Health Systems

200+ PAs weekly across sites. Standardize the process, not just the paperwork.

Multi-site health systems lose revenue at the seams between departments, providers, and payer portals. Prioriq applies the same documentation and PA automation across every site, every provider, every payer.

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What breaks at scale.

Problems that are manageable at one clinic become system-wide revenue and compliance risks at scale.

Inconsistent documentation quality across providers

When 50 providers document with 50 different habits, PA denial rates vary by department in ways that are hard to diagnose and harder to fix. Some physicians produce notes that satisfy payer medical necessity criteria on first submission; others create chronic denial patterns. The problem is not clinical competence — it is documentation structure. Prioriq applies the same SOAP format, ICD-10 coding logic, and PA evidence-matching to every encounter, regardless of provider style.

Multi-EHR complexity across sites

Health systems that have grown through acquisition often run two or three EHR systems in parallel — Epic at the flagship hospital, Cerner at the acquired community practice, athenahealth at the specialty group. Prioriq integrates across all of them via FHIR R4 and HL7 v2, creating a unified PA submission layer on top of the existing EHR landscape. No EHR consolidation project required.

No visibility into PA status system-wide

When PA queues live in different payer portals, different staff inboxes, and different EHR task lists, no one in leadership has a real-time view of how many PAs are pending, denied, or approaching the authorization expiration window. Revenue at risk is invisible until claims are denied at billing. Prioriq consolidates PA status tracking across all sites and payer networks into a single dashboard with system-level and site-level views.

One documentation standard, every provider.

Ambient capture that follows the provider

Prioriq activates through your EHR — each provider's encounter triggers the same ambient documentation process regardless of which site they're in. Same SOAP structure, same ICD-10 coding logic, same PA criteria check.

PA Dashboard — System View
5 sites — 47 PAs in flight
Site A — Orthopedics (12 PAs) 9 approved
Site B — Cardiology (8 PAs) 6 in review
Site C — Neurology (27 PAs) 18 pending

Cross-site payer configuration

Different sites often have different contracted payer networks, different payer-specific requirements, and different formulary rules. Prioriq's System plan includes custom payer network configuration per site — so the right criteria library applies to each location automatically.

Payer Config — Site Level
Site A — UnitedHealth, BCBS MA, Tufts Health
Site B — Aetna, Humana, Medicare Advantage
Site C — Cigna config pending

What changes at scale.

200+
PAs per week fully handled for System plan accounts
3 EHRs
maximum simultaneous EHR integrations on Practice; unlimited on System
1 view
unified PA status dashboard across all sites and departments
BAA
included for all System plan accounts, available on Practice

Ready to standardize PA submission across your sites?

Talk to Sofia's team. We'll review your current PA volume, your site EHR configuration, and your payer network landscape — and put together a deployment plan with realistic timelines based on your IT environment.

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