Most prior authorization services move to predictable per-user or per-workstation monthly pricing rather than paying by the emergency. What you pay depends on how many coordinators you have, how many client EHRs and payer portals they access, and whether you run RPA that needs monitoring. Compliance requirements from your Business Associate Agreements, along with backup and disaster-recovery needs, also factor in. Medical IT Company scopes each engagement to your actual client load and system count, so you are not overpaying for capacity you do not use. We give you a clear monthly number after a short assessment, with no surprise hourly bills when a payer portal breaks.