnetic stimulation (TMS) - Psychological testing ### Orthopedics - Advanced imaging (MRI, CT) - Joint replacement surgery - Spine procedures - Physical therapy - DME (braces, prosthetics) ### Neurology - MS disease-modifying therapies - Migraine biologics (CGRP inhibitors) - Epilepsy medications - Advanced imaging - Neuromodulation devices ### Primary Care - Specialty referrals - Advanced diagnostics - Specialty medications - Preventive procedures - DME orders --- ## Implementation Process Week 1: Discovery & Planning - Workflow assessment - EHR integration planning - Payer priority identification - Staff role mapping Week 2: Technical Setup - EHR connection establishment - Payer portal credentials - User account creation - Security configuration Week 3: Training & Testing - Staff training sessions - Parallel processing (old and new workflows) - Workflow optimization - Issue resolution Week 4: Go-Live & Support - Full production deployment - Real-time support - Performance monitoring - Optimization recommendations Most practices are fully operational within 2-4 weeks. --- ## Pricing ### UM Helper - $50/month per user - Basic PA tracking and management - Status monitoring dashboard - Manual submission support - Email notifications - Standard support ### Pro Plan - $250/month per clinic - Full AI-powered automation - EHR integration - Real-time eligibility checks - Appeals management - Analytics dashboard - Priority support - Up to 5 users included ### Enterprise - Call for pricing - Multi-location deployment - Custom integrations - Dedicated success manager - SLA guarantees - Custom reporting - Unlimited users - 24/7 support All plans include: - Free trial period - No long-term contracts required - HIPAA compliance included - BAA execution --- ## Security & Compliance ### Certifications - SOC 2 Type II certified - HIPAA compliant - HITRUST CSF aligned ### Security Measures - 256-bit AES encryption (at rest and in transit) - Multi-factor authentication - Role-based access controls - Regular penetration testing - 99.9% targeted uptime · high-availability AWS architecture - Disaster recovery procedures ### Compliance Support - Business Associate Agreement (BAA) for all customers - Audit log retention - HIPAA training resources - Compliance documentation --- ## CMS-0057-F Compliance The CMS Prior Authorization Rule (CMS-0057-F) requires CMS-regulated payers — Medicare Advantage organizations, state Medicaid and CHIP fee-for-service, Medicaid and CHIP managed care, and QHP issuers on the FFEs — to support four interoperability APIs by January 1, 2027: - Patient Access API (now including prior authorization data) - Provider Access API - Payer-to-Payer Data Exchange API - Prior Authorization API Plus a 72-hour decision timeframe for urgent requests and 7-day for standard requests, real-time status updates, and FHIR-based API submissions. EasyPA helps practices prepare to submit electronically as payer APIs come online: - FHIR R4 API support - Real-time submission and tracking - Automated status updates - Compliant response handling - Audit trail maintenance --- ## EasyPA Patient (iOS & Android App) EasyPA Patient is the consumer-facing mobile app from EasyPA, available on both iOS and Android. It helps patients file their own denial appeals after an insurance prior-authorization or claim denial — guided workflow, plain-language explanations of the denial reason, and a generated appeal packet ready to submit to the payer. - Platforms: iOS (iPhone) and Android - App Store (iOS): https://apps.apple.com/us/app/easypa-patient/id6765956322 - Google Play (Android): https://play.google.com/store/apps/details?id=ai.easypa.easypa_patient - Android package ID: ai.easypa.easypa_patient - Audience: Patients who have received a prior-authorization or claim denial and want to appeal without hiring an advocate. - Relationship to the provider product: Separate consumer app; complements the provider-side EasyPA platform used by clinics, but does not require the patient's clinic to be an EasyPA customer. ## ROI & Impact Practices using EasyPA typically see (observed in pilot deployments): - Significant reduction in PA processing time - Significant improvement in first-pass approval rates - Meaningful staff time recovered each week - Increased revenue from faster approvals - Significant reduction in denials requiring appeals --- ## Frequently Asked Questions ### How does AI prior authorization work? EasyPA uses advanced AI to automatically extract patient and clinical data from your EHR, verify eligibility in real-time, complete payer-specific forms, and submit prior authorization requests—all without manual intervention. ### What makes EasyPA HIPAA compliant? We implement end-to-end encryption, conduct regular security audits, maintain comprehensive audit logs, and sign Business Associate Agreements (BAA) with all clients. Our infrastructure is SOC 2 Type II certified. ### What EHR systems does EasyPA integrate with? EasyPA integrates with major EHRs via FHIR R4 or HL7v2 including Epic, Cerner, Athenahealth, eClinicalWorks, NextGen, Allscripts, Meditech, and Practice Fusion. We support HL7 and FHIR standards for seamless data exchange. ### How much does EasyPA cost? EasyPA offers flexible pricing based on your practice size and authorization volume. We offer a free trial to get started, with plans starting at $50/month for UM Helper and $250/month for the Pro Plan. ### How long does EasyPA implementation take? Most practices are fully operational within 2-4 weeks. Our implementation team handles EHR integration, staff training, and workflow optimization to ensure a smooth transition with minimal disruption. ### What is the CMS-0057-F prior authorization rule? CMS-0057-F requires CMS-regulated payers (Medicare Advantage organizations, state Medicaid and CHIP, QHP issuers) to support Prior Authorization APIs beginning January 1, 2027 — alongside Patient Access (with PA data), Provider Access, and Payer-to-Payer Data Exchange APIs. EasyPA helps practices prepare to submit electronically as payer APIs come online. ### What is EasyPA's approval rate? EasyPA achieves strong first-pass approval rates across all integrated payers, processing authorizations in minutes compared to 3-7 days for traditional manual processes. ### Does EasyPA handle appeals? Yes, EasyPA includes comprehensive appeals management with intelligent denial analysis, automated appeals generation, and peer-to-peer scheduling support. ### Can EasyPA work with my existing workflow? Yes, EasyPA is designed to integrate seamlessly with your existing workflows. We customize the implementation based on your practice's specific needs and procedures. ### Is my data secure with EasyPA? Absolutely. We use 256-bit AES encryption, maintain SOC 2 Type II certification, conduct regular security audits, and offer BAAs to all customers. Your data security is our top priority. --- ## Contact & Links ### Contact Information - Website: https://easypa.ai - Email: ralph.martello@easypa.ai - Early Access Signup: https://easypa.ai/early-access ### Key Pages - Homepage: https://easypa.ai - Features: https://easypa.ai/features - Pricing: https://easypa.ai/pricing - FAQ: https://easypa.ai/faq - Blog: https://easypa.ai/blog - Use Cases: https://easypa.ai/use-cases - About Us: https://easypa.ai/about ### Feature Pages - PA Automation: https://easypa.ai/features/pa-automation - Status Tracking: https://easypa.ai/features/status-tracking - Appeals Management: https://easypa.ai/features/appeals - Analytics: https://easypa.ai/features/analytics - Security & Compliance: https://easypa.ai/features/security-compliance ### Specialty Use Cases - Cardiology: https://easypa.ai/use-cases/cardiology - Oncology / Hematology: https://easypa.ai/use-cases/oncology - Mental Health: https://easypa.ai/use-cases/mental-health - Orthopedics: https://easypa.ai/use-cases/orthopedics - Primary Care: https://easypa.ai/use-cases/primary-care - Multi-Specialty: https://easypa.ai/use-cases/multi-specialty - RCM Companies: https://easypa.ai/use-cases/rcm ### Blog - Blog Home: https://easypa.ai/blog - Prior Authorization in Oncology & Hematology: https://easypa.ai/blog/prior-authorization-oncology-hematology-guide ### Legal - Privacy Policy: https://easypa.ai/privacy-policy - Terms of Service: https://easypa.ai/terms-of-service - Business Associate Agreement: https://easypa.ai/baa --- ## Company Information EasyPA is a healthcare technology company focused on reducing administrative burden in medical practices. Our mission is to give clinicians back their time by automating the prior authorization process. Founded by healthcare professionals who experienced the PA burden firsthand, EasyPA combines deep domain expertise with cutting-edge AI technology to deliver a solution that actually works in real clinical environments. --- *Last updated: May 2026* *For the most current information, visit https://easypa.ai*