SPRY Launches AI-Powered Prior Authorization & Eligibility Solution for Rehab Clinics, Automating 80% of Workflows and Cutting Denials by 75% Ahead of CMS 2026 Mandate

SPRY Therapeutics Inc. has launched the SPRY Prior Authorization & Eligibility Solution, the first AI-powered platform designed specifically for rehab therapy clinics. The solution automates up to 80% of prior authorization workflows and reduces denials by as much as 75%, helping practices prepare for the Centers for Medicare & Medicaid Services (CMS) 2026 electronic prior authorization mandate. The platform offers real-time, unlimited eligibility verification across major insurers including Carelon/BCBS, UnitedHealthcare, and Humana. It integrates seamlessly with SPRY’s existing EMR or functions as a standalone service with third-party EMRs, allowing clinics to manage authorizations and eligibility from a single dashboard without switching between portals. SPRY’s AI agents handle the full authorization lifecycle—from interpreting clinical documentation and completing payer questionnaires to submitting requests and securing approvals—often completing tasks up to a week before a patient’s scheduled visit. This proactive approach enables clinics to resolve issues in advance, significantly reducing last-minute cancellations and appointment disruptions. The solution uses a human-in-the-loop quality assurance model, combining AI automation with expert review to ensure accuracy. It includes built-in audit trails, automatic detection of expiring authorizations, and renewal triggers to prevent lapses. The platform also adapts to payer website changes and handles complex scenarios without manual reconfiguration. Clinics using SPRY report near-zero authorization-related cancellations, with one practice achieving a denial rate of just 0.57% over two months while automating 75% of its workflow. Therapists have seen dramatic reductions in time spent on insurance calls and follow-ups. Samantha Strickland, physical therapist and co-owner at Ultimate Therapy, said the platform has transformed her practice. “We used to spend hours on hold with insurers getting inconsistent answers,” she said. “Now, approvals are faster, and we feel supported like a larger practice. It’s a relief to have AI on our side fighting for reimbursement.” SPRY’s solution is FHIR-compatible, ensuring readiness for evolving CMS electronic authorization requirements. It also includes a therapy-specific rules engine that accounts for visit caps, modality limits, and mid-month plan changes, with nightly re-verification for affected plans. The platform is now available nationwide. A live webinar is scheduled for September 17, with registration available on the SPRY website. SPRY Therapeutics Inc. is an AI-native platform built exclusively for outpatient rehab therapy. Trusted by leading clinics and networks, SPRY unifies digital intake, eligibility checks, AI-assisted documentation, coding, billing, payments, and analytics into a single workflow. The platform helps clinics reduce administrative work by up to 80% and maintain clean-claim rates above 95%. With top ratings on G2 and Capterra for usability and support, SPRY is helping therapy practices grow revenue while keeping clinicians focused on patient care. For more information, visit www.sprypt.com and follow SPRY on LinkedIn.