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VanguardAuth

Prior authorization, predictable. Automated requirement discovery, structured request preparation, end-to-end tracking — making one of healthcare's most chaotic workflows fast, accurate, and auditable.

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85%
Reduction in manual auth work
3.4d
Average auth turnaround
100%
Audit-trail coverage
50%+
Less avoidable rework
The Authorization Lifecycle

From requirement to approval.

VanguardAuth manages the entire authorization workflow — discovery, submission, tracking, follow-up, and audit — automatically.

01

Requirement Discovery

Auto-detects which procedures need authorization for each payer and plan.

02

Request Preparation

Builds the request with embedded clinical context and supporting documentation.

03

Submission

Sent through the right payer channel — portal, API, fax, or phone.

04

Status Tracking

Real-time status with automatic follow-up reminders and pending-action alerts.

05

Decision & Routing

Approvals flow to scheduling. Denials and pends route to structured action queues.

06

Audit Record

Every decision, request, and response logged for compliance and payer audits.

Capabilities

What VanguardAuth does for you.

A full prior-authorization toolkit built to remove the chaos and unpredictability of payer auth workflows.

Automated requirement discovery

Continuously updated payer intelligence tells you exactly which procedures need auth — by payer, plan, and date of service.

Structured request preparation

Requests built with embedded clinical context, payer-specific documentation, and the supporting records each payer expects.

End-to-end tracking

Real-time status across submission, review, decision, and follow-up — with proactive alerts for anything pending.

Payer-specific guidance

Documentation requirements vary by payer — VanguardAuth knows them, so your team doesn't have to guess.

Audit-ready records

Every decision, request, and response captured with full traceability — built for compliance and payer audits.

Interoperability-ready

Architecture built for emerging FHIR Da Vinci PAS standards — ready as payers modernize their auth channels.

Why Teams Choose VanguardAuth

The end of authorization chaos.

Cut manual auth work by 85%

Discovery, prep, submission, tracking — automated. Your team intervenes only when judgment is required.

Reduce avoidable rework

Payer-specific docs the first time. No more denials for missing paperwork your team didn't know they needed.

Predictable turnaround

Real-time status with automatic follow-up — no more "we sent it weeks ago" surprises.

Continuously updated payer rules

Auth requirements change constantly. VanguardAuth tracks every payer's rules so your team is never caught out of date.

Audit-ready by default

Every step logged. When the payer asks "show me the documentation" — you have it instantly.

Ready for the future of PA

Forward-compatible with emerging interoperability standards — so you're prepared as payers modernize.

Integrations

Works with what you already use.

VanguardAuth connects to authoritative healthcare partners — with more integrations actively in development.

Active Integrations
ActiveClearinghouseStedi
ActivePayer IntelligenceOptum
ActiveClearinghouseAvaility
Coming Soon
Coming SoonEHREpic
Coming SoonEHRathenahealth
Coming SoonEHReClinicalWorks
Coming SoonEHRNextGen
Coming SoonPractice MgmtKareo / Tebra
Coming SoonPractice MgmtAdvancedMD
Coming SoonClearinghouseWaystar
Coming SoonClearinghouseChange Healthcare
Coming SoonStandardsX12 837/835/270/271
Coming SoonStandardsFHIR R4
Frequently Asked

Common questions.

How does VanguardAuth know which procedures need authorization?
VanguardAuth maintains a continuously updated payer intelligence layer with every major payer's authorization requirements, by plan, procedure, and date of service. When you schedule a procedure, the system instantly tells you whether auth is required and what documentation the payer expects.
Which submission channels does it support?
VanguardAuth supports payer portals, direct API integrations, fax submission, and phone-based workflows where required — using whichever channel each payer accepts. The system routes each request through the right channel automatically.
Can VanguardAuth be purchased on its own?
Yes. VanguardAuth is fully standalone. You can use it on its own or alongside other Vanguard solutions. If you want every Vanguard product in one package, VanguardMSO bundles all eight at a single price.
Is it compatible with FHIR Da Vinci PAS?
Yes. VanguardAuth's architecture is forward-compatible with emerging interoperability standards including FHIR Da Vinci Prior Authorization Support — so as payers modernize their auth channels, you're already ready.
How do you handle data security and audit?
VanguardAuth runs on the secure, multi-tenant Vanguard platform — strict tenant isolation, encryption at rest and in transit, comprehensive audit logging, and SOC 2 Type II compliance. Every authorization decision and request is recorded with full traceability.

Ready to see VanguardAuth in action?

Book a 30-minute walkthrough. We'll show you how to eliminate the chaos of prior auth and turn it into a predictable, auditable workflow.