Built for community oncology

Prior authorization that fights for your patients.

Payers deny cancer treatments that should be approved — and count on your staff being too busy to fight back. VerityAuth gets PAs approved faster, appeals every denial with NCCN-cited evidence, and leaves zero patients behind.

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All 6 PA types — drug, imaging, radiation, procedure, device, supportive care Live in under 24 hours — no EHR integration required HIPAA compliant — BAA included
app.verityauth.ai
VerityAuth PA Queue — every prior authorization tracked, with denial alerts and one-click appeal generation
88%
of PA denials are never appealed
KFF Medicare Advantage Analysis, 2024
80%
of appeals succeed when filed
AMA Prior Authorization Physician Survey, 2024

The gap between those two numbers is the entire broken system in one stat. VerityAuth closes it.

The Problem

Denial isn't a clinical decision. It's a bet that you won't fight back.

When a PA is denied, 88% of the time nobody appeals — not because the denial is clinically justified, but because your coordinator has 30 other PAs in the queue and no time to draft a letter, pull NCCN citations, and sit on hold with a medical director. Payers know this.

Yet 80% of appeals succeed when someone actually files one — which means most denied treatments should have been approved in the first place. Every unappealed denial costs your practice three ways:

The patient waits

Treatment delayed. Second-choice drugs substituted. 93% of oncologists report forced substitutions, and delays of even 1–3 weeks correlate with worse disease control and lower survival.

Cancer Therapy Advisor · Johns Hopkins Medicine

Your staff absorbs it

Coordinators spend 12+ hours a week in payer portals, chasing faxes, and sitting on hold. With 30 PAs in the queue, there's no time to appeal — so the denial stands.

AMA Prior Authorization Physician Survey, 2024

Revenue walks out

$10K–$50K per denial, written off because nobody had time to fight it. Across 6–10 denials a month, that's the largest recoverable revenue leak in your practice.

Typical specialty drug & radiation reimbursement
Why Oncology

This problem hits oncology harder than any other specialty.

97% of radiation treatments and most infusion drugs require PA. A single cancer patient needs 6–15 separate authorizations across drugs, imaging, radiation, procedures, devices, and supportive care — each one a chance for a denial nobody has time to appeal. Generic PA tools treat a Keytruda auth like an MRI for back pain. Your patients are on timelines measured in days.

VerityAuth was built oncology-first by people who've lived inside the PA maze for over a decade — on the provider side, the technology side, and the payer side.

NCCN Guideline Intelligence

AI matches regimens to current NCCN guidelines with evidence level and category citations.

Regimen-Aware Processing

Understands multi-drug regimens, lines of therapy, and step therapy requirements specific to oncology.

Clinical Trial Matching

When a denial stands, AI searches ClinicalTrials.gov for eligible trials — turning a dead end into an alternative path.

Built for Community Practices

Designed for the 3–15 provider groups that treat the majority of cancer patients but get ignored by enterprise vendors.

97%
of radiation oncology requires PA
ASTRO, 2023
75%
of new drug approvals are specialty
IQVIA, 2024
93%
of oncologists report forced substitutions
Cancer Therapy Advisor
1–3 wk
delays linked to worse disease control
Johns Hopkins Medicine
The VerityAuth Workflow

Five steps. Five minutes. Every denial fought.

Every oncology PA — drug, imaging, radiation, procedure, device, supportive care — follows the same streamlined path.

1

Start the PA

30 seconds

Select the PA type, patient, and payer. AI handles the rest.

Category-specific clinical forms for all 6 PA types. Related PAs auto-link and pre-fill from each other — because every resubmission is another delay a cancer patient can't afford.

You do
Select PA category, pick patient, confirm payer.
AI does
Auto-populates demographics, insurance, and diagnosis; links related PAs and pre-fills from prior auths.
Patient gets
The right PA submitted the first time — no resubmissions, no days lost.
2

Check Benefits & Alternatives

10 seconds

Before you enter the PA maze, check whether you can skip it entirely.

Real-time eligibility across 3,400+ payers — and the AI flags clinically equivalent drugs the payer covers without PA, with NCCN equivalence shown.

You do
Select the drug, confirm the patient's payer.
AI does
Verifies coverage in real time and surfaces PA-free alternatives.
Patient gets
If a PA-free option exists, treatment can start today.
3

AI Prepares Your Case

Instant

The form fills itself — checked against payer criteria and NCCN guidelines.

Instead of 30+ manual fields, AI pre-populates everything from the clinical profile, scores approval probability, and flags documentation gaps before you submit.

You do
Confirm diagnosis and treatment details; fix flagged gaps.
AI does
Auto-fills fields, matches NCCN with citations, scores approval probability.
Patient gets
First-pass approval maximized — no rejections for incomplete paperwork.
4

Track & Coordinate

Ongoing

Your entire PA operation in one command center.

Replaces the spreadsheets and sticky notes with automatic tracking of every call, fax, and status change — freeing your team to do the work that recovers revenue: fighting denials.

You do
Work your queue; log calls and faxes with one click.
AI does
Auto-timestamps everything, surfaces reminders, flags aging PAs and deadlines.
Patient gets
Nothing forgotten — every PA tracked to resolution with a full audit trail.
5

Denial → Appeal → Resolution

2 minutes

88% of denials go uncontested. VerityAuth fights every one.

The system generates an NCCN-cited appeal letter and P2P talking points in 2 minutes. At $10K–$50K per denial and an 80% overturn rate, that's the ROI conversation in one sentence. And if the appeal fails, the patient is already matched to eligible clinical trials.

You do
Click "Generate Appeal." Review the letter. Send it.
AI does
Writes the cited appeal, preps P2P points, tracks deadlines, surfaces trial matches.
Patient gets
Every denial fought — the prescribed treatment when the appeal wins, a trial alternative when it doesn't.
Your Practice, Your Way

One platform that meets your practice where you are.

Dedicated coordinator, office manager wearing another hat, or a clinician doing it all — VerityAuth adapts to how your team actually works.

Patient view grouping all PAs for one patient
The PA Coordinator

Handle twice the volume. Lose zero PAs.

  • Smart queue with urgency scoring, reminders, and aging alerts
  • One-click logging — calls, faxes, and status changes tracked automatically
  • AI-generated appeals in 2 minutes — no more watching denials expire
  • Patient view groups every PA — drug, imaging, radiation — in one place
Supervisor dashboard with ROI and team metrics
The Practice Leader

See the whole operation — and the revenue it recovers.

  • Supervisor dashboard with turnaround, approval, and ROI reporting
  • Gold card analytics by payer and PA category
  • Team workload visibility with Assigned, Pool, or Hybrid queue models
  • Complete audit trail for every PA, ready for compliance review
Clinical view with NCCN matching and approval insights
The Clinician

Clinical decisions stay yours.

  • Regimens matched to NCCN guidelines with evidence citations
  • Approval probability and documentation gaps visible before submission
  • P2P talking points prepared for you when a payer pushes back
  • Clinical trial matches when an appeal fails — no dead ends for patients
The Impact

The ROI math is simple. The appeal data proves it.

Your practice already has denials every month that nobody appeals. VerityAuth appeals all of them. The numbers do the rest.

Estimated monthly revenue recovery
$48K–$200K
per practice, from appeals alone
6–10 denials/mo × 80% overturn rate × $10K–$50K each

One overturned denial pays for a year of VerityAuth

A single $35K appeal win covers the entire annual subscription. Everything after that is recovered revenue your practice was writing off.

The impact you can't put a dollar on

Every overturned denial is a patient who receives the treatment their oncologist actually prescribed — not the second-choice therapy the payer substituted.

Average oncology denials per month6–10 per practice
Denials currently appealedLess than 12%
Revenue at risk per unappealed denial$10K–$50K
Appeal success rate with clinical evidence80%+
Average time per PA (manual process)45 min
Average time per PA (with VerityAuth)5 min
ResultEvery denial fought. Revenue recovered.
Get Started

Up and running the same day.

No installation, no EHR integration, no IT department required.

1

Sign up & configure

Create your practice profile, add providers, connect payer portal credentials. It's a web app — nothing to install.

15 minutes
2

Submit your first PA

Choose the PA type, enter clinical details in category-specific forms, and see approval probability before you submit.

5 minutes per PA
3

Track, coordinate & recover

Every PA monitored in one place. If denied, AI generates the appeal and finds clinical trial alternatives.

Automated

Everything your practice needs — one platform.

Simple per-provider pricing. All features included. No tiers, no add-ons, no implementation fees.

Start Your Free Pilot

30 days free · No credit card · No obligation

Built like it handles PHI — because it does.

Security and compliance aren't features. They're the foundation.

HIPAA compliant HIPAA-eligible AWS infrastructure
Signed BAA Included for every customer
Encrypted everywhere TLS 1.2+ in transit, AES-256 at rest
SOC 2 infrastructure Enterprise-grade cloud controls
Your data stays yours Patient data never trains AI models
FAQ

Common questions.

What oncology practices want to know before getting started.

Which payers do you support?

VerityAuth supports eligibility verification across 3,400+ payers through our Stedi integration. PA submissions work with all commercial payers and Medicare. We add payer-specific criteria as customers need them.

Do I need to integrate with my EHR?

No. VerityAuth is a standalone web application — no installation, no EHR integration, no IT involvement. Your staff logs in from any browser and starts submitting PAs immediately. EHR integration is on our v2 roadmap.

How is the AI different from other PA tools?

Most PA tools automate form-filling for drug PAs only. VerityAuth covers all 6 PA types with category-specific clinical forms, links related PAs so your staff enters patient data once, and includes a full coordination workspace — activity logs, reminders, team assignment, and supervisor dashboards. The AI understands clinical content: matching regimens to NCCN guidelines, predicting approval likelihood, and generating evidence-based appeals.

Is my patient data safe?

Yes. All data is encrypted in transit (TLS 1.2+) and at rest (AES-256). We run on HIPAA-eligible AWS infrastructure and provide a signed BAA for every customer. We never use patient data to train AI models.

How does billing work?

Simple per-provider monthly subscription. All features included — no per-PA fees, no setup costs, no hidden charges. We'll walk through pricing during your demo so we can tailor it to your practice size. The pilot period is completely free.

Can my staff use it without training?

Yes. If your staff can use a payer portal, they can use VerityAuth. We also provide a guided onboarding session and an in-app AI copilot for questions.

What's the CMS 2027 mandate I keep hearing about?

CMS is requiring payers to support electronic prior authorization by 2027. Practices that adopt electronic PA tools now will be ahead of the curve — and tools like VerityAuth will become essential infrastructure.

Does this actually help my patients, or is it just an admin tool?

Both — and that's the point. Faster PA processing means faster treatment starts. Every denial gets appealed with NCCN-backed evidence, so patients get the drug you prescribed instead of a second-choice alternative. Clinical trial matching turns final denials into new options. And the platform tracks clinical impact from day one — turnaround time, forced substitutions avoided, appeals won.

Where does your data come from?

The stats we cite — denial rates, appeal success rates, and clinical impact data — come from KFF's Medicare Advantage analysis, the AMA's Prior Authorization Physician Survey, ASCO policy statements, ASTRO surveys, and published research from Johns Hopkins Medicine.

Get Started

Your patients can't wait. Neither should you.

Every week is another round of denials that go uncontested, revenue that walks out the door, and patients who don't get the treatment you prescribed. Tell us about your practice, or jump straight into the live demo.

How the demo works

We walk you through the platform on a short call with your own payer mix and drugs in mind, then give you a private access code so your team can explore it themselves.

We'll reach out within one business day. No spam, ever.

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