Utilization review

Prior authorization tracking that protects continuity of care

Rewire Clinical keeps approved units, days, level of care, effective dates, reviews, clinical submissions, and renewal work in one visible timeline. Utilization teams can act before coverage becomes a crisis.

HIPAA compliant. BAA included. Built for behavioral health.

14 days
average renewal runway
35%
fewer auth related holds
93%
reviews submitted on time

Authorization work fails quietly until a service or claim is already at risk

A renewal date in a spreadsheet does not help the therapist, scheduler, or biller who needs the answer now. Rewire puts current approval details in the care record and gives utilization staff a working queue for upcoming reviews, missing evidence, and payer follow up.

Explore the rcm and billing pillar

Built for the decisions your team makes every day

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Complete approval record

Store payer, reference, level of care, units or days, date range, decision, and supporting detail.

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Renewal workflow

Assign review work, gather required clinical evidence, document submission, and follow the payer response.

✓

Downstream safeguards

Alert teams when scheduled or billed services conflict with the approved period, quantity, or level of care.

Specific enough for the work, simple enough for the day

The strongest workflow is the one staff can understand under pressure. Rewire keeps ownership, current status, and the next useful action visible. Detail is there when the team needs it, without turning the main view into a wall of fields.

  • Approved units or days and effective dates visible by client
  • Level of care and payer decision history retained
  • Renewal tasks, owners, deadlines, and submitted evidence
  • Service and billing checks against current authorization
“We used to learn about an expired authorization from billing. Now the renewal queue gives us two weeks of runway and the clinician knows which update is needed.”
Kelsey Ward, RN, Utilization Review ManagerNew Harbor Treatment, Baltimore, Maryland

A clear definition for buyers and care teams

Rewire Clinical prior authorization software tracks approved behavioral health days or units, level of care, effective dates, payer decisions, clinical review evidence, renewal tasks, and service use. The current authorization stays visible to utilization, clinical, scheduling, and billing teams.

Related Rewire Clinical workflows

See the larger product area, then follow the adjacent workflows that share the same record.

Frequently asked questions

Teams can track payer, reference number, approved units or days, level of care, effective dates, review dates, status, and decision history.
Yes. Approval and renewal records can be tied to the applicable level of care and service period.
Yes. Utilization staff can request and organize relevant clinical updates within the shared workflow.
Yes. Authorization context is available in billing, and conflicts can be surfaced before claim release.

See how this workflow fits your team

Take a guided look at Rewire Clinical, or talk through your program, payer mix, and operating model with our team.

Request a proposalTalk with Clinical