One Click AI Prior Authorization Guideline Compliance. Built for Private Practices.
Automatically match each patient’s clinical history with their insurance’s unique requirements before you submit the PA.
Know in advance whether your request will be denied so you don’t lose money on re-scheduled procedures or missed appointments.
We extract the exact clinical criteria your patient needs to meet based on their insurance, diagnosis and treatment.
Our engine constantly updates with the latest payer guidelines - no more surprises or outdated protocols.
Integrated directly with your EHR, our tool works in the background so your team doesn’t have to.
We securely integrate with your existing Electronic Health Record system to access clinical notes, diagnoses, and insurance details in real time. No workflow changes. No setup headaches.
At the point of care, simply enter the intended procedure or imaging. Our system pulls relevant patient and payer data automatically.
Receive a clear, patient-specific checklist of insurance requirements - what’s been met, what’s missing, and how to reduce the risk of denial before submitting the PA.
Discover how our solutions can help your practice minimize denials and improve efficiency.
Prior authorization is a process used by insurers to determine if they will cover a prescribed procedure, service, or medication.
Our tools are designed to simplify the prior authorization process, starting with the obscure 2000 page clinical guidelines per insurance payor that most providers don't have time to read.
We offer a solution that integrates seamlessly with your existing systems, and that surfaces insurance clinical guidance at the point of care to ensure the highest probability of prior authorization approval.
By using our services, you can expect improved approval rates, less missed revenue due to rescheduled procedures, and more time to focus on patient care.
We’re building much more to reduce your admin burden.
We'll take the insurance benefits verification off your hands.
We’re developing a fully managed appeals solution. Our AI will generate and submit compliant appeal letters.
We plan to automate the full submission process, from generating the claim to retrieving the approval status.
