Medix Prior Auth

PA Preparation — How It Works

1️⃣

Upload Referral

PDF from specialist

2️⃣

AI Analyzes

48 drugs, 98 checks

3️⃣

Review Package

Checklist + alerts

4️⃣

Submit to Payer

Via portal / fax

You get: pre-submission checklist, drug-specific gotcha alerts, clinical summary letter, document package, payer submission details (fax/portal/phone), denial risk prediction, and missing document request templates.

Upload Referral Document

Drop a referral PDF here or click to browse.

Choose PDF File

Supported: PDF (scanned or digital) — Max 50MB

Analyzes your referral against 48 drugs and payer requirements in ~60 seconds

Batch Upload

Upload multiple PDFs — each creates a separate case

Auth Cases

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New Auth Case

Quick Templates

Patient Name

Date of Birth

Member ID

Drug *

Payer

Specialty

Priority

Assign To

Ordering Provider

Diagnosis Codes

Due Date

🔍

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Upload a referral PDF to run the AI pipeline. Results will appear here with readiness scoring, missing items, and denial risk analysis.

Processing History

BCBSTX Infusion/Injection Policy Database

7 infusion drugs mapped with 4-layer verification requirements, step therapy rules, biosimilar requirements, ICD-10 codes, and denial triggers. BCBSTX handles infusion/injection prior auth directly.

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Appeals & P2P Dashboard

Patients at risk of denial or currently in appeal / peer-to-peer review. Powered by denial-risk analysis across all processed referrals.

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Practice Users

Practice Info

SLA Configuration

Set target hours for each status. Cases exceeding these thresholds are flagged as stale.

Pipeline Agent Status

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Medix InfusionPrior Authorization Intelligence

My Account

Notifications

PA Preparation — How It Works

Upload Referral Document

Batch Upload

Auth Cases

New Auth Case

Processing History

BCBSTX Infusion/Injection Policy Database

Appeals & P2P Dashboard

Practice Users

Create New User

Edit User:

Practice Info

SLA Configuration

Pipeline Agent Status

System Health

Analyzing Your Referral

My Account

Notifications

PA Preparation — How It Works

Upload Referral Document

Batch Upload

Auth Cases

New Auth Case

Processing History

BCBSTX Infusion/Injection Policy Database

Appeals & P2P Dashboard

Practice Users + Add User

Create New User ×

Edit User: ×

Practice Info

SLA Configuration

Pipeline Agent Status Refresh

System Health

Analyzing Your Referral

Practice Users

Create New User

Edit User:

Pipeline Agent Status