Resources / R+ AI

R+ AI user guide

Follow a radiology prior authorization from the first imaging order through the insurer’s decision. This guide covers the tasks for imaging staff and referring physicians.

Screenshots use fictional case data. Select any screenshot to see it at full size.

01 / Imaging staff

Open a case

  1. Sign in to your facility’s R+ AI portal and open Cases. Search by patient or chart number to find an existing case.
  2. For a new case, enter the patient and payer details and the scheduled scan date if known.
  3. Upload the imaging order and relevant records, such as visit notes, treatment history, or prior imaging reports. Mark the imaging order so R+ AI can use it when suggesting the referring physician.

02 / Imaging staff

Review source records

  1. Open each source page and compare the extracted text with the scan. Correct any missing or misread details and select Save reviewed text.
  2. If handwriting is hard to read, select the affected area for another extraction pass and verify the result against the image.
  3. Confirm the exam and referring physician against the order. Verify the physician’s account under Physicians before requesting review.
Scanned imaging order displayed next to its editable transcription in R+ AI
Compare the original order with the transcription before confirming the case details.

03 / Imaging staff

Draft the letter of medical necessity

  1. After confirming the order and reviewing source text, select Generate local draft. The draft runs in the background. Refresh the case to check its status.
  2. Read the draft and follow the evidence links back to the records. Resolve open questions or add missing documentation before routing the case.
  3. Save any edits and request physician review from the case.
Draft letter editor showing questions for the physician and references to source records
Use the evidence links and open questions to review the draft before sending it.

04 / Referring physician

Review and sign the letter

  1. Sign in and open the assigned case. To add your practice letterhead, upload it from Profile.
  2. Review the clinical rationale against the supporting records. Edit and save the letter, preview the PDF, and select which supporting records to include.
  3. Enter your portal password and select Sign and finalize.
Physician review screen showing supporting attachments and electronic signature controls
Choose the supporting records and confirm your password to sign the saved draft.

05 / Imaging staff

Export and submit the packet

  1. In Signed versions, download the signed letter PDF or the ZIP packet with the selected supporting documents.
  2. Submit the materials through your facility’s existing payer portal or clearinghouse workflow.
  3. Record where and when you submitted the request in the R+ AI case.

06 / Imaging staff

Track the insurer’s decision

  1. Keep the case open while you wait for the insurer. Log requests for more information, calls, contact details, and follow-up dates in the case.
  2. When a decision arrives, record the outcome, decision date, and any authorization number and effective dates.
  3. Save relevant notes or reference numbers so the team can pick up the next action from the same case.
Payer follow-up view showing fields for submission details, insurer decision, and case notes
Keep the payer response, authorization details, and follow-up history together.
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