Prior authorization documentation that holds up to payer scrutiny.
Prior authorization denials are rarely about the test itself. They are about how clinical necessity is documented.
Cellarian generates the documentation payers expect to see — before prior authorization is submitted.
How Cellarian supports prior authorization
Cellarian:
Identifies when prior authorization is required
Applies payer-specific documentation rules
Generates patient-specific medical necessity justification
Prepares documentation for physician review and signature
This reduces delays, resubmissions, and preventable denials.
Prior authorization for toxicology testing
Toxicology prior authorization often fails due to:
Generic clinical language
Lack of clinical risk assessment
Lack of medication list or screen results
Inappropriate ICD-10 coding
No Date of Service specific clinical context
Not meeting payer-specific testing guidelines
Misalignment with payer frequency limits
Cellarian generates documentation that:
Reflects the patient’s clinical history & ICD-10 coding
Aligns with payer medical necessity criteria
Supports appropriate test selection
Prior authorization for molecular testing
Molecular testing faces increasing payer scrutiny, particularly for panel-based testing.
Cellarian supports prior authorization for:
Respiratory pathogen testing
UTI panels
STI testing
Women’s health testing
Wound testing
Documentation is generated based on patient symptoms, risk factors, and clinical context — not templates.
Built for changing payer rules
Medical Necessity and Prior authorization requirements change constantly.
Cellarian’s rules engine updates documentation logic to reflect evolving payer criteria, without requiring manual intervention by your team.
Improve prior authorization outcomes without adding work.
CELLARIAN IS TRUSTED BY:
