For RCM companies, MSOs & specialty groups

Cut the manual work in prior-auth and denials: humans still approve every submission.

Prior-auth packets and denial appeals are pure manual document labor, and the ground is shifting under it: since January 2026, CMS-0057-F forces payers to decide urgent requests in 72 hours and attach a specific reason to every denial, changing the volume and shape of the work your team handles. Our AI assembles the packet, classifies the denial, and drafts the appeal with cited sources; your specialists review and approve. Audit-trailed, human-in-the-loop, built by a senior-led studio.

Human-in-the-loopAudit-trailed · source-citedDemos use synthetic data, no PHI
200+ products shipped
13 years
5.0 on Clutch100% Upwork Job Success
2+ yr avg client engagement
The manual grind

Your specialists spend their day on paperwork, not judgment.

Assembling prior-auth packets, reading payer rules, classifying denials, drafting appeals, all by hand, against a clock. It's slow, expensive, and hard to scale without hiring. Every hour on paperwork is an hour not spent on the cases that need a human.

Assemble in minutes. Approve, don't build.

Prior-auth packets and appeal drafts are assembled automatically, each claim traced to its source document, so your team handles more volume without more hires, and a human approves every submission with a full audit trail.

How it works

Documents in. AI drafts, with sources. Your team approves.

Assistive by design: the AI never decides coverage and never auto-submits.

1

Documents in

Physician notes, referrals, payer rules, CPT/ICD codes, denial letters, EOB/ERA, pulled from your systems into a secure workflow.

2

AI drafts, with sources

A submission-ready prior-auth packet with missing-info flags, or a denial classification plus an appeal draft, every statement traced back to its source document.

3

Your team approves

Everything lands in a review queue. A specialist edits and approves; nothing auto-submits. Every action is logged for a complete audit trail.

🧩
You don't need another platform. You need the part yours doesn't do. The big prior-auth tools cover the common payer paths. What they don't cover is the specialty-specific appeal, your exception queue, the odd payer or clearinghouse integration no vendor will prioritize for one client. That's a custom build, sized to how your operation actually runs, and owned by you. We build alongside the platform you already have, not to replace it.
🔒
Security-first, PHI-safe. We engineer security-first, sign BAAs, and build to HIPAA and SOC 2 standards, and we've delivered SOC 2- and HIPAA-compliant systems for US healthcare and fintech clients. Sales demos use synthetic data only; your PHI never leaves your environment until a signed BAA and security review are in place.
Proof, not promises

Production document-AI, and real US healthcare delivery.

Turning messy clinical and payer documents into structured, cited output is exactly our muscle. Rated 5.0★ on Clutch.

★★★★★
I'm very satisfied with the final deliverables.
Formatr, AI document platform (document extraction & formatting)Read on Clutch ↗

Relevant build: a medicine-usage analytics platform for a US healthcare company, importing, cleaning, and mapping utilization data at scale.

The first step

A Discovery Call & Sprint: on synthetic data, zero PHI.

Before any build, we prototype your prior-auth or denial workflow on synthetic data (no PHI, no risk) and show you the accuracy, the human-review load, and the ROI. You get a plan and a number, whether or not you build with us.

  • A working synthetic-data prototype of your prior-auth or denial workflow
  • A human-in-the-loop review model + an ROI estimate
  • A security & compliance plan (BAA, PHI handling, audit trail)
  • An integration plan for your EHR / PM / clearinghouse stack + a firm quote
Discovery Call & Sprint
$2,000 fixed fee

1–2 weeks · credited in full toward your build if you move forward.

Book a call to start →
Straight answers

What RCM leaders ask us.

How do you handle PHI and HIPAA?

We engineer security-first, sign BAAs, and build to HIPAA and SOC 2 standards, and we've delivered compliant systems for US healthcare and fintech clients. Sales demos use synthetic data only; your PHI never leaves your environment until a signed BAA and security review are in place.

Does the AI make coverage or clinical decisions?

No. It's assistive: it assembles packets, classifies denials, and drafts appeals with cited sources. A specialist reviews and approves every submission. It never decides coverage and never auto-submits.

We already use a prior-auth or RCM platform. Where do you fit?

Alongside it. Platforms cover the common payer paths; we build the parts they don't, a specialty-specific appeal flow, your exception queue, or a payer or clearinghouse integration no vendor will prioritize for one client. You keep your platform and get the workflow it's missing, built to your operation and owned by you.

Which systems do you integrate with?

Your EHR, practice-management, and RCM systems, plus clearinghouses and payer portals. We scope the exact integrations (and their security requirements) in the discovery sprint.

You're offshore. Can you do healthcare?

We're a senior-led studio with US offices, we sign BAAs, and we've delivered US healthcare work (a hospital medicine-analytics platform). Synthetic-data demos mean you can evaluate us with zero PHI exposure, and you work directly with the senior-led team building it.

See it on a synthetic case.

Book a 15-minute call. We'll show a prior-auth or denial workflow running on synthetic data. No PHI, no pitch, no pressure.

Book your call →