Ambient Clinical Documentation & Prior Auth Automation

Prior auth approved before the patient reaches the parking lot.

Prioriq listens to the encounter, writes the note, and submits the PA with supporting evidence — automatically. Specialty clinics cut authorization turnaround from 4 days to under 6 hours.

15+ hrs per physician per week lost to clinical documentation and PA-related admin
4 days avg prior auth turnaround at most specialty clinics — Prioriq targets under 6 hours
1 in 4 specialty PAs denied on first submission, mostly for documentation gaps Prioriq fills automatically

One listen. Full documentation. PA filed.

01
Ambient encounter capture

Prioriq activates when the provider opens the encounter in your EHR. Ambient audio is captured and transcribed in real time — no dictation, no trigger phrase, no extra device.

02
Structured note, EHR-ready

A SOAP-format note — ICD-10 coded, CPT codes suggested — arrives in your EHR template before the visit ends. Review and sign. No post-visit documentation.

03
PA filed with evidence attached

If the signed note triggers a procedure requiring authorization, Prioriq maps the clinical evidence to the payer's medical necessity criteria and submits the PA packet — before the patient reaches the front desk.

Built for the revenue cycle, not just the chart.

Real-time note capture

Prioriq transcribes and structures the encounter in real time — distinguishing provider voice from patient, mapping chief complaint, physical findings, and assessment into SOAP format. The note is 85% complete by the time the physician finishes the visit. Review and sign; no dictation queue, no after-hours chart completion.

See the Ambient Scribe module
Clinical Note — SOAP
Subj.
Obj.
Assess.
Plan

Evidence-matched PA packets

Prioriq reads the signed note, identifies the ordered procedure, and cross-references the payer's coverage policy for that CPT code. Lab results, imaging reports, and prior treatment records are pulled from the EHR and attached to the PA packet automatically. No chart-hunting, no copy-paste to the payer portal.

See the PA Automation module
PA Criteria Checklist
Medical necessity documented
Conservative treatment tried ≥ 6 weeks
ICD-10 code attached (M54.5)
Imaging report — attaching automatically

Denial defense, built in

When a payer returns a denial, Prioriq identifies the specific criteria gap in the decision — inadequate documentation, missing conservative therapy evidence, wrong ICD-10 mapping — and pre-drafts the peer-to-peer appeal letter with clinical evidence already cited and attached. Most appeals are ready to submit within 2 hours. We don't treat denial management as a separate workflow.

See the Denial Defense module
Denial — Appeal Draft
Denial reason: Not medically necessary
Gap identified: Missing PT failure documentation

For your practice. For your system.

Specialty Clinics

High PA volume, limited admin bandwidth, revenue at stake every week.

Orthopedics, cardiology, neurology, and other high-PA-volume specialties where a 4-day authorization delay means rescheduled procedures and claims that age while you wait. Prioriq is built for practices filing 25–200 PAs per month.

For specialty clinics
Health Systems

200+ PAs weekly. Documentation inconsistency is a system-wide denial risk.

When 50 providers document differently, PA denial rates vary by department and visibility disappears. Prioriq applies the same SOAP documentation standard and payer criteria logic across every site, every provider, without requiring EHR consolidation.

For health systems

From practices already running it.

We were faxing 40 PA packets a week and chasing denials manually. Prioriq handles 80% of submissions without staff involvement. First-pass approval rate is up, and our RCM team is doing actual revenue work again.

Revenue Cycle Director, 8-provider orthopedic group

The appeal drafting alone justified the cost. We used to let denials expire because nobody had time to write the letters. Now they go out the same day.

Practice Administrator, multi-specialty group practice

Connects to the EHR you're already using.

Prioriq connects to your EHR via FHIR R4 APIs — reading encounter data, pushing structured notes, and retrieving supporting documents for PA packets. No separate login for providers. No dual documentation.

Epic Cerner athenahealth eClinicalWorks Allscripts
View all integrations
Built with HIPAA controls in mind End-to-end encryption SOC 2 controls in progress BAA available Boston, MA — 200 State Street

Your next PA can approve itself.

Join the waitlist for early access. We're onboarding specialty clinics in Boston and the Northeast first.