Transforming Prior Authorization with AI Intelligence
We're on a mission to eliminate administrative burden in healthcare, starting with the most painful process: prior authorization. Our multi-agent AI system helps providers get approvals faster while improving patient outcomes.
Our Mission
To eliminate the administrative burden of prior authorization, allowing healthcare providers to focus on what matters most: patient care.
Every year, providers spend millions of hours navigating PA requirements. We're building AI that understands medical policies, clinical evidence, and payer requirements to make this process instant and accurate.
Our Vision
A healthcare system where administrative processes are automated, transparent, and patient-centered.
We envision a future where PA decisions happen in real-time, based on clinical evidence and current medical guidelines, with full transparency for providers and patients.
By the Numbers
Our platform is making a measurable impact on healthcare operations
PA automation market opportunity by 2033
Source: Market Intelligence Research (Oct 2025)
U.S. provider-focused PA automation by 2033
Source: Market Intelligence Research (Oct 2025)
PAs processed annually in the U.S.
Source: AMA Physician Survey (2023)
PAs still processed manually
Source: Market Intelligence Research (Oct 2025)
Physicians say PA contributes to clinician burnout
Source: AMA Survey (2023)
Physicians report PA delays access to necessary care
Source: AMA Survey (2023)
Our Values
These principles guide everything we build and every decision we make
Patient First
Every feature we build prioritizes getting patients the care they need faster
Evidence-Based
Our AI recommendations are grounded in clinical guidelines and medical evidence
Security & Privacy
HIPAA-compliant infrastructure with enterprise-grade security at every layer
Partnership
We work closely with providers, payers, and patients to build the right solution
Leadership Team
Healthcare and technology veterans with deep domain expertise
Dr. Emily Richardson
Founder & CEO
MD, MBA, CMIO
Former Chief Medical Informatics Officer at Regional Health System with 15+ years experience in healthcare IT and clinical operations. Led PA optimization initiatives saving $2.5M annually.
Michael Chen
Chief Technology Officer
PhD Computer Science
Previously AI Engineering Lead at major health tech company. Built NLP systems processing 50M+ clinical documents. Expertise in LLMs and healthcare AI.
Dr. Sarah Martinez
Chief Medical Officer
MD, Board Certified Oncology
Practicing oncologist with deep specialty PA expertise. Led clinical trial coordination requiring complex PA workflows across multiple payers.
Engineering Team
James Park
VP of Engineering
Former engineering manager at healthcare SaaS unicorn. Built HIPAA-compliant systems serving 5000+ providers. Expert in FHIR and health data interoperability.
Dr. Aisha Patel
Senior ML Engineer
PhD in biomedical informatics. Previously research scientist at AI lab focused on clinical NLP. Published researcher in medical AI explainability.
Clinical Team
Jennifer Williams, RN
Clinical Operations Lead
RN, Certified PA Specialist
20+ years as PA coordinator at specialty practices. Subject matter expert on payer requirements, medical policy interpretation, and appeals processes.
Advisory Board
Industry experts guiding our strategic direction
Dr. Robert Thompson
MD, MBA
Healthcare IT Advisor
Former CIO, Major Health System
Led digital transformation at 15-hospital system. Expert in EHR implementations, health IT procurement, and interoperability standards.
Linda Davis
Payer Relations Advisor
Former VP Medical Policy, National Payer
25+ years in payer medical management. Deep expertise in medical policy development, utilization management, and PA program design.
David Kim, JD
JD, Health Law Certification
Regulatory & Compliance Advisor
Healthcare Attorney
Specializes in HIPAA, healthcare data privacy, and FDA digital health regulation. Advises health tech companies on compliance strategy.
Dr. Maria Rodriguez
MD, PhD, Board Certified Rheumatology
Clinical Quality Advisor
Chair of Rheumatology, Academic Medical Center
Leading rheumatologist and researcher. Expert in specialty drug PA requirements and clinical evidence standards for high-cost therapies.
Product Roadmap
Our journey to full FHIR integration and real-time PA automation
Phase 1: Foundation
Q4 2025Core PA workflow automation with multi-agent AI
- •PolicyAnalyst agent for medical policy extraction
- •QualityControl agent for evidence validation
- •Editor agent for letter optimization
- •Acceptance probability scoring
Phase 2: FHIR R4 Integration
Q1 2026FHIR R4 data model integration and EHR connectivity
- •FHIR R4 data model implementation
- •EHR integration (Epic, Cerner)
- •Real-time clinical data extraction
- •FHIR resource mapping
Phase 3: Payer API Connectivity
Q2 2026Payer FHIR Prior Authorization API integration
- •Payer API integration (major payers)
- •Real-time PA status updates
- •Electronic attachments support
- •Automated submission workflows
Phase 4: CMS Mandate Compliance
Q3-Q4 2026Full CMS FHIR Prior Authorization API compliance
- •CMS Interoperability Rule compliance
- •Complete payer network coverage
- •Compliance documentation and testing
- •Production deployment