Features
True 12-month cost estimation with premiums, deductibles, copays, coinsurance, drug tiers, networks, OOP max
Automated prior authorization form filling from EHR data
Automated denial appeal generation with source citations and physician attestation
EHR chart reading and integration for clinical data extraction
Outcome tracking with structured data extraction per appeal
Graph-based data model linking plan choices, prior auths, and appeal outcomes
Agent of Record (AOR) capabilities for plan enrollment
Plan choice recommendation engine based on real drugs and doctors
Embedded coverage advisor functionality
Rights-cleared data row creation from every decision outcome
AI-generated pricing intelligence reports from transparency data
Benchmark rate trends and spot anomalies
Row-level visibility traceable to original MRFs
Spreadsheet-like interface for exploring data
Integrates with CRM, RCM, EMR via API
SOC 2 Type II compliant data security
Sample reports for quick evaluation
Processes 15+ trillion rates for deep insights
National coverage of healthcare price data
Utilization data analysis (allowed amount counts)
Physician assistant reimbursement analysis by state
Provider prospecting for network teams
Independent Dispute Resolution (IDR) support
Drug price transparency analysis (with noted gaps)
