What we’re asking, and what you get.

What we’re asking now

A conversation. Twenty minutes about how prior authorization and claims work in your practice - where it breaks, who handles it, what your submissions and claims look like.

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

Start with the money you already earned and never collected.

Most practices know prior auth costs them time and revenue. Few can see where. That information already exists inside your own submissions and claims, including approved authorizations that never became a paid claim.

Assembled, it shows you where authorizations break down and why: which payers deny you most, where documentation gaps cost you approvals, which stage loses the most time.

Denied, never appealed

Approved, never billed

Short-paid

What actually landed

Every figure blank until your records are in.

One practice's history is an anecdote. Enough of them is evidence.

When a payer starts tightening, it shows up in other practices weeks before it reaches you.

Across enough practices that becomes a warning instead of a surprise - which treatments are getting harder to clear, and what to fix this month before it costs you.

This is what we’re building toward, not something we can hand you today.

Everything above is your own submissions and claims, organized. This is the part that isn’t.

When a payer starts tightening on a treatment, it shows up in other practices before it reaches you. When a new documentation requirement starts generating denials in one region, the pattern is visible weeks before your first denial for it. When a plan year turns over and criteria quietly change, somebody sees it first.

Across enough practices that becomes a warning instead of a surprise - which payers are tightening, which treatments are getting harder to clear, and what to fix this month before it costs you.

No workflow tool or billing company can produce this, because they only ever see their own book. It’s also the hardest part, and the last to arrive.

Your practice

Twelve practices

The network

Each square is one payer and one treatment. You can only ever fill the squares you’ve personally billed.

What it takes if you go ahead

No change to how your billing runs. One signature on a simple data use agreement authorizing release of de-identified records, and the rest is ours to build.

Get in touch

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

Petrichor Health, Inc. · hello@payerlogic.ai