/Physical therapy prior authorization

AI prior authorization for physical therapy.

Shasta finds the cases that need authorization, gathers the notes and outcome scores, submits through the payer's process, and checks the request until there is a decision.

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INPUT / WORK / ACTION

01 / Visits

Used

8 / 12

Auth needed
Outcome score
Progress note
Referral

02 / Payer

PA-2291

Submitted

In review

Approved

03 / Approved

( fig. 02 )

/What it handles

The routine work your staff should not have to chase.

Shasta works through the normal cases. Anything that needs judgment goes to your team with the details already gathered.

Starts with

A new authorization requirement or a patient getting close to the approved visit limit

Done when

The decision and approved visits recorded where the front desk can use them

Works across

EMRPayer portalsClinical notesDocuments

01

Find cases before visits run out

Use verification results and visit counts to spot new requirements and renewals before the next appointment is at risk.

02

Gather the clinical support

Pull outcome scores, notes, referrals, and payer-specific forms from the places your team already stores them.

03

Complete the payer submission

Enter the request in the portal, attach the supporting files, and save the confirmation number.

04

Keep checking the request

Review pending requests on schedule, capture the decision, and update authorization numbers, dates, and approved visits.

( fig. 03 )

/How it works

From incoming work to an updated patient record.

01

A case is due

Shasta sees the authorization requirement or an approaching visit limit.

02

Documents are gathered

It collects the clinical and administrative information required by that payer and plan.

03

The request is submitted

Shasta completes the portal workflow, uploads the supporting documents, and records the reference number.

04

The decision comes back

Shasta checks until the payer responds, then updates the patient record or gives staff the next action.

When the job is done

Pending requests checked on schedule

Confirmation numbers and status history kept together

Approved visits visible to the scheduling team

( fig. 04 )

/Set up for your clinics

Built around the way your front desk already works.

Set up around your rules

We map how each location schedules, which payers need extra steps, and where your team wants to take over.

A clear record of the work

Open any task to see what came in, what happened next, and what changed in the patient record.

A handoff when one is needed

Clinical questions, unusual cases, and anything outside your rules go to staff with the context already attached.

Track PT authorization from requirement to decision.

Physical therapy authorization work can begin with a new evaluation or a patient approaching an approved visit limit. Shasta gathers the required notes, outcome scores, and supporting documents, submits the request through the payer workflow, and tracks its status.

A submission confirmation is not an approval. Shasta records the payer decision, authorization dates, and approved visits in the patient record so scheduling staff can see what is ready and what still needs attention.

Connect this workflow with AI insurance verification for physical therapy, or explore all of Shasta's AI agents for PT clinics.

For evaluation criteria, oversight, and ROI, read our guide to AI in physical therapy.

Explore the agent team

See how the prior authorization agent fits into your front desk.

Bring us the workflow. We will map it against your systems and clinic rules.

Book a Demo