MedMojo™ Prior Auth Intelligence™ Secure environment Multi-factor enforced
Practice Portal

Prior authorization and denial intelligence

Every authorization in one place, with its status, its age and what needs doing next. Built for independent practices that intend to stay independent.

Business Associate Agreement executedProtected health information handled under a signed BAA
Multi-factor required at every sign-inEnforced by policy, not by preference. Sessions end when the tab closes.
Every read and write recordedAttributable, in-transaction, on isolated per-practice storage in Azure US East

Access your practice

You will be taken to your organization's secure sign-in page. MedMojo™ never sees or stores your password.

  1. 1Enter the work email address your practice was set up with. Only that address will work.
  2. 2Approve the code sent by text to the mobile registered to your account.
  3. 3You land on your practice's dashboard. Nobody outside your practice can see it.
There is no sign-up page, by design. Accounts are created by MedMojo™ for your practice once the Business Associate Agreement is executed. If someone on your team needs access, ask us and we will add them.
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Practice dashboard
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What your own submissions say

Derived from this practice's records only · no network data

Prior authorization queue

0
PatientPayerServiceStatusAge
Nothing here yet
Prior authorizations appear here with their status, their age and the next action. Start with the one on your desk right now.

Open denials

0

Approval rate by payer

Today

Prior authorizations

Every case this practice has created, newest first.

PatientPayerServiceStatusAgeService date
No loaded case matches that
This searches patient name, case number, payer and code across the cases currently loaded. Clearing the status filter widens it.
No cases match this view
Try clearing the status filter, or create a new prior authorization.

Review & submit

Cases entered but not yet sent to the payer. Open one, check it, then mark it submitted once you have filed it in the payer's portal.

Denial management

Denied and not yet closed. Record the written reason as soon as it arrives; a denial without a reason cannot be worked.

Revenue recovery

What the open pipeline is worth, and what has been approved, using the expected value recorded on each case.

Value by status

Payer intelligence

How each payer behaves on this practice's own submissions. Nothing here is drawn from other practices.

PayerCasesDecidedApprovedApprovalMedian age
No payer history yet
Once cases are decided, each payer's approval rate and typical turnaround appear here, computed only from this practice's submissions.
A rate is only shown once a payer has at least five decided cases. Below that the count is shown instead, because a percentage off three cases is disprovable in one conversation.

New prior authorization

Patient and case together, because that is how the work actually arrives.

01

Patient

The subscriber ID exactly as printed on the card, letters included.
02

Authorization

The plan this authorization goes to.
G47.33 is obstructive sleep apnoea.
E0486 is a custom oral appliance.
Urgent asks for expedited review. Payers track how often a practice claims it.
When the appliance is to be delivered.
One appliance is 1.
Whole dollars. Cannot be added later, so an estimate beats leaving it blank.
What is being asked for, in the practice's own words.
Why this is medically necessary: findings, history, what has been tried. This is the part a payer's reviewer reads.

Before you submit

  • Member ID exactly as printed. A transposed character is the most common administrative denial there is.
  • Confirm the right portal. Some Anthem plans route sleep authorizations to Carelon rather than Availity.
  • Record the expected value. It cannot be backfilled and every revenue figure depends on it.
MedMojo™ does not submit to the payer for you. You file in the payer's portal as you do today, and record the outcome here so nothing gets lost.

Case

Click any underlined value to copy it, or take the whole packet in one go.

Clinical findings

Prior authorization document

Available once the document is written.
How to read this document

Start at the end, not the beginning. Section 8 is the pre-submission checklist, and it finishes with a readiness verdict. That verdict is the answer to "can I send this yet."

The four statuses mean different things, and only two are yours to fix.

FAIL means the payer's own criterion is not met as documented. Correct the record and generate again.
NOT DOCUMENTED means the information is missing from this case. Enter it and generate again.
NOT ESTABLISHED means the payer has published no value to test against. That is a call to the payer, not a gap in your file.
NOT APPLICABLE means the criterion does not govern this case, and the note says why.

VERIFY BEFORE SUBMITTING is a call list. Each line names what to confirm and who to confirm it with. These are the items that turn a clinically complete submission into a denial when they are skipped.

Section 5 shows the payer's criteria one at a time, with the requirement, what your record holds, and whether the two correspond, cited to the policy on file.

Nothing here is a coverage determination. MedMojo™ prepares the submission. Your practice reviews it and submits it, and the payer decides.


        
        

        

        

      

    


    
    

      
Practice settings

        
Read-only for now. Everything here comes from what the system holds about your practice.

      
Practice

        

      
Your access

        

      
Where to submit

        
Not built yet. This is where each payer's submission destination will live, so nobody has to remember which Anthem plans go to Availity and which go to Carelon.

    


    
    

      
Security & compliance

        
What protects this practice's information, stated as controls that are in force rather than intentions.

      
In force today

        
    
        
    
    
    

    
    
      
    Help & support
    
        
    Reach a person, or read the answer. Every answer below describes how MedMojo™ actually works today, not how it is intended to work.
    
      
    Contact us
    
        
    
        
    
      
    Common questions
    
        
      
        
      
      
      
      
        Payer and product names are the property of their respective owners and are used here for identification only. MedMojo™ is not affiliated with, endorsed by, or acting on behalf of any payer.