Stop the Revenue Leak.
Master Every Deadline.
Prior Authorizations are where BHRFs lose money fastest. BHRFManager replaces spreadsheet errors and missed CCR deadlines with automated math and guided submissions for every AHCCCS health plan.
The Reality of "Retro-Active" Care
"AHCCCS does not retroactively cover the gap. Every day you wait to submit is a day of care you provide for free."
Critical CCR Monitor
Red: Expires in 48 Hours
Member: T. Williams (Mercy Care)
Last 3 Psych Notes Required*
Orange: Due in 5 Days
Member: K. Davis (Tribal FFS)
Plan Requirement: 14-Day Window
"Sent to Owner & PM: 1 Urgent Admission at 72hr mark."
The Math That Breaks Spreadsheets,
Done For You.
Different health plans operate on different clocks. One spreadsheet error or a single staff change, and a CCR slips—turning authorized care into unbillable revenue loss. BHRFManager calculates every deadline automatically based on the specific member plan.
Mercy Care / ACC-RBHA
Concurrent Review Window
AHCCCS FFS / Tribal RBHA
Concurrent Review Window
"The plan-specific math that breaks every spreadsheet is done for you, automatically, every single time."
Live CCR Calculator
Sync Date: April 28, 2026
Health Plan
Mercy Care
LCD Date
May 15, 2026
CCR Submission Due
May 10, 2026
BHRFManager: 5-Day Rule Applied Automatically
DFSM Training Standard (Rev. 2026)
Verify Eligibility
Real-time AHCCCS portal verification.
Confirm PA Necessity
Automated check for existing auths.
Submit via Correct Portal
Pre-filled: B8 | BP | H | H0018
Document Upload
Exact Codes, Pre-Loaded.
Zero Submission Errors.
Every BHRF authorization requires the exact combination of Provider Type, Event Type, Activity, and HCPCS. One typo means an instant denial. BHRFManager pre-fills every AHCCCS code combination automatically, making submission errors statistically impossible.
H0018 Enforcement
The system locks HCPCS codes to BHRF-specific standards.
Portal Guidance
Direct links to the correct portal for each health plan.
The Email That Finds You
Wherever You Are.
The BHRFManager Alert System doesn't just light up a dashboard. It sends a critical escalation email directly to the Owner and Program Manager. Whether you're in the office or at your daughter's soccer game, you’ll know exactly when an authorization is at risk.
Green: 14+ Days Remaining — All Clear.
Orange: CCR Due within 7-14 Days — Plan Ahead.
Red: Expires within 7 Days — Action Required Today.
CCR Submission Overdue
Member: T. Williams
Plan: Mercy Care
LCD: May 02
"The email contains the member name, AHCCCS ID, and a direct link to the right submission portal."
PA Packet Requirements
Health Plan: Mercy Care ACC-RBHA
Mercy Care Additional Fields
Guided Completion.
First-Time Approvals.
Each health plan has its own "brutal" requirements. BHRFManager presents a visual pass-fail grid for every document required. No PA gets submitted incomplete. No team member has to memorize which plan needs what.
Mercy Care Specific Logic
Automatically unlocks fields for behavioral changes, member location, and the specific BHRF type required for SMI admissions.
Enforced Completeness
The system prevents submission until every pass-fail document—including the treatment plan (not older than 30 days)—is confirmed on file.
Protect Those
5 Critical Days.
When a member is admitted urgently, AHCCCS DFSM only authorizes the initial 5 days. Without immediate full-PA submission, day 6 onward is unbillable. BHRFManager tracks every urgent admission from minute one—counting down the window and alerting you at the 48-hour and 24-hour marks.
Minute-One Tracking
The system locks in the admission timestamp and begins the countdown for the full PA submission immediately.
Escalated Alerts
Automatic notifications trigger at 48 and 24 hours to ensure your team finishes the packet before the window closes.
Urgent Admission Clock
Full PA Submission Pending
Status: Currently Billable
"Preventing the silent revenue bleed that catches most facilities by surprise."
Every Authorization. Every Deadline.
One Single Screen.
Whether you have 5 members or 50, your entire authorization landscape is visible in real-time. No more calling clinical staff for psych notes or billing for claim status.
| Member | Health Plan | Status | CCR Deadline | Action |
|---|---|---|---|---|
|
T. Williams ID: A64281 |
Mercy Care | Expiring |
May 01 (3 Days) |
|
|
M. Johnson ID: B11920 |
Tribal RBHA | Urgent Admin |
48hr Window |
|
|
K. Davis ID: C88273 |
AZ Complete | Approved |
18 Days Left |
Recently Denied? Reason codes are pulled for instant resubmission.
Sort by Urgency to prioritize today's workload.
Filter by Health Plan to batch submissions.
Your History is Your
Financial Defense.
Every initial PA, every concurrent review, and every denial reason is permanently archived per member. When billing asks why a claim was rejected, or a health plan auditor reviews your patterns—you have total proof. The audit-defensible record builds itself.
Permanent Vault
Archived forever. Even if a staff member leaves, the authorization history stays accessible and organized.
Denial Traceability
Track resubmissions and reason codes to identify which health plans are flagging specific documentation patterns.
John Doe (AHCCCS #44821)
History Archive
Concurrent Review Approved
April 15, 2026 • Ref: 8829441
Auth Resubmitted
April 12, 2026 • Updated: Psych Notes
Initial Denial: Reason Code 12
Missing Signature on Treatment Plan
"Stop the audit in its tracks with a complete digital history of every dollar authorized."
From Anxious Guessing
to Predictable Cash Flow.
You stop submitting claims hoping they get paid—you start submitting knowing exactly what is covered. BHRFManager turns Authorization Mastery into your facility's greatest competitive advantage.
The Old Way: 12 Hours / Week
- "Is M. Johnson’s CCR due in 5 days or 14 days?"
- "Why was K. Davis denied? What document was missing?"
- Providing care for free during "auth gaps."
The BHRFManager Way: 90 Mins / Week
- Exact codes, portals, and checklists pre-loaded.
- Health-plan math done automatically, every time.
- Every dollar of authorized care is captured and paid.
Total Revenue Protection. Zero Deadline Anxiety.
Stop losing days of revenue to administrative complexity. Deploy Module 03 and turn your highest-risk financial process into a precision exercise.
"This is what makes business ownership fun again—when the deadlines take care of themselves."