Specialty clinics file 40+ PAs a week. Prioriq handles 80% of them automatically.

The average specialty clinic waits 4 days for a PA decision. That means rescheduled procedures, delayed care for patients in pain, and a follow-up scheduling burden that falls on whoever picks up the phone. For joint replacements, cardiac catheterizations, and neurology infusions, a 4-day hold is not an administrative inconvenience — it is a clinical problem.

Specialty procedures — particularly musculoskeletal, cardiovascular, and neurological — carry denial rates well above the overall average. The two most common denial reasons: inadequate documentation of medical necessity and missing supporting evidence (PT failure notes, imaging, conservative treatment history). Both are documentation problems. Prioriq addresses both before the PA is submitted.

A specialty practice processing 50 PAs per week spends an estimated 15–20 hours in PA-related administrative work — chart reviews, documentation gaps, payer portal submissions, denial follow-ups. That time comes directly out of clinical capacity.

Every denied PA that isn't appealed is permanent revenue loss. Most specialty clinics appeal fewer than 30% of denials — not because the cases aren't winnable, but because writing a peer-to-peer appeal letter from scratch takes as long as the original PA submission. Prioriq pre-drafts the appeal — citing the clinical evidence already in the chart — so the physician reviews and submits in under 10 minutes rather than 2 hours.