Prior authorizations without the hold music
AI reads the chart, finds the evidence each payer asks for, fills the request and tracks it to approval. When a claim or request is denied, it drafts the appeal.
What it does
Is auth needed?
Checks the procedure, drug or imaging order against the payer’s rules before you schedule.
Evidence from the chart
Pulls diagnoses, prior treatments and notes that meet the payer’s medical-necessity criteria.
Request filled for you
Payer forms and portal fields completed, with every answer linked to its source in the chart.
Status tracking
One queue of pending, approved and denied requests, with alerts when payers need more.
Appeal letters
Drafts appeals that answer the denial reason point by point, for the clinician to sign.
Denial insights
See which payers and codes get denied most, and why.
How it works
Order placed
The order arrives from your EHR or is uploaded by your staff.
AI prepares
Rules checked, evidence gathered, request drafted.
Staff submit
Your team reviews and submits, then the AI tracks it to a decision.
Questions
Is it HIPAA compliant?
We are building it to meet HIPAA requirements and will sign a Business Associate Agreement with every practice before any patient data is used. Early access starts with de-identified pilots.
Does AI make clinical decisions?
No. It gathers and summarises what is already in the chart. Clinicians and staff review and submit every request.
Which EHRs do you support?
EHR connections are being planned with our first practices. Tell us what you use in the form below.
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