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 we help 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.

We optimize workflows

  • Intake & eligibility
    Validate required fields, flag missing data.
  • Payer-aware assembly
    Correct forms, documents, and rationale 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.
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Improve 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 denial origin and where automation removes friction.
  • Throughput reporting
    Track prior auths per FTE, touches per case, and time-in-state

See how these challenges show up in your clinic

Calculate your prior auth workflows

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