Prior Auth Packet Copilot
High pain, high frequency, and a clean document-heavy wedge make this the strongest year-round opportunity.
Target Customer
Outpatient specialty clinics with dedicated authorization coordinators.
Painful Workflow
Staff read referrals, payer policies, faxes, and chart notes to assemble documentation and justify medical necessity.
Proposed AI Solution
Ingest referral PDFs and EHR exports, draft the clinical summary, identify missing evidence, and output a payer-ready packet.
Why Now
CMS continues to push electronic prior authorization and faster turnaround, while real clinic workflows are still dominated by PDFs, faxes, and portal copy-paste.
Likely Willingness To Pay
$800-$2,500 per location per month.
Easiest MVP
Secure upload inbox, payer template library, and one-click packet export to PDF.