Prior authorization was designed to reduce unnecessary care. Instead it became a system that delays necessary care. We're fixing that with AI that can read clinical evidence faster than any human reviewer.
Doctors spend 16 hours a week on prior auth paperwork. That's two full workdays not spent with patients. The waste is staggering and everyone knows it.
We're not trying to eliminate prior authorization. Health plans need cost controls. We're trying to make it instant so it stops being a barrier to care.
The fax machine is still the backbone of American healthcare communication. That tells you everything about how much room there is for improvement.
When CMS said health plans need to respond to prior auth requests in 72 hours, most plans panicked. We were the phone call they made the next morning.
AI in healthcare isn't about replacing doctors. It's about replacing the administrative burden that makes doctors want to quit medicine.