AI-assisted specialty-drug access

Specialty-drug access, intelligently automated.

Authara unifies prior authorizations, denials, appeals, and renewals into one AI-assisted, source-verified workflow — so your team moves faster, submits complete, and defends every denial with a sourced appeal.

✓ Every AI-extracted clinical fact cites its source document
✓ Denials classified and appeals drafted in seconds
✓ Deterministic gates, human approval, full audit trail
Source-citedevery extracted fact links to its document
Deterministiccoverage rules enforced by code, not a model
Human-approvedAI proposes; a person decides
The platform

One workflow, end to end

From intake to renewal — with AI doing the reading and drafting, and deterministic code enforcing every rule.

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Document intelligence

OCR, classify, and extract structured clinical facts — each one linked to the exact source page and quote. Nothing unsourced.

✅

Evidence checklists

Payer- and drug-specific requirements flagged before submission, so missing evidence never causes an avoidable denial.

⚖️

Denials & appeals

Classify the denial reason, extract the deadline, and draft a source-grounded appeal or medical-necessity letter for clinician review.

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Renewals & tracking

Authorization dates, renewal alerts, tasks and deadlines tracked automatically across every active case.

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Operational analytics

Time to determination, first-pass completeness, denial patterns and appeal performance — by drug, payer and office.

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Defensible AI

Structured schema validation on every model response. Low-confidence facts route to human review. Documents are data, never instructions.

Case lifecycle
1Intake2Evidence3Clinical review4Submit5Payer decision6Appeal7Approved8Renewal
Security & compliance

Built for regulated care from day one

HIPAA-by-design controls, engineered so they can later be independently assessed.

EncryptedIn transit & at rest, per-environment keys
Tenant isolationOrg & case-level access controls
Full audit trailEvery view, edit, export & approval
Human in the loopAI never submits or attests as a clinician
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