AI Prior Authorization

Prior Authorization Letters. Done the Moment the Session Ends. Without Handing Insurers Your Patient's Entire Chart.

PMHScribe generates a complete, insurer-ready prior authorization letter from your session transcript. Clinical rationale, medication trial history, and supporting studies built in seconds. Your patient’s trauma history and substance use records stay private.

No credit card required.

THE REAL PROBLEM

Insurers Need Medication Justification. Not Your Patient's Entire Chart.

When an insurance company requests prior authorization for a psychiatric medication, they ask for chart notes. What they are entitled to is evidence of medical necessity: the diagnosis, the treatment history, and the clinical rationale for the chosen medication. What they are not entitled to is your patient’s trauma history, family psychiatric history, or substance use records. A pharmacy benefits manager does not need any of that to determine whether an ADHD diagnosis justifies a medication.

42 CFR Part 2 protects substance use disorder treatment records specifically. But the broader principle applies across psychiatric documentation: patients share their most sensitive information in a psychiatric session on the understanding that it will not be handed to a third party without specific consent. Sending a full chart note to an insurance reviewer violates that trust, even when it is technically permissible.

PMHScribe generates a prior authorization letter that gives insurers exactly what they need and nothing they don’t.

HOW IT WORKS

Three Steps. From Session to PA Letter.

No extra data entry. No separate workflow.

01

See Your Patient

Run your session normally. PMHScribe records and documents the visit, including medication discussions, trial history, and clinical decision-making.

02

Request the PA Letter

After the session, select Prior Authorization from your note options. PMHScribe reviews the transcript, identifies the medication and indication, and builds the letter.

03

Review and Send

The PA letter is ready in seconds. Review, edit if needed, and send. Staff can submit. Done.

Features

What the Prior Authorization Letter Includes

Everything the insurer needs. Nothing they don’t.

Why This Medication. Documented.

PMHScribe reviews the session transcript and constructs the clinical argument for the prescribed medication: diagnosis, symptom burden, functional impairment, and why this drug class is appropriate for this patient at this time.

Medication Trials, Failures, and Intolerances

Prior authorization almost always requires documenting what was tried first. PMHScribe pulls medication trial history from the session and formats it the way payers expect to see it: drug, dose, duration, outcome, reason for discontinuation.

Supporting Studies Included

PMHScribe identifies applicable clinical research supporting the medication choice and includes citations in the letter. Most providers don't have time to pull literature during a session. PMHScribe does it automatically.

42 CFR Part 2 Aware by Design

Substance use history, trauma details, and sensitive psychiatric content that have no bearing on the medication authorization are not included in the PA letter. Insurers get what they need for a coverage decision. Your patient's private history stays private.

Provider or Staff Can Generate It

Administrative staff in group practices can generate the PA letter from within the same session note workflow. Provider reviews before submission. No separate system required.

Seconds, Not Hours

PMHScribe generates the complete prior authorization letter in seconds from the session transcript. Review it and send it. No manual drafting.

225,000+

Patients Served

500,000+

Psychiatric Visits Documented

2 hrs

Saved Per Provider Per Day

Your Patient Is Waiting for Their Medication. The Letter Shouldn't Be the Bottleneck.

Psychiatrists and PMHNPs spend hours every week writing prior authorization letters that insurers lose, reject on technicalities, or return with another request for more information. Meanwhile the patient is waiting for their medication.

PMHScribe generates the letter from your session. Clinical rationale, trial history, supporting studies, privacy-filtered. Ready before your next patient.

Hundreds of psychiatrists and PMHNPs have already stopped writing PA letters by hand.

Pricing

Pick a Plan That Fits Your Practice

Every plan includes a signed HIPAA BAA, NPI validation, and unlimited note retention. No upsells for compliance features.

$79

/Month

or $799/Year

$99

/Month

or $999/Year

 

Coupon for Additional Providers

FAQ

Questions About AI Prior Authorization

The letter includes the patient's diagnosis, clinical rationale for the prescribed medication, documented medication trial history with outcomes, and citations from clinical literature supporting the medication choice. It is formatted for submission to insurance payers and does not include sensitive mental health details, trauma history, or substance use records that are not relevant to the coverage decision.

Yes. 42 CFR Part 2 protects substance use disorder treatment records and requires specific consent before disclosure. PMHScribe is designed to exclude substance use history and other sensitive psychiatric details from the prior authorization letter. The letter contains only what is clinically relevant to the medication authorization request.

Yes. Administrative staff in group practices can generate the prior authorization letter from the session transcript for provider review. The provider reviews, edits if needed.

The letter generates in seconds from the session transcript. Review and editing typically takes two to five minutes. Writing a PA letter manually takes 20 to 45 minutes per request.

Yes. PMHScribe identifies applicable clinical research supporting the medication choice and includes citations in the letter. This is particularly useful when payers request evidence-based justification for brand-name medications, newer drug classes, or off-label indications.

No. The letter is generated from your existing session transcript. If PMHScribe recorded and documented the session, the PA letter can be produced from that same session with no additional data entry.

Yes. PMHScribe is HIPAA compliant and includes a signed Business Associate Agreement (BAA) with every plan. The prior authorization letter is generated within the same HIPAA-eligible infrastructure as your clinical notes.

Prior authorization letters are included in the Psychiatry plan at $99 per month. Group practices receive all Psychiatry plan features, including prior authorization.

Stop Redacting Chart Notes for Prior Authorizations.

Your session has everything the insurer needs. PMHScribe turns it into the letter.

No credit card required.