The provider-side operating system for prior authorization execution.

1) The current problem

Prior authorization still lives across payer portals, fax, PDFs, chart notes, missing documentation, and tribal process knowledge. Medication and procedure workflows are often disconnected. The result is slow execution, rework, and denial cycles.

• Multiple payer portals and workflows
• Fax, PDFs, and document-heavy handoffs
• Missing chart notes and support documents
• Denials, appeals, and poor visibility

2) Our view

Prior auth does not fail because people do not care. It fails because teams are expected to run high-friction workflows without a shared operating layer. Our view is to treat prior auth as an execution system, not an afterthought.

Better execution is not one feature. It is intake, validation, documentation, submission quality, and appeal readiness working as one system.

3) Product vision

The intended workflow stack spans intake through resolution:

• Intake from EHR data or documents
• Cleaner payer form completion
• Payer-specific validation before submission
• Better evidence packaging and case readiness
• Denial handling and appeal workflows
• Status visibility and auditability

4) Key feature set

• Medication and procedure-specific PA forms
• Auto-filled forms with patient and practice context
• Real-time completeness and payer-rule validation
• Manual intake and EHR-integrated intake paths
• OCR and structured extraction from PDFs and notes
• Support for handwritten note image extraction
• Denial reason tracking and intelligent appeals workflows
• Patient-facing status view plus internal audit logging

5) Why now

The operational burden is still high, while expectations for speed, documentation quality, and traceability keep rising. Teams need better systems now, and the shift toward more structured prior auth workflows makes this the right time to build with discipline.

Our focus is execution quality first: workflow, documentation, submission evidence, appeals, and operational control.