Prior Authorization Support demo
The payer's prior authorization criteria next to the patient's chart, line by line — each met, unmet or unclear — and a cited, ready-to-submit pack once every line is proven. 1:14
What the demo shows
A patient access solution for prescriber offices that matches chart evidence to PA criteria.
Six agents read the chart, build the therapy history and match every criterion of the approved payer policy to the passage that proves it — met, unmet or unclear. Unmet lines say what is missing and the agents search the practice record for it; when every line is proven, one click builds the pack: payer form, cited letter of medical necessity and the proving pages. The prescriber reviews and e-signs; nothing is submitted before that.
Transcript
- Prior Authorization Support matches the chart to each payer criterion for prescriber offices.
- By phone and fax, a decision takes 17 days and one missing page means a denial.
- Jordan Reyes needs Veltremab.
- Priya matches his chart to Crestline's six criteria.
- Agents read every page and prove each line with its passage.
- Five go green. One is unmet.
- No documented trial of methotrexate.
- The practice record holds two telehealth visits with 18 weeks of methotrexate.
- Attached, six of six.
- One click builds the pack.
- Payer form, cited letter of medical necessity, and approving pages.
- Dr. Chun signs, it goes electronically, and Crestline approves.
- Build on Botminds, agents, data, screens, and governance on one platform.
Transcribed from the film’s narration. Captions are on the player.