The Platform

One platform. Documentation and prior auth, together.

Most tools tackle documentation OR prior auth. Prioriq connects the clinical note to the PA from the moment the encounter starts.

Abstract representation of clinical note generation and prior authorization data integration

Three modules. One unbroken workflow.

Each module solves a distinct part of the documentation-to-authorization pipeline. Together, they eliminate the gaps where time and revenue get lost.

Ambient Capture

Activates automatically when the provider opens the encounter in your EHR. No device to tap, no trigger phrase. The ambient listener distinguishes provider voice from patient, captures chief complaint, history, physical findings, and plan as the visit unfolds.

Replaces: manual dictation, post-visit transcription, clinical scribe costs, after-hours chart completion. Avg documentation time saved: 11 hrs/week per physician.
Clinical Scribe

Structures the transcribed encounter into a SOAP-format clinical note — ICD-10 coded, CPT codes suggested, templated to your EHR's format. The note is in your chart before the patient reaches checkout. Provider reviews, edits if needed, signs.

Replaces: copy-paste from dictation, human scribes, after-hours chart completion. Note is 85% complete at visit end — the remaining 15% is physician clinical judgment, as it should be.
PA Automation

Reads the signed note, identifies the ordered procedure's CPT code, checks whether the patient's plan requires prior authorization, and — if it does — assembles the payer-specific PA packet from clinical evidence already in the chart. Submits directly to the payer portal or via structured eFax.

Replaces: manual PA submission, payer portal data entry, fax queues, RCM staff PA prep time. First-pass approval rate improvement: 40%+. When denied, Denial Defense fires automatically.

From encounter to payer approval — no manual steps in between.

The full workflow — audio capture through PA submission — runs without requiring a single click beyond the physician's normal visit. Providers interact with Prioriq output only at the review-and-sign step.

The numbers behind the workflow.

<6 hrs
Average PA turnaround with Prioriq, down from 4-day industry average
11 hrs
Documentation time saved per physician per week on average
40%+
Improvement in first-pass PA approval rate versus manual submission
5 EHRs
Major EHR platforms supported via FHIR R4 integration

What each module actually does.

Real-time note capture

Prioriq's ambient listener runs in the background of the clinical encounter, separating provider and patient voice in real time and mapping spoken content to structured clinical categories — chief complaint, HPI, physical exam, assessment, plan. The SOAP note lands in your EHR template before the encounter closes. Average completion at end of visit: 85%. The physician reviews, adjusts clinical judgment where needed, and signs.

See full walkthrough
Clinical Note — SOAP
Subj.
Obj.
Assess.
Plan

Evidence-matched PA packets

Once the note is signed, Prioriq identifies the CPT code for the ordered procedure and checks the patient's payer coverage policy for that code. If prior authorization is required, the system pulls supporting clinical evidence from the EHR — lab results, imaging reports, prior treatment history — and assembles the packet against the payer's specific medical necessity criteria. The complete PA goes out without staff involvement.

View payer integrations
PA Criteria Checklist
Medical necessity documented
Conservative treatment ≥ 6 weeks
ICD-10 code attached (M54.5)
Imaging report — attaching now

Appeal drafts in under 2 hours

When a payer issues a denial, Prioriq parses the decision code, identifies which medical necessity criterion was not satisfied, and drafts the peer-to-peer appeal letter — with the relevant clinical evidence already cited in the body of the letter. The appeal draft is ready for physician review within 30 minutes of the denial. Most are submitted within 2 hours. We do not treat PA denial as the end of the workflow.

See clinic results
Denial — Appeal Draft
Denial reason: Not medically necessary
Gap identified: PT failure documentation missing

Ready to see it in your workflow?

Request access and we'll walk through how Prioriq fits your EHR, your top payer networks, and your current PA volume. Usually a 30-minute call — no slide deck.

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