AI Built for Prior Authorization

Purpose-built intelligence that understands clinical documentation, payer policies, and the nuances of prior authorization workflows.

End-to-End Platform

Data flows in, intelligence processes, results flow out.

Ingest
Clinical Notes
EHR Integrations
OCR Extraction
PA Schematics
Process
AI Engine
Answer Synthesis
PBM Resolution
Denial Risk
NLP Extraction
Escalation
Verification
Deliver
Submission
Appeals
Voice Calls
Task Tracking

Clinical Intelligence

Our multimodal OCR pipeline ingests faxes, scanned PDFs, and EHR exports — then runs NLP entity extraction to parse diagnoses, medications, labs, and procedure history into structured FHIR-compatible resources in real time.

  • Multimodal OCR for scanned PDFs, faxes, and structured table extraction
  • Named-entity recognition for ICD-10, NDC, CPT, and LOINC codes
  • Medication and dosage normalization via RxNorm mapping
  • Automated patient demographic and insurance parsing
clinical_note.txtclinical note
PATIENT: Chen, Maria T. DOB: 04/12/1968 MRN: 4820193 SEX: F
ENCOUNTER DATE: 03/15/2026 PROVIDER: Dr. Rajesh Patel, MD, Endocrinology
INSURANCE: Aetna PPO — Group #AET-40291 REFERRING: Dr. Susan Lee, PCP
DIAGNOSIS: Type 2 diabetes mellitus with diabetic chronic kidney disease, ICD-10 E11.65.
CHIEF COMPLAINT: Follow-up visit for uncontrolled type 2 diabetes mellitus with worsening renal function and persistent hyperglycemia despite current dual oral medication regimen.
HISTORY OF PRESENT ILLNESS: Ms. Chen is a 58-year-old female with a 12-year history of type 2 diabetes, now complicated by stage 3a chronic kidney disease (eGFR 48 mL/min). She presents today reporting increased polyuria, persistent fatigue, and intermittent blurry vision over the past three months. Her current medication regimen includes Metformin 500mg BID and Glipizide 10mg daily. Patient reports full compliance with both medications. Home fingerstick glucose readings have been consistently elevated at 180–240 mg/dL fasting over the past 30 days. She denies hypoglycemic episodes, chest pain, or lower extremity edema.
HOME GLUCOSE LOG: Fasting readings over past 30 days averaging 180–240 mg/dL. Post-prandial readings 220–310 mg/dL. No recorded hypoglycemic events below 70 mg/dL.
LABORATORY RESULTS (03/15/2026): HbA1c 8.2% (previous 7.4% on 09/12/2025, representing a 0.8% increase over 6 months). Fasting plasma glucose 210 mg/dL. Serum creatinine 1.4 mg/dL. Urine albumin-to-creatinine ratio 180 mg/g (elevated, indicating early nephropathy).
Renal function: eGFR 48 mL/min/1.73m² (CKD-EPI), consistent with stage 3a chronic kidney disease. Trending downward from 55 mL/min (09/2025).
ASSESSMENT & PLAN: Suboptimal glycemic control with evidence of progressive diabetic nephropathy. Current dual oral therapy insufficient. Recommend addition of Jardiance 10mg QD (empagliflozin) for combined glycemic and renal protective benefit, supported by EMPA-REG OUTCOME and CREDENCE trial data. Continue Metformin 500mg BID. Discontinue Glipizide given hypoglycemia risk with declining renal function. Prior authorization required per Aetna formulary. Recheck HbA1c and renal panel in 90 days.
extracting entities…
0/8
Patient
Payer
ICD-10
Current Drug
Glucose
HbA1c
Renal
Requested Rx

Policy Engine

A rule engine that cross-references extracted clinical entities against payer-specific formulary databases, step therapy protocols, and medical necessity criteria — resolving coverage logic across 250+ insurance plans in milliseconds.

  • Real-time formulary lookups with PBM and payer API integrations
  • Step therapy and prior treatment validation against policy rules
  • Automated criteria-to-evidence matching with gap detection
Aetna PPO
AET-40291 · Commercial
BCBS HMO
BCBS-7812 · Managed Care
UHC Choice Plus
UHC-5530 · Commercial
evaluating Aetna PPO…
0/6
Step therapy completed
Medical necessity
Prior treatment documented
Renal indication
Lab recency
Peer-to-peer review

Answer Generation

A retrieval-augmented generation pipeline that indexes the patient's clinical record, retrieves the most relevant evidence for each PA question, and synthesizes payer-ready responses with confidence scoring and source citations.

  • RAG pipeline over clinical documents with vector-based retrieval
  • Per-answer confidence scoring with source traceability
  • Human-in-the-loop review UI before submission
generating answers…
0/4
Q1: Clinical justification for requested medication?
Q2: Requested treatment and expected duration?
Q3: Alternative treatments tried and outcomes?
Q4: Relevant diagnostic evidence?

Denial Prevention

A predictive model trained on historical denial data that scores submission risk pre-flight — flagging missing documentation, incomplete step therapy, and common payer-specific rejection patterns before the PA is sent.

  • Pre-submission risk scoring with denial pattern analysis
  • Missing documentation and evidence gap detection
  • Automated appeal letter generation with cited clinical evidence
analyzing denial risk…
0/100
LOW RISKMEDIUMHIGH RISK
Lab recency
Step therapy documentation
Prior auth history
Formulary tier
Diagnosis specificity
Peer-to-peer likelihood

Appeals Workflow

An end-to-end appeals engine that activates the moment a denial arrives — parsing the reason code, pulling cited evidence from the patient record, drafting the appeal letter, and routing peer-to-peer reviews through to final determination.

  • Denial reason code parsing with CPT/ICD cross-reference
  • Evidence-backed letter generation with inline clinical citations
  • Payer-specific formatting templates (Aetna, BCBS, UHC, Cigna)
Denial MN-402→ Generating appeal

AI Verification Calls

An AI voice agent that handles outbound benefit verification and PA status calls — navigating IVR phone trees, authenticating with payer systems, and returning structured results to your dashboard in real time.

  • Automated IVR navigation and phone tree traversal
  • Real-time call transcription with entity extraction
  • Structured status updates pushed to dashboard via webhooks
Aetna Provider Services
0:00

Task Lifecycle Tracking

A unified workflow engine that tracks every PA from intake to resolution — managing state transitions, SLA timers, assignment routing, and audit trails across your entire authorization queue.

  • Kanban and list views with real-time status sync
  • SLA countdown timers with escalation triggers
  • Full audit trail with timestamp and user attribution
PA Queue
2
3
2
3
Intake2
PA-48212h
Chen, Maria T.
Jardiance 10mg6h left
PA-48203h
Nguyen, Linh
Ozempic 0.5mg5h left
In Review3
PA-48184h
Roberts, James
Ozempic 1mg4h left
PA-48156h
Kim, Sarah L.
Xarelto 20mg2h left
PA-48138h
Garcia, Sofia
Dupixent 300mg1h left
Submitted2
PA-48101d
Davis, Mark R.
Humira 40mgPending payer
PA-48071d
Wilson, Eric
Keytruda 200mgPending payer
Approved3
PA-48022d
Patel, Anita
Eliquis 5mg
PA-47983d
Thompson, Lucy
Entresto 49mg
PA-47953d
Brown, David
Stelara 90mg
Security & Compliance

Enterprise-Grade Security

Built from the ground up with healthcare compliance requirements — not bolted on after the fact.

HIPAA Compliant

End-to-end encryption for all patient data. Business Associate Agreement (BAA) support. Complete audit logging for every access and modification.

AES-256 encryptionBAA supportFull audit trail

SOC 2 Type II

Verified security controls and operational processes. Regular third-party audits ensure continued compliance with industry standards.

Annual auditsContinuous monitoringAccess controls

HITRUST CSF Aligned

Healthcare-specific security framework alignment. Comprehensive risk management and security controls designed for healthcare data.

Risk managementData classificationIncident response

HL7 FHIR Compatible

Standards-based interoperability for seamless EHR integration. Support for FHIR R4 resources and RESTful APIs.

FHIR R4RESTful APIsOAuth 2.0

Works With Your Stack

Seamless integration with your existing healthcare infrastructure

Epic
Cerner
Athenahealth
AllScripts
Availity
Surescripts
CoverMyMeds
PioneerRx
QS/1
UnitedHealthcare
Optum
Liberty
BestRx
Epic
Cerner
Athenahealth
AllScripts
Availity
Surescripts
CoverMyMeds
PioneerRx
QS/1
UnitedHealthcare
Optum
Liberty
BestRx

See It In Action

Experience the power of AI-driven prior authorization