Insurance companies use artificial intelligence to deny care in seconds. We built AI that fights back — for physicians and their patients.
According to the AMA's 2024 nationwide survey of 1,000 practicing physicians, practices complete an average of 39 prior authorization requests per physician per week, spending approximately 13 hours on the process. Forty percent of practices have been forced to hire staff who work exclusively on PA. ¹
The consequences are devastating: 94% of physicians report that PA delays patients' access to necessary care, and 29% report that PA has led to a serious adverse event for a patient in their care — including hospitalization, permanent bodily damage, or death. ¹
Meanwhile, a 2025 survey by the National Association of Insurance Commissioners found that 71% of health insurers now use AI for utilization management, including prior authorization decisions. ²
We decided that physicians deserve the same technology. ClearAuth AI levels the playing field — giving every practice AI-powered tools that work for patients, not against them.
Every statistic below is sourced from national physician surveys, federal data, and investigative reporting.
Nearly 9 in 10 physicians say the prior authorization process significantly contributes to burnout, with 40% forced to hire staff who work exclusively on PA tasks.
More than three-quarters of physicians report that PA often or sometimes leads patients to give up on their recommended course of treatment entirely.
Approximately 73 million Americans on ACA marketplace plans had their claims for in-network services denied in a single year — and fewer than 1% tried to appeal.
In a 2025 National Association of Insurance Commissioners survey, nearly three-quarters of health insurers admitted to using AI for prior authorization and concurrent review decisions.
Rather than controlling costs, PA forces patients into ineffective initial treatments, additional office visits, immediate care, and even emergency department visits — driving overall resource utilization higher.
A majority of physicians expressed concerns that insurance companies' use of AI either increases or will increase PA denial rates. AI tools have been accused of producing denial rates up to 16 times higher in some cases.
The healthcare industry is in an AI arms race. Insurance companies have invested heavily in algorithms that automate claim denials. Multiple class-action lawsuits and a Senate investigation have documented the consequences. Providers are only just beginning to fight back.
71% of insurers admit to using AI for utilization management. Major lawsuits allege systematic wrongful denials. ²⁴
We give physicians the same technological advantage — on the side of patient care. 69% of providers using AI report reduced denials. ⁶
ClearAuth AI didn't start in a tech lab. It started in a doctor's office, watching a medical assistant spend an entire afternoon trying to get a single medication approved for a diabetic patient.
The AMA documented that physicians and their staff spend an average of 13 hours per week completing 39 PA requests. 40% of practices have been forced to hire staff who work exclusively on PA — time and money taken directly from patient care.
Investigative reporting by STAT News exposed how UnitedHealthcare and Cigna deployed AI algorithms to deny claims without meaningful physician review. Class-action lawsuits were filed in California and Minnesota. The Senate Permanent Subcommittee of Investigations launched a probe into barriers faced by Medicare Advantage seniors.
The same AI technology being used to deny claims could build stronger submissions, catch missing documentation before it triggers a denial, and generate evidence-based appeals in seconds — citing the exact clinical guidelines that support the physician's decision.
Today, ClearAuth AI automates the entire PA lifecycle — from intelligent form completion and document parsing to real-time clinical guideline search and AI-powered appeal letter generation. One platform, built specifically for healthcare practices fighting back.
Every decision we make is guided by these principles.
Every feature we build is measured by one question: does this help patients get care faster? When 94% of physicians say PA delays care, speed isn't a luxury — it's a medical necessity.
Insurance companies process denials in milliseconds. We process PA forms in seconds. When a patient needs medication, every hour of delay matters.
HIPAA compliance isn't a checkbox — it's a commitment. Patient data is encrypted, protected, and never sold. We sign BAAs with every practice.
Our AI searches for and cites real clinical guidelines from ADA, ACC, NCCN, and other medical societies. No hallucinations. No fabricated references. Every citation is verifiable.
Insurance companies update their denial algorithms constantly. We update our AI just as fast. The 69% of providers who use AI to fight denials are seeing results — we push that number higher.
We build alongside the people who use our product. Every feature comes from real feedback, real workflows, and real frustration with a broken system.
ClearAuth AI is built by a team that understands both sides — the clinical reality of prior authorizations and the technology needed to fix them.
We're a growing team of healthcare professionals, AI engineers, and people who believe the PA process is fundamentally broken — united by one goal: making prior authorization painless.
Interested in joining us? Get in touch →