AI · Outcome-Based Pricing

Swift Auth. Prior auths won. Denials defeated. Margins reclaimed.

Swift Auth is enterprise-grade intelligent automation that wins prior authorizations in seconds and defeats denials with precision — priced on outcomes, not licenses. We take 10–30% of the savings we surface. Nothing if we don't deliver.

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Why Swift Auth

Prior auth and denials are the fastest-growing threats to community-hospital margins. Swift Auth's intelligent automation removes them.

Community hospitals lose an estimated $260 billion annually to claim denials — most of them preventable. Prior authorization alone consumes 16+ hours of physician time per week on average. Swift Auth attacks both problems with AI-powered automation that learns payer rules, submits cleaner requests, and fights denials with precision — priced entirely on outcomes.

Intelligent automation decisioning. Learns payer-specific rules and acts autonomously — finding the cleanest path to approval the first time, using Medivra's advanced data science framework.

Outcome-based pricing. 10–30% of discovered savings. Zero license fee. Zero risk. You pay only when Swift Auth saves you money.

Relief for lean teams. Frees revenue-cycle staff from manual paperwork and gives clinicians back hours every week — without adding headcount.

Denial pattern recognition. Advanced data science identifies denial trends by payer, procedure, and provider — so root causes are fixed, not just individual cases.

Appeals automation. Generates compliant, evidence-backed appeal letters automatically — accelerating reversal timelines and recovering revenue that would otherwise be written off.

Platform-native. Drops into the Brilliancy Health platform by default, connecting directly to Axia and Luminous — no disruption to existing clinical workflows.

HOW IT WORKS

From clinical order to authorization — without staff lifting a finger.

Step 1

Order Detection

Swift Auth monitors Axia in real time. The moment a procedure or medication requiring authorization is ordered, the workflow begins — automatically.

Step 2

Payer Rule Matching

AI maps the order against the patient's payer requirements, identifies required clinical documentation, and flags any gaps before submission.

Step 3

Automated Submission

A complete, payer-compliant prior auth request is assembled and submitted — typically in seconds, not hours or days.

Step 4

Denial Response

If a denial comes in, Swift Auth generates a targeted appeal with clinical evidence and payer-specific language — and tracks it to resolution.

Key Capabilities

Every tool the revenue cycle needs — automated and connected.

Prior Auth

Autonomous Authorization

Submits prior auth requests without staff intervention — learning each payer's rules to maximize first-pass approval rates.

Denials

Denial Management

Classifies every denial by type and root cause, prioritizes by recoverable revenue, and routes to automated or assisted appeal workflows.

Analytics

Payer Intelligence

Surfaces approval rate trends, denial patterns, and payer behavior analysis — so revenue cycle leaders can anticipate problems, not just react to them.

Appeals

Evidence-Backed Appeals

Generates compliant appeal letters with clinical evidence, relevant guidelines, and payer-specific language — ready to submit or review in minutes.

Documentation

Gap Detection

Identifies missing clinical documentation before submission — closing gaps while the care team still has the context to address them.

Tracking

Authorization Lifecycle

Tracks every authorization from submission through approval or appeal — giving staff full visibility without manual follow-up calls to payers.

Compliance

Audit-Ready Records

Every submission, denial, and appeal is logged with timestamps and supporting documentation — ready for payer audits and internal review.

Integration

Axia + Luminous Native

Authorization data flows directly into and out of Axia — no duplicate entry, no separate portal login, no broken data trail.

Who Swift Auth Helps

Built for every team that touches revenue cycle.

Revenue Cycle

Authorization Teams

Eliminates manual payer portal work and follow-up calls — freeing staff to focus on escalations and exceptions Swift Auth flags for human review.

Clinical

Physicians & Clinicians

Removes the administrative burden of prior auth from clinical time — so physicians spend their day on patients, not paperwork.

Finance

CFOs & Finance Leaders

Real-time visibility into authorization rates, denial trends, and recovered revenue — with outcome-based pricing that ties the vendor's success to yours.

Operations

Hospital Operations

Reduces throughput delays caused by pending authorizations — keeping patients moving through the system and beds available.

Platform Integration

Swift Auth is stronger inside the Brilliancy Health platform.

Axia

Clinical Record Integration

Authorization requests are triggered automatically from Axia orders and approvals flow back into the patient record — zero double entry, full traceability.

Luminous

API-Connected

Swift Auth connects to payer systems and external EMRs through Luminous — keeping authorization data flowing securely across every integration point.

PocketMD

Point-of-Care Documentation

PocketMD's ambient documentation feeds the clinical evidence Swift Auth needs for clean prior auth submissions — closing the loop from encounter to approval.

Run your hospital with enterprise-grade visibility. Operational excellence starts here.

Talk to the Brilliancy Health team about deploying NexCommand — and see how Medivra's intelligent automation turns live data into decisive action.

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