MEDICARE ADVANTAGE · PRIOR AUTHORIZATION

The gap between
ready to leave
and cleared to go —
closed.

TRAC builds the referral package for the receiving facility and the prior authorization for the MA plan — automatically. Your UR team reviews. Clicks send. We handle the rest.

HIPAA-compliant implementation · Built for hospital UR departments

Patient Flagged
Package Built
Submitted
Approved
Transferred
THE PROBLEM

Every day a patient waits, the hospital pays.

When a Medicare Advantage plan stops covering an inpatient stay, the hospital's Utilization Review team races to get the patient approved for their next care setting — whether that's a skilled nursing facility, home health, or a rehab facility. The process is entirely manual. Payer portals, fax machines, clinical notes copied by hand. While coordinators build packages from scratch, patients sit in beds the hospital isn't getting paid for.

WHAT TRAC BUILDS

A complete referral package and prior auth — in seconds, not hours.

TRAC builds two packages from the same clinical documentation: the referral package sent to the receiving facility, and — once they accept — the prior authorization request sent to the MA plan. Each formatted exactly to what that recipient requires.

Prior AuthUnitedHealthcare SNF Authorization
PATIENT
PT-2847 · Admit: 07/14/26 · LOS: 5 days
PRIMARY DIAGNOSIS
M16.11 — Primary osteoarthritis, right hip
SECONDARY DX
E11.9 — Type 2 diabetes · Z96.641 — Right hip prosthesis
SKILLED CARE NEED
PT/OT: gait training, NWB precautions, ADL retraining
FUNCTIONAL STATUS
Transfers: 2-person assist · Ambulation: NWB right LE
INSURANCE
UnitedHealthcare MA · Member ID: UHC-884721
DOCUMENTATION
✓ H&P ✓ PT eval ✓ Medications ✓ Nursing assessment
All required fields complete — ready for submission

Every field. Every payer. Every time.

COST CALCULATOR

What's the gap between ready and cleared costing you?

Move the sliders to match your hospital's volume and see what TRAC recovers — in staff time and in patients stuck waiting to transfer.

40
3 hrs
$45
$1,800
3 days
$2,649,600Recoverable per year with TRAC
Stuck-patient cost avoided$216,000/mo
Labor cost saved$4,800/mo
UR coordinator hours saved106.7 hrs/mo

Labor savings reflect the reduction from manual referral-package and pre-auth building to under 20 minutes per case with TRAC. Stuck-patient cost uses the per-day and per-patient figures you enter above. Figures are illustrative and will vary by payer mix and case complexity.

HOW IT WORKS

From manual chaos to one click.

TRAC handles every step between clinical readiness and payer approval.

01

TRAC monitors your MA patients

02

Package built automatically

03

Your coordinator reviews and sends

04

TRAC tracks every response

05

If denied, the appeal is ready instantly

WHAT TRAC HANDLES

Everything between clinical readiness and payer approval.

Before TRAC
With TRAC
Coordinator reads chart manually
Clinical data pulled automatically
Logs into 5 different payer portals
One unified dashboard
Appeal letters take days to draft
Appeal generated instantly on denial
Denials fall through the cracks
Every case tracked to resolution

"The average UR coordinator spends 2–3 hours per case on work TRAC handles in seconds."

REQUEST A DEMO

Ready to close the gap?

We're scheduling demos with hospital UR teams and revenue cycle leaders. Tell us about your hospital and we'll be in touch within 24 hours.

No commitment required
30-minute product walkthrough
Response within 24 hours

Prefer to reach out directly? Email us at team@trac.care