> ## Documentation Index
> Fetch the complete documentation index at: https://docs.skypoint.ai/llms.txt
> Use this file to discover all available pages before exploring further.

#  

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## Overview

skyAuth for Payors streamlines the prior authorization review and decision process for health plans. It automates medical necessity reviews, reduces turnaround times, and improves consistency in authorization decisions.

## Key Capabilities

<CardGroup cols={3}>
  <Card title="Automated Review" icon="robot">
    AI-powered medical necessity determination
  </Card>

  <Card title="Clinical Criteria" icon="stethoscope">
    Apply evidence-based clinical guidelines consistently
  </Card>

  <Card title="Decision Support" icon="scale-balanced">
    Support reviewers with relevant clinical information
  </Card>
</CardGroup>

## Features

### Automated Determination

Apply clinical criteria automatically to straightforward cases, reducing reviewer workload.

### Clinical Guidelines Integration

Integrate with evidence-based guidelines like InterQual, MCG, and custom criteria.

### Reviewer Workbench

Provide reviewers with all relevant information in a streamlined interface.

### Performance Analytics

Track authorization metrics, turnaround times, and decision patterns.

## Use Cases

* **Medical Necessity Review**: Automate routine medical necessity determinations
* **Utilization Management**: Manage inpatient and outpatient utilization reviews
* **Pharmacy Authorization**: Process prescription prior authorization requests
* **Appeals Processing**: Streamline the appeals review process