AI-powered clinical intelligence that matches drug regimens to payer criteria, identifies documentation gaps before submission, and generates appeals that cite the right guidelines.
Your staff spends 13+ hours every week on prior authorizations—calling payers, chasing faxes, re-submitting forms. Each manual PA costs $11 in administrative time.
In oncology, 97% of treatments require PA. When denials happen, 80% are never appealed—even though 65–75% of well-documented appeals get overturned. That's $10K–$50K per case left on the table.
Existing tools digitize the fax machine. VerityAuth replaces it with an AI that understands the medicine.
Clinical intelligence that understands oncology, not just forms.
As you enter a diagnosis and drug, VerityAuth's AI panel instantly shows approval probability, NCCN guideline match, and a checklist of payer-specific requirements—before you submit.
When a PA is denied, VerityAuth shows the appeal success likelihood, generates a peer-to-peer ready appeal letter with clinical citations, and automatically searches for matching clinical trials.
Track all prior authorizations from submission to decision. Filter by status, payer, medication, date range, or staff owner. Color-coded status badges and days-pending alerts ensure nothing falls through the cracks.
Monitor approval rates by payer toward the 90%+ threshold for gold card qualification. See which payers you've qualified with, which are at risk, and exactly what's dragging your rate down.
Natural language questions about PA status, payer requirements, approval criteria, or next steps. Your staff gets answers instantly instead of digging through portals or calling payers.
No installation, no EHR integration, no IT department required.
Create your practice profile, add your providers, and connect your payer portal credentials. No software to install—it's a web app.
Enter patient, diagnosis, and medication. AI instantly shows approval probability, guideline match, and required documentation—before you submit.
Monitor every PA in one place. If denied, AI generates the appeal letter and finds clinical trial alternatives. Gold card analytics reduce PAs over time.
All features included. No tiers, no add-ons, no implementation fees.
Volume discounting based on practice size
Try VerityAuth with your real patients and payers. No obligation, no credit card. Most practices see ROI within the first week.
Oncology has the highest prior authorization burden of any specialty. 97% of radiation treatments and the vast majority of infusion drugs require PA. Generic tools weren't designed for this complexity.
VerityAuth understands oncology because it was built by people who've lived inside the PA system for over a decade.
AI matches regimens to current NCCN guidelines with evidence level and category citations.
Understands multi-drug regimens, lines of therapy, and step therapy requirements specific to oncology.
Automatically searches ClinicalTrials.gov for relevant trials when a patient is denied, scored by eligibility match.
Designed for 3–15 provider groups—the practices that treat the majority of cancer patients but get ignored by enterprise vendors.
What practices ask before getting started.
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.
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.
Most PA tools automate the form-filling process. VerityAuth's AI understands the clinical content—matching drug regimens to NCCN guidelines and payer-specific criteria, predicting approval likelihood, and generating evidence-based appeal letters.
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.
Simple monthly subscription based on your provider count. No per-PA fees, no setup costs, no hidden charges. We invoice monthly and accept ACH or credit card. The 30-day pilot is completely free.
Yes. The interface is intuitive—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.
VerityAuth works for independent practices and network-affiliated practices alike. Each practice gets its own isolated environment with separate data, users, and analytics.
CMS is requiring payers to support electronic prior authorization by 2027. This means practices that adopt electronic PA tools now will be ahead of the curve—and tools like VerityAuth will become essential.
See VerityAuth.ai with your own patients and payers. No credit card, no commitment, no IT required. We'll have you submitting PAs the same day.