Secure Approvals for High-Value Cases Without the Wait
Elva automates the entire authorization lifecycle. It identifies procedures requiring approval, compiles the clinical evidence (X-rays, charts, narratives), submits the request, and tracks it daily, so you never have to sit on hold with a payer again.
Auto-Identification
Instantly flags CPT/CDT codes that require Pre-Auth based on the specific payer's rules.
Evidence Compiler
Autonomously pulls the exact Perio Chart, PA X-ray, or Photo required to prove medical necessity.
Status Watchdog
Pings the payer portal daily to check status, alerting you the moment an approval (or denial) drops.
Narrative Generator
Writes clinical narratives using "Gold Standard" keywords that trigger approval algorithms.
The "Fax Black Hole" vs. Digital Transparency
The Old Way (The Black Hole): You fax the request and wait. And wait. You have no idea if they received it, if it’s being reviewed, or if it’s lost. You have to call 3 times just to get a status update, delaying treatment for weeks. The Elva Way (Active Pursuit): Elva submits digitally and tracks the claim like a package. It updates the status in your PMS (e.g., "Sent," "In Review," "Approved") daily. If the payer asks for "More Info," Elva alerts you instantly so you can fix it that same day.
Don't check the portal. Just ask.
Your team can check the status of a case instantly or ask what is required for a specific submission. Dr. Smith: "What's the status of the Pre-Auth for Sarah Jones' Implant?" @Elva: Status: APPROVED. Received today. Valid through Dec 31st. Note: They approved the Implant (D6010) but denied the Ridge Augmentation (D7953). I have uploaded the approval letter to the Document Center."
"Pending" is Not a Strategy
Waiting 30 days for a letter that might say "Denied" kills your case acceptance. Elva speeds up the clock by submitting a "Perfect Packet" the first time, cutting turnaround time by weeks.
Automated Authorization Workflow
From the moment you diagnose treatment, Elva takes over the paperwork, ensuring you have the "Green Light" before you pick up the scalpel.
One-Click Submission
Real-Time Status Dashboard
Clinical Gap Analysis
Patient "Green Light" Texting
The "Medical Necessity" Proof Engine
Payers look for reasons to deny expensive procedures. Elva knows the exact clinical criteria, from "nerve proximity" to "bone loss measurements", that adjudicators need to see to say "Yes."
Night Guards: The "TMJ" Exclusion
The claim is denied because your narrative mentioned "Jaw Pain," which the payer classifies as a medical (TMJ) exclusion.
Elva's Solution: Elva’s narrative engine strictly avoids "TMJ" keywords.
It focuses exclusively on dental pathology: "Appliance necessary to prevent pathologic wear and fractures due to severe nocturnal bruxism," ensuring it stays a dental benefit.
SRP: The "Bone Loss" Standard
Elva's Solution: Elva acts as a gatekeeper.
It refuses to submit the Pre-Auth until a current 6-point perio chart and Bitewings showing bone loss are attached.
It knows that a Pano alone is an automatic denial.
Coronectomy: The "Nerve" Proof
The payer denies it, stating "Simple Extraction was sufficient".
Elva's Solution: Elva prompts you to attach a CBCT or PA specifically highlighting the proximity to the inferior alveolar nerve.
It generates a narrative emphasizing the "high risk of paresthesia" with standard extraction.
IV Sedation: The "15-Minute" Rule
It’s denied because "Anxiety" isn't a covered medical indication, or you didn't specify the duration.
Elva's Solution: Elva drafts a narrative citing specific medical necessity (e.g., "Impacted teeth," "Combative behavior," "Complex surgical path").
It ensures the request includes the anticipated duration in 15-minute increments.
CBCT: The "2D Insufficiency" Rule
Denied because "Standard X-rays are sufficient".
Elva's Solution: Elva’s submission asserts that 2D imaging was attempted and insufficient.
The narrative highlights "proximity to the sinus" or "insufficient bone width" that cannot be diagnosed without 3D imaging.
Ridge Preservation: The "Non-Covered" Flag
The Graft is denied as "Elective/Cosmetic".
Elva's Solution: Elva warns you upfront: "Warning: This plan rarely covers D7953.
Expect denial." It allows you to collect the full fee from the patient beforehand, rather than waiting 3 weeks just to be told "No."
Get the "Yes" Before You Prep
Stop letting administrative delays bottle-neck your production. Submit perfect Pre-Auth packets that payers can't refuse.
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