Standardize prior auth. Shorten cycles.

Standardized, Faster Operations

hidalga™ turns ad-hoc portal work into a guided, role-based workflow from intake to decision, giving clinic leaders a reliable way to scale throughput without burning out staff.

A bottleneck you can fix

When each user handles prior auth differently, cycle time expands, rework rises, and decisions stall. Prior auth remains one of oncology’s highest-friction processes, with high volume, high variability, and clear impact on clinic flow.

Optimize workflows

  • Intake & eligibility
    Required fields validated, missing data flagged.
  • Payer-aware assembly
    Correct forms, documents, and rationale auto-built from payer rules.
  • Submission & tracking:
    Status, SLAs, and alerts in one queue, no tab chasing.
  • Appeals kit:
    Denial reasons mapped to evidence for fast follow-up.

Operational Control

  • 70%+ fewer touches 
    Across prefill, attachments, and status checks.
  • Shorter cycles
    From request to decision, with fewer callbacks.
  • Lower rework, cleaner handoffs
    Across navigation, billing, and clinical ops.
  • More predictable days 
    Less administrative strain on teams.

Command center

  • Queue & SLA views
    See due-today, at-risk, and blocked cases instantly.
  • Reason analytics
    Identify where denials originate and where automation removes friction.
  • Throughput reporting:
    Track auths per FTE, touches per case, and time-in-state to optimize staffing.
Calculate your savings

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