Vascular and Embolization Specialists x Aira

Vascular and Embolization Specialists is a procedurally intensive practice where prior authorization volume is high, cases are clinically complex, and a single gap in documentation can delay patient care for weeks. Before Aira, the team managed authorizations reactively—and the physician was writing every Letter of Medical Necessity by hand. With Aira, the practice shifted to a proactive model: flagging missing documentation before submission, alerting the team to high-risk cases in advance, and automatically generating and submitting appeals the moment a denial arrives.

The Challenge

Prior authorization in vascular and interventional care is among the most documentation-intensive in outpatient medicine. Cases involve complex medical necessity criteria, payer-specific clinical thresholds, and lengthy appeal cycles when documentation falls short.

There was no systematic way to know, before submission, whether a case had everything a payer needed. The physician spent hours each week writing Letters of Medical Necessity from scratch. And when denials came, building an appeal was a days-long process.

No Pre-Submission Visibility

Missing documentation wasn't caught until after denial—creating rework cycles and delaying patient care.

Physician Time on LMNs

The physician wrote every Letter of Medical Necessity by hand—consuming roughly 3 hours of clinical time per week.

Slow Appeals Process

Appeal letters were built from scratch per denial, with no systematic process or turnaround time targets.

The Solution

Aira was deployed across all procedural authorizations—new cases, complex cases, and appeals—giving the practice a single intelligent layer between clinical documentation and payer submission.

High-Risk Denial Flagging Aira reviews each case against payer-specific medical necessity criteria before submission, flagging gaps in documentation that could lead to denial. The team addresses missing requirements upfront—before the case ever reaches a payer.
AI-Generated Letters of Medical Necessity The physician previously wrote every LMN himself. Aira now generates these letters automatically, mapping clinical evidence directly to payer-specific criteria. Three hours of physician time reclaimed every week.
Automated Appeals When denials do occur, Aira automatically generates and submits a structured appeal—drawing on the patient's clinical record and the payer's stated denial rationale. No manual rebuild, no days-long coordination; the appeal is on its way the moment the denial lands.

The Impact

The practice runs 100% of procedural authorizations through Aira—excluding pre-existing cases to avoid insurance complications—and the results are already tangible across time, risk, and appeals.

Metric

Pre-Aira → With Aira

Staff Time per Authorization

Manual, variable → 15 min saved per order

Physician LMN Time

~3 hrs/week by hand → AI-generated in minutes

Denial Risk Visibility

Post-denial only → Pre-submission flagging

Appeals Turnaround

Days of manual work → Auto-generated & submitted

Platform Adoption

100% of procedural orders

Automated Appeals in Practice

When a denial arrived on a complex case, Aira automatically generated and submitted the appeal the same day—no manual rebuild, no coordination, no waiting on the billing team to start from scratch. What previously took days of back-and-forth now happens on its own the moment a denial lands.

Client Voice

"Aira has helped us improve efficiency, reduce administrative burden, and keep patient care moving forward."

Vascular and Embolization Specialists

Feeling without Aira? "Very disappointed."

From reactive to proactive.