Prior Authorization Demo

SCRIMED PayerIQ

Find documentation gaps before an authorization packet reaches payer review.

Run a registered synthetic scenario through requirement scoring, evidence tracing, risk detection, reviewer routing, and a prepare-only SCRIMED Work handoff. Payer submission remains disabled.

Statusinteractive synthetic
Requirements10
Scenarios2
Free textnot accepted
Human reviewrequired
Payer submissionblocked

Documentation before authorization

Turn policy requirements into a reviewable evidence packet before avoidable rework compounds.

Documentation-Before-Authorization Engine is synthetic/no-PHI pre-submission intelligence. It can identify documentation gaps, draft reviewer packets, and estimate prior-auth risk for demo workflows only. It does not submit prior authorizations, file claims, determine medical necessity, provide legal advice, contact payers, write to EHRs, or use live patient data.

  • Registered, deterministic synthetic scenarios only
  • Missing symptom, function, timing, rationale, history, evidence, policy, note, and attestation checks
  • Reviewer ownership and audit hash on every packet
  • Prepare-only revenue-cycle handoff with no payer transmission

Synthetic packet setup

Choose a scenario, then mark which documentation elements are present.

Documentation requirements
Inspect APIView Pilot Path

From proof to paid pilot

Validate the workflow economics and review design before any protected data or payer connection.