Observance Solutions
Solutions / Prior Authorization

Prior Authorization Software

AI-assisted prior authorization software that detects when authorization is needed, gathers the clinical evidence to support it, and tracks submission through to payer response - see it live against Epic's FHIR sandbox in our public demo.

The problem

Where healthcare organizations get stuck

Missed or expired authorization drives preventable denials

A missing or expired prior authorization is a completely avoidable denial reason - and one of the most common.

Assembling clinical evidence for payer criteria is manual and slow

Matching a payer's specific medical necessity criteria against a patient's chart is tedious, time-consuming, manual work today.

Authorization requirements vary by payer and change over time

What requires authorization - and what evidence satisfies it - differs by payer and shifts as policies update, making static checklists go stale.

What we build

Capabilities

Authorization requirement detection

Confirms whether a specific procedure requires authorization for a specific patient's specific plan before work begins.

AI-assisted clinical evidence extraction

Extracts and organizes supporting evidence from the chart against a payer's specific criteria, flagging gaps before submission.

Payer-specific criteria matching

Maps chart documentation against each payer's published medical necessity criteria, not a generic checklist.

Da Vinci PAS / CRD submission

Structured, API-based submission where a payer supports Da Vinci standards.

Portal & fax submission fallback

A reliable human-assisted path for the many payers that still require portal or fax submission.

Status tracking & appeals workflow

Tracks a request through pending, approved, denied, or additional-information-requested status, routing denials back for resolution.

EHR & clinical data integration

Pulls real clinical context - diagnoses, prior treatments, results - directly from your EHR via FHIR.

Human-in-the-loop clinical review

Every AI-assisted extraction is reviewed by clinical staff before submission - never auto-submitted.

How we work

Our process

1

Map your payer mix and their specific authorization requirements

2

Integrate with your EHR/clinical data source for evidence gathering

3

Build AI-assisted evidence extraction against payer medical necessity criteria

4

Connect submission - Da Vinci PAS where supported, portal/fax fallback otherwise

5

Track status through to approval, denial, or appeal, with clinical staff review throughout

FAQ

Common questions

Yes - our Prior Authorization AI Agent demo runs live against Epic's FHIR sandbox, performing real order detection and a simulated payer eligibility/authorization step. It's a public demo, not a mockup.

Ready to talk about your prior authorization software project?

Tell us what you're building. A senior healthcare technologist — not a salesperson — will get back to you within one business day.