DocAug – Coverage determination made easy
Navigate the maze of prior authorization requirements with ease
Navigate prior authorization requirements with ease
DocAug’s engine analyzes the payer’s guidelines and denial letters and shows if and how the patient meets the health insurance’s requirements. It automatically generates the medical necessity letter with clear explanations to boost approval chances.
Medical Necessity in Three Easy Steps
Step 1: Select Payer and Upload Patient Record
Select the payer and service you are requesting. DocAug also handles denials – just submit the denial letter and DocAug will analyze it for you.
Upload the patient’s record as-is, in any standard format.
Step 2: Get Requirements Breakdown and Gaps
DocAug’s engine compares each criterion against the patient’s record and visualizes which criteria the patient meets or not. It shows the gaps and guides the user how to fix them on the spot. DocAug serves as your task organizer to easily communicate between all involved staff members.
Step 3: Download a Medical Necessity Letter
DocAug generates a medical necessity letter that directly addresses each requirement or denial reason, backed by citations from the patient’s record. Every argument is fully editable, giving you full control while saving you hours of manual work.
Try it out – go to coveredornot.com
Start speeding up your prior auth requests!
Sign up for early access to CoveredOrNot.com and start processing prior authorization requests for your health insurance! Registration is open to both patients and healthcare provider.
