The first PA simulation engine that predicts approvals in under 5 minutes — zero hallucination, fully grounded in authoritative clinical evidence and payer-specific coverage logic.
Request a BriefingThe Healthcare Context Brain™ delivers different value to each stakeholder — powered by the same knowledge graph.
PA processing costs $11–$40 per claim. CMS-0057-F now mandates 72-hour turnaround for urgent requests and 7 days for standard — manual review at scale is no longer viable.
One in three patients abandons a prescription after a PA denial. Your drug gets approved by FDA — then blocked by payer paperwork.
Physicians spend 14+ hours per week on administrative tasks. PA is the single largest driver. It pulls time from patients.
A federated two-layer system. Proprietary clinical intelligence lives in the cloud. Patient data never leaves the EHR.
Patient data — diagnosis, medications, labs, payer — stays on-prem inside the EHR. No PHI ever leaves the firewall.
Anonymous clinical parameters are matched against our proprietary evidence engine — authoritative clinical guidelines, regulatory standards, and payer-specific PA criteria.
Every recommendation is grounded in certified clinical evidence — indication, contraindication, step therapy, dosing. Zero hallucination by design.
Result delivered in under 5 minutes with full audit trail: clinical evidence citation, payer rule citation, approval likelihood score.
Most PA tools use general-purpose AI that hallucinates outdated drug data. We don't.
Every drug decision in our proprietary engine is sourced from certified, continuously updated regulatory and clinical data — indications, contraindications, black box warnings, interactions. Updated same day as label changes.
The same clinical query returns the same answer every time. No variance. No hallucinated payer rules. Our proprietary reasoning engine is auditable, deterministic, and defensible in a regulatory context.
Patient data stays inside the EHR on-prem. The system never sees real patient records. HIPAA compliance is not a policy — it is enforced by the architecture itself.
Your payer rules, your patient populations, your formulary decisions — none of it is used to train or fine-tune anything. Ever. Your proprietary data stays yours.
Mohan brings 30 years of frontline healthcare commercial experience — from pharmaceutical sales and market access strategy to payer operations and CMS regulatory compliance. He has worked across every layer of the US healthcare system: at Merck, Amgen, Mayo Clinic, IQVIA, and Cytokinetics, in therapeutic areas spanning oncology, immunology, cardiovascular, respiratory, and diabetes.
The Healthcare Context Brain™ is not a technology looking for a problem. It is 30 years of operational pattern recognition — why physicians prescribe what they prescribe, how payers construct PA criteria, what makes a drug succeed or fail at the formulary level — encoded as a proprietary, computable intelligence system.
We are currently in strategic partnership conversations with health plans, pharmaceutical manufacturers, and health systems. Briefings are by invitation.
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