Prior authorization, end to end, on FHIR

Coverage requirements → documentation → PAS submission → review → additional documentation → decision. Every step is a FHIR transaction you can inspect.

Provider workbench

Ordering clinician at Riverside Family Clinic. Find a patient, check coverage, submit and track authorizations.

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Review contractor workbench

Payer-side reviewer. Work the queue, inspect FHIR resources and documents, request documentation, decide.

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Medical director

The payer's physician. Holds peer-to-peer discussions and decides appeals of denials (Medicare Advantage), independently of the reviewer who denied them.

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