Davner for behavioral health

Behavioral health prior auth, done for you.

Davner handles authorizations for TMS, Spravato, and intensive outpatient programs from submission to approval, so patients can start care sooner.

Trusted by behavioral health practices for their prior authorizations.

Integrative MindWellspectrumMB Strategy Group

Davner is a prior authorization service for behavioral health practices, including TMS and Spravato clinics. It reviews the clinical notes and treatment history, checks each payer’s criteria for the ordered treatment, submits through the right channel (portal, fax, phone, or clearinghouse), follows up until there’s a decision, and supports denials and appeals. Practices send cases through their EHR, secure upload, fax, or email.

Clinically reviewed by Elizabeth Junker, LCSWLicensed clinical social worker

The problem

Why behavioral health authorizations stall

Most delays aren’t about medical necessity. They come from gaps between what the chart says and what the payer needs to see.

The chart doesn’t answer the payer’s questions

A TMS or Spravato request asks whether each antidepressant trial reached an adequate dose and duration. If the note only says “failed several SSRIs,” someone has to reconstruct the doses and dates, or the request stalls.

Continued treatment runs into the end of an authorization

TMS sessions, Spravato maintenance, and IOP stays are approved for a set number of treatments or days. When a date of service is within three business days, Davner marks the case STAT automatically, and staff can mark any case STAT themselves.

Schedules change mid-course

A patient misses sessions or switches plans, and the approved dates no longer match the schedule. Your team adds the change to the request, and Davner works from the update.

What we authorize

Behavioral health services we authorize

Published policy is only half of it. Davner checks each request against the questions the payer actually asks, before it goes out.

Transcranial magnetic stimulation (TMS)

A diagnosis of major depressive disorder, documented failure of multiple antidepressant trials at an adequate dose and duration, a trial of psychotherapy, current rating-scale scores, and no contraindications such as implanted metal or a seizure history.

90867 · 90868 · 90869

Spravato (esketamine)

Treatment-resistant depression after at least two antidepressant trials in the current episode, an ongoing oral antidepressant, and a REMS-certified setting with post-dose monitoring. Continued treatment needs documented response.

G2082 · G2083 · S0013

Intensive outpatient programs (IOP)

Symptoms that need more support than weekly therapy but not 24-hour care, a treatment plan with measurable goals, and the ability to attend several hours a day, several days a week. Many plans apply ASAM criteria to substance use programs, and continued stays need documented progress.

S9480

How it works

How prior authorization works with Davner

1

Start the request

Send the case details, clinical notes, and supporting files in the way your team already works.

2

We get it approved

Davner handles requirements, submission, payer follow-up, and the back-and-forth needed to move the request forward.

3

Get the result back

Your team gets the outcome back without chasing every portal, fax, phone call, or status update manually.

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Portrait of Elizabeth Junker, LCSW
Elizabeth Junker, LCSWCo-founder & COO
Built with a clinician

Co-founded by a practicing clinical social worker

Davner was co-founded by Elizabeth Junker, LCSW, a licensed clinical social worker who still practices. Our behavioral health workflows are shaped by a clinician’s view of how treatment history is documented, and what payers need to see before they approve care.

Integrations

Works with the EHRs your team already uses

Plus all ONC-certified FHIR EHRs.
Don’t see yours? Let us know.

View full list

Davner integrates with Epic, Cerner, athenahealth, eClinicalWorks, drchrono, ModMed, Nextech, NextGen, Allscripts, Healthie, AdvancedMD, Altera Digital Health, Azalea Health, Canvas Medical, Compulink Advantage, Practice Fusion, Praxis EMR, Tebra, Elation Health, Veradigm, MEDITECH, Greenway Health, and more.

FAQs

Behavioral health prior authorization questions

Do TMS and Spravato require prior authorization?

Usually. Most commercial and Medicare Advantage plans require prior authorization for both, and their criteria differ. Davner checks each request against the specific plan’s requirements.

How does Davner document failed antidepressant trials?

Davner reviews the chart for each trial the payer asks about, including the medication, dose, duration, and reason it was stopped, and flags gaps before the request is submitted.

Can Davner handle authorizations for continued treatment?

Yes. Continued TMS sessions, Spravato maintenance, and IOP continued stays need a new authorization with documented progress. Davner submits them like any other request, and cases with an approaching date of service are flagged STAT automatically.

Do we need an EHR integration to get started?

No. Teams can share case details and clinical documents by secure upload, fax, or email. Davner also integrates with many EHRs, including athenahealth, AdvancedMD, Tebra, and Healthie.

Can Davner help with peer-to-peers and appeals?

Yes. Davner automatically appeals denials based on an invalid or incorrect reason. If a denial can only be overturned through a peer-to-peer, your practice arranges it, and Davner provides the denial reason and a justification to use.

How much work is left for our staff?

Very little. Davner takes the prior authorization work off your team’s plate. Staff upload the clinical records and verify the details Davner fills in; Davner handles submission, follow-up, and the payer back-and-forth from there.

Will we lose visibility into our prior authorizations?

No, you gain it. Every request shows its current status, payer updates, and call transcripts, and your team can comment on a request at any time to ask a question or share a change.

Who on our team can start a request?

Anyone. A psychiatrist, nurse, front-desk coordinator, or authorization specialist can start a request as soon as treatment is recommended, so nothing waits on a single person.

Is Davner HIPAA compliant?

Yes. Davner is HIPAA and SOC 2 compliant, a BAA is available, and data is encrypted at rest and in transit.

Get behavioral health approvals off your team’s plate

See how Davner handles behavioral health authorizations for practices like yours.