An EHR-integrated agent that drafts prior-authorization requests, checks them against payer criteria before submission, and helps your clinical team document faster — so patients wait hours, not weeks.
Vitalis is in early access with healthcare design partners. The turnaround estimate below is grounded in published industry prior-authorization benchmarks, applied to your own volume.
Manual prior-authorization review routinely takes over a week per case — patients and providers wait while paperwork moves between systems.
Nurses and care coordinators spend hours per shift transcribing and formatting clinical notes instead of treating patients.
Incomplete or miscoded prior-auth requests get denied and resubmitted — each cycle adds days and administrative cost.
Clinical data lives in the EHR, authorization rules live with the payer — bridging the two today is mostly copy-paste.
Integrates with Epic, Cerner, and other major EHR systems via HL7 FHIR to pull the clinical context a request needs.
Assembles payer-specific documentation automatically, matching each payer’s exact submission and coding requirements.
Checks the draft against payer medical-necessity criteria and flags gaps before it ever reaches the payer — cutting denial-driven resubmission cycles.
Structures dictated or typed clinical notes into the payer- and chart-ready format your documentation standards require.
Gives care coordinators a live queue of every prior-auth request, its status, and the specific payer response needed next.
Managing prior-authorization queues across multiple payers and specialties, drowning in manual submission work.
Responsible for chart completeness and coding accuracy, spending hours per patient on manual documentation review.
Own denial rates and days-to-authorization metrics and need both to move without adding headcount.
Uses published industry benchmarks for manual prior-authorization turnaround vs. an agent-assisted target.
Illustrative estimate applying published industry manual-turnaround benchmarks against an agent-assisted target. “Patient-days” means total cumulative waiting days across all requests, not any individual patient's wait. Actual results depend on payer mix and case complexity — refined during early access onboarding.
Industry benchmarking on prior-authorization turnaround (AHIP / American Medical Association survey data) consistently reports manual review cycles running well over a week, with documentation gaps — not actual medical necessity — cited as a leading cause of avoidable denials. Vitalis targets the same category of turnaround-time and documentation-completeness improvement, validated against your own case-mix during early access.
Varcio’s cloud practice already works inside HIPAA-regulated environments with strict data residency and audit requirements — the same discipline Vitalis is built on.
Connecting cleanly to HL7 FHIR endpoints, handling PHI safely, and reconciling data across EHR and payer systems is core cloud integration engineering — our specialty.
Every clinical suggestion Vitalis makes is logged, explainable, and reviewable — the same governance discipline behind our Warden AI control tower product.
Become an early access design partner and let's pilot Vitalis on your highest-volume payer first.