Patient follow-up
The moment a patient scans your QR card, AuthFight guides them through the appeal in under 5 minutes. They do not leave confused. They leave with a plan.
For independent & regional pharmacies
Stop losing patients to prior authorization denials.
AuthFight gives your staff one QR card for the counter. Denied patients scan it, start their appeal in under 5 minutes — and when they're approved, the prescription they fill is the one already waiting at your counter. Instead of walking away from it, they walk back in.
No charge for 10 daysBAA signed at onboardingCancel anytime
Step 1: Patient scanned Wegovy 0.5mg at counter
Westheimer Pharmacy
Counter referral snapshot
Margin recovered this month
$3,450.00
Net value: +$3,101after $349 subscription
Step 1: Counter scans (Referred)
12
Step 2: Clinical appeals submitted
10
Insurer response rate
6%
Step 3: Approved & filled (Margin Recovered)
4
Based on average $860 reimbursement margin per specialty / GLP-1 script. March–April 2026 pilots.
No PMS install
Counter QR
BAA ready
Prescription Abandonment Leakage
More than 1 in 3 PA-rejected prescriptions never get filled.
When a patient gets denied at the register, your team hands back the receipt and tells them to call their doctor. Too often, that is where the fill dies. AuthFight gives them a path to appeal before they walk away from the counter.
The Leak
37%
PA-Rejected Scripts Abandoned
More than 1 in 3 prescriptions rejected for prior authorization are abandoned at the pharmacy. The patient leaves without care, and that fill may never come back.
Source: CoverMyMeds Medication Access Report + specialty-drug utilization research
The Cost
$1,275–$3,450/mo
Estimated Margin at Risk
Illustrative estimate based on 15 general Rx scripts at about $85 margin, or 4 specialty/GLP-1 scripts at about $860 margin. Actual margin varies by payer, drug mix, and reimbursement.
Source: AuthFight estimate; not a published benchmark
The Recovery
81%
MA Appeals Overturned
In Medicare Advantage alone, KFF reported that 80.7% of appealed prior authorization denials were partially or fully overturned in 2024.
Source: Medicare Advantage · KFF 2024
Margin range is an AuthFight estimate, not a published industry statistic. Appeal overturn data is Medicare Advantage-specific and should not be read as a universal commercial-plan or pharmacy-benefit overturn rate.
How It Works
Live in under an hour. Zero disruption to your team.
No staff training. No workflow changes. No software integration. Just hand patients a card and let AuthFight do the rest.
1
Scanned at the Counter
When a prior auth is rejected at the register, hand the patient your custom QR card. They scan it in 10 seconds and start their appeal on the spot before they ever leave your pharmacy.
2
Appeal Built and Reviewed
Our AI decodes the rejection and generates a complete clinical appeal packet: the right arguments, the right documentation, the right deadline. It's sent to the patient's physician for review and signature, then submitted directly to the insurer. You track every status update live on your dashboard.
3
Revenue Recovered
In Medicare Advantage, KFF reported that about 81% of appealed PA denials were overturned in 2024. When the patient gets approved, the prescription on file at your counter is the one that gets filled. The margin that was walking out the door walks back in.
Ready to stop the leak?
10-day free trial · No charge until day 10 · Cancel anytime
What AuthFight replaces
Add a prior auth support team without adding headcount.
Your team already has enough happening at the counter. When a patient hits a prior auth denial, AuthFight gives them a clear next step without pulling your staff into hours of follow-up.
We handle the pieces that happen after the scan: patient guidance, physician coordination, insurer follow-up, and live case tracking in one managed service.
Doctor coordination
We send the complete clinical appeal packet to the patient's physician and follow up to confirm receipt by phone, fax, or the channel their office actually uses.
Insurer tracking
We track the appeal with the insurance company until there is a resolution. Your dashboard updates the moment a status changes.
Patient guidance, doctor coordination, and insurer follow-up handled for less than a week of one employee's time.
Your pharmacy dashboard
See your recovered revenue in real time.
Every patient you send our way shows up in your dashboard. Watch their status move from denied → appealed → approved — updated the moment the insurer responds.
- Only your own attributed patients — never their diagnosis or clinical records
- Status updates the moment the insurer responds
- Monthly ROI report: recovered revenue vs. subscription cost
- Multi-location support in one dashboard
authfight.com/pharmacy Live
Westheimer Pharmacy
This month
Net value
+$926
Referred
46
Appealed
34
Approved
15
Recovered
$1,275
Live cases
AF-1042OzempicReviewing
AF-1039HumiraApproved
AF-1038EliquisDelivered
AF-1031Insulin glargine8 days left
ROI calculator
See what abandoned prior auths are costing you.
Start with a typical independent pharmacy, then adjust the numbers to match your counter volume.
Number of locations1
Single location · $349/mo
PA denials per week(per location)8
Typical independent range: 5–10 prior auth denials per week
Average prescription value$85
Generic-heavy: $30–$50 · Specialty/GLP-1s: $150+
Net monthly value
+$926
$11,112/year after subscription
Revenue at risk
$2,720
per month
Recovered scripts
15
per month
ROI multiple
3.7×
on subscription
The math
32 denials × 47% (modeled)= 15 scripts
15 × $85= $1,275
Less $349 subscription= +$926/mo
Modeled estimate: 81% overturn rate on appealed MA denials (KFF 2024) × an assumed 58% patient activation. Illustrative only — actual results depend on your volume, payer mix, and patient uptake, and are not guaranteed.
Pricing
Managed appeal recovery, priced by location.
AuthFight includes AI appeal generation, physician outreach, insurer follow-up, case tracking, and ROI reporting. 10-day free trial. Your card is charged when the trial ends unless you cancel.
Single Location
1 location
$349/mo per location
Managed appeal recovery for one pharmacy counter.
- AI-generated clinical appeal letters
- Doctor signature coordination (we call, we follow up)
- Direct insurer submission
- Case status tracking dashboard
- Monthly wins & savings report
- Counter QR patient intake card
Most popular
Chain
2–4 locations
$279/mo per location
Lower per-location rate for small chains.
- Everything in Single Location
- Multi-location case dashboard
- Per-location ROI & win rate reports
- Phone & email support
- Dedicated onboarding for your pharmacy team
Regional
5+ locations
$219/mo per location
Scaled pricing for regional operators and buying groups.
- Everything in Chain
- Dedicated account manager (direct access to our team)
- Custom-branded patient experience
- Quarterly strategy & performance review
- Custom reporting on request
Signed BAA included with every plan — executed at signup, before any patient data flows
Built for pharmacies
Every abandoned prior auth is revenue walking out your door.
01
Stop the walkaway
When a prior auth stalls, most patients simply leave — and the fill leaves with them. A QR card at the counter gives every denied patient a concrete next step, so the script you already hold gets filled instead of dying in limbo.
✓ Modeled: recover a share of PA walkaways
02
Zero workflow burden
There's nothing for your techs to learn or manage. The patient handles the appeal on their own phone; your team's only involvement is handing over a card. No new software at the counter, no added counseling time.
✓ No staff training required
03
Know the moment it clears
The dashboard shows every patient case from your location and alerts you when an appeal is approved — so you can have the fill ready before the patient even calls.
✓ Real-time approval alerts
Illustrative use cases — not customer testimonials. Revenue recovery depends on your prescription mix and patient volume; AuthFight does not guarantee results.
Common questions
What pharmacy owners ask us.
Three things. (1) Your techs are needed at the counter — every minute they spend on hold with an insurer is a minute they're not filling scripts. (2) Without AuthFight, patients have to navigate their doctor's office themselves for clinical justification, which adds days of friction and often ends with them giving up. We handle that coordination directly. (3) AuthFight writes a professionally formatted appeal letter using the insurer's own coverage criteria — most pharmacy teams don't have the policy database we built.
No. There's nothing to install in your dispensing system, no integration with PioneerRx or QS/1 required. When a prior auth gets rejected, you hand the patient a card instead of telling them to call their doctor. That's the entire change to your workflow.
Yes. We operate as your Business Associate under HIPAA, and a Business Associate Agreement is signed at signup, before any patient data flows. Patient information is encrypted in transit and at rest. Your dashboard shows the cases attributed to your pharmacy — patient name, medication, insurer, and appeal status — the same patients whose prescriptions you already hold. It never shows their diagnosis, intake answers, denial letter, or clinical documents.
The patient has the right to free external independent review under ACA §2719. A neutral third party reviews the denial, and their decision is binding on the insurer. We prepare and submit the escalation paperwork at the patient's direction — you just watch the status update on your dashboard.
No contract. 10-day free trial — we collect a card at signup but charge nothing until day 10. After that, your plan bills monthly. Cancel anytime by email — your dashboard stays accessible for 30 days so you can export your case history.
Yes — the patient site is public. But there are two ways a case gets linked to your pharmacy: (1) the patient scans your QR code, which links them automatically, or (2) they come in through the public site and we ask them which pharmacy they received the denial at, then use that to match the case to your dashboard. Either way, when a patient gets approved, you get the dashboard notification and the recovered revenue attribution. The QR code is just the fastest and most reliable path.
No. Your monthly subscription covers everything — AI appeal generation, fax delivery, physician outreach, insurer follow-up, and the full patient-side service. No setup fees, no per-case fees, no overage charges. One flat price per location, nothing else.
Still have questions? Email support@authfight.com
Free 10-day trial
Recover your first abandoned prescription this week.
Sign up takes five minutes. We post your QR code card the same day, and your counter can start handing it to denied patients immediately.
- No charge for the first 10 days
- No contract — month-to-month
- BAA signed before any patient data flows
- Cancel anytime, data exports cleanly