AccessFlow AI
Prior authorization, reimagined.
An agentic AI copilot that assembles, submits, tracks, and appeals prior authorizations — embedded in the workflows your teams already use.
Why Patient Access teams need this
The realities we hear from operators — the ones that don't show up in product demos.
Payor policies shift constantly and vary by plan, geography, and drug — agents can't keep up.
Missing clinicals and signatures are the single biggest cause of PA denials and delays.
Denials are re-worked manually with little pattern recognition across similar cases.
Patients and providers are left guessing while PA sits in queue.
Outcomes, not algorithms
We lead with the business outcome — the mechanism sits behind a stable interface.
Criteria, clinicals, and attestations assembled before submission.
Policy-aware drafting reduces preventable denials.
Denial pattern analysis produces targeted appeal templates instantly.
Single source of truth across provider, hub, and SP.
A controlled view of the flow
We share the stages — not the internal logic, models, or scoring methods.
The agents that run inside this solution
Each agent operates inside explicit boundaries — with confidence thresholds, audit logs, and human escalation built in.
Where this sits in Patient Access
This capability isn't a silo — it plays with every actor across the journey.
Measured against the metrics that matter
We publish outcome ranges, not point claims — every number is validated in-context.
Fits the way you work
Embed inside your platform, run alongside it, or consume through API — your call.
Where this fits in the solution family
Machine-readable payer policy that powers AccessFlow packet assembly.
Case workspace and cross-hub coordination — with AccessFlow embedded.
The interoperability and data fabric AccessFlow runs on.
See AccessFlow AI in your environment.
A focused walkthrough against scenarios that mirror your hub or SP — no theoretical decks.