Prior Authorization

Radiology Prior Authorization on Imaging-Benefit Portals

Submit and track prior authorizations for advanced imaging on the radiology benefit-management portals payers route them through. MRI, CT, and PET authorizations rarely live on the payer’s own portal: they go to a specialist imaging-review system with its own clinical questionnaire, and this workflow follows them there.

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How Asteroid runs this workflow

An imaging order carried through the benefit manager's questionnaire

An imaging order enters the queue, Asteroid works the radiology benefit manager's portal and answers the clinical-appropriateness questionnaire strictly from the documentation you supply, and the authorization number or current status writes back. Any question the chart doesn't answer stops for your clinical team.

Radiology benefit-management portals

How it actually runs

  1. 01Sign in to the imaging-review portal with credentials from an agent profile.
  2. 02Enter the ordering provider, member, imaging facility, and exam details, from your inputs only.
  3. 03Answer the clinical-appropriateness questionnaire strictly from the documentation provided. A question the chart material doesn’t answer is a named failure, never a guess.
  4. 04Capture the authorization or tracking number and the determination status.
  5. 05Re-check pending determinations on schedule and report each change in the portal’s own wording.

A medical-necessity review, a peer-to-peer request, or any clinical question the inputs don’t cover goes straight to a person, with the portal’s exact ask attached.

An imaging order with patient, payer, modality, site, and clinical information enters the queue

  1. Determination back in your imaging queue

    The authorization number or current status, the submission evidence, the payer's requirements in the portal's own wording, and the next scheduled re-check write back to your queue.

Question the chart doesn't answer: The run stops naming the portal's exact question (as with any medical-necessity review or peer-to-peer request), and your clinical team answers it once; a guessed answer would be a false clinical attestation.

A guessed questionnaire answer is a false clinical attestation.

The imaging questionnaire is where radiology PA goes wrong. Staff racing a queue click through it from memory; an agent constitutionally can’t. Every answer traces to a document you supplied, and anything that doesn’t exist in your inputs stops the run by name. Slower than guessing, and the only version of fast that survives an audit.

At scale

What runs today

The submission discipline here is the same one running in production on payer portals today; the imaging-review portal build is in the catalogue pipeline. If imaging auths are your bottleneck, scoping against your RBM mix is the shortest path, and the prior authorization workflow library has the full set.

Questions

Frequently asked questions

The build is scoped per imaging-review portal, against the radiology benefit managers your payers actually delegate to. Your order data (ordering provider, member, imaging facility, exam details) defines the input fields; your documentation set is what the clinical-appropriateness questionnaire is answered from; and the output (authorization or tracking number plus determination status) is shaped to your queue. Re-check cadence for pending determinations and escalation routing follow your SOP. Your schedulers and clinical staff keep their roles; scoping against your RBM mix sets the rest.

Disclaimer

Third-party names, including government agencies and registries, are used only to identify systems commonly involved in healthcare operations workflows. Asteroid is not affiliated with, endorsed by, sponsored by, or certified by those third parties unless expressly stated. Workflow availability depends on customer authorization, account permissions, configuration, and applicable system terms.