Abstract: A system for scoring automatic prior authorization requests is provided. The system may receive a request for automatic prior authorization from a medical provider, and in response may provide the medical provider with a plurality of questions. Once answers to the questions are received from the medical provider, the system may compute a score for the request that relates to the overall trustworthiness of the request. If the score satisfies a threshold, the request is flagged for further review. Otherwise, the request may be processed as a normal request. The score may be based on a variety of heuristics that indicate that a request may be fraudulent or constructed to gain an automatic prior authorization. The heuristics may consider information such as the speed at which the questions were answered, the particular answers given to one or more of the questions, and the request history of the medical provider.