Decide at the point of care, not after the spend.
Authorisation decisions that arrive after the fact can only be reported, not changed. Ajé brings clinical routing to the moment of authorisation, so coverage and provider decisions are made in real time — while it still matters.
Authorisation as a decision, not a formality.
Real-time decisions
Authorisation requests are evaluated as they arrive, so approvals, queries, and routing happen while the care decision is still open — not weeks later in a report.
Clinical provider steering
Members are routed to appropriate, in-network providers at the point of authorisation, improving care fit and cost control without a retrospective clawback.
Where members actually are
Authorisation and member engagement are WhatsApp-first, with SMS and USSD support, so members on feature phones are never left out of the loop.
Visible everywhere it matters
An authorisation runs on the same member and claims model as adjudication, so the decision made here is visible when the claim arrives later.
Request, decide, route.
Receive the request
An authorisation request arrives through the channel the provider or member already uses and is matched to the member's benefit model.
Decide in real time
Coverage and clinical rules are evaluated on the spot, producing an approval, a query, or a route — recorded in the append-only event log.
Steer to the right provider
Where appropriate, the member is directed to an in-network provider that fits the care need, closing the loop before cost is committed.
By the time it's in a report, the spend has happened.
Retrospective authorisation review is a record of decisions you can no longer influence. The care has been delivered, the cost has been committed, and the only thing left is to reconcile it. For an HMO trying to protect its loss ratio, that is the wrong moment to be looking.
Moving the decision to the point of care changes what is possible. Coverage questions are resolved before the service, members are steered to providers that fit both the clinical need and the network, and the plan controls cost while still doing right by the member. Because it runs on the same member and claims model as the rest of the platform, nothing has to be reconciled against a second system afterwards.
Real-time authorisation turns a report you read into a decision you make.
Pre-authorisation, answered.
What is pre-authorisation in a health plan?
How is real-time pre-authorisation different from retrospective review?
What is provider steering?
Does pre-authorisation work with Nigerian channels?
See pre-authorisation on your own workflows.
We walk through real-time authorisation and provider steering against the cases your team handles every day.