Your treatments have a protocol.
Getting them covered doesn’t.

Your treatments have a protocol.


Getting them covered doesn’t.

v

01

When treating a disease, every step has evidence behind it.

When treating a disease, every step has evidence behind it.

DiagnosisStageRegimen DoseMonitoringResponse

02

When getting the treatment covered, every step is a guess.

When getting the treatment covered, every step is a guess.

Patients wait for treatments that could be working. Benefit checkAuthorizationDecision AppealClaimPayment Practices carry costs that should be covered.

03

The wait and the cost are decided on the same record.

The wait and the cost are decided on the same record.

Benefit checkAuthorizationDecision AppealClaimPayment AUTHORIZATION TOOLSCLAIMS DATA WHAT WE'RE BUILDING


We read it end to end.


We read it end to end.

13 hours a week

13 hours a week

per physician, spent on prior authorization.

AMA Prior Authorization Physician Survey 2025, n=1,000 · all specialties


And it still isn't enough. Not because practices don't try - because it takes knowing which denials are worth the hours, and what to put in them.

Of every 100 prior authorization denials in Medicare Advantage


Almost every appeal succeeds. Almost none are filed.


Almost every appeal succeeds. Almost none are filed.

Of every 100 prior authorization denials
in Medicare Advantage

Of every 100 prior authorization

denials in Medicare Advantage

Of every 100 prior authorization

denials in Medicare Advantage

10 were overturned on appeal

2 were appealed but not overturned

88 were never appealed at all


KFF analysis of CMS 2024 Medicare Advantage data, January 2026 · 11.5% appealed, 80.7% overturned


KFF analysis of CMS 2024 Medicare

Advantage data, January 2026

· 11.5% appealed, 80.7% overturned













Recover what you're owed, then stop losing it.

The same record does both.






















Recover what you're owed, then stop losing it.

The same record does both.





















Recover what you're owed, then stop losing it.

The same record does both.













04

The answer is already in your records, in fragments.

The answer is already in your records, in fragments.

The answer is already in your records, in fragments.

An approval is not a payment. Six fields line up. One doesn’t — and it denies payment for an approved treatment. Authorization tools see the top. Billing systems see the bottom. We see the line between them.

05

The same journey, with answers at every step.

The same journey, with answers at every step.

The same journey, with answers at every step.

What the record tells you once both halves are read together.

Benefit checkAuthorizationDecision AppealClaimPayment What this planhas cleared before What to attachso it clears first time The odds, andhow long it takes Which are worthfiling, and whatto put in them Whether it matchesthe authorization What landed, andwhat to recover

06

We’re looking for a few motivated partners.

We’re looking for a few motivated partners.

We’re looking for a few motivated partners.

The practices we start with shape what this actually shows. There are only a few of them, and what gets built is whatever they tell us is missing.

More on what this means for a practice →

The right treatment, on time, and paid for.

The right treatment, on time, and paid for.

The right treatment, on time, and paid for.

If you’re living this problem, let’s talk.

If you’re living this problem, let’s talk.

If you’re living this problem, let’s talk.

Get in touch

Built by a team with backgrounds in market access and healthcare data engineering.

Petrichor Health, Inc. · hello@payerlogic.ai

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