Prior-Auth Compiler | Real Minds AI
Healthcare & DisabilityDraftinglive

Prior-Auth Compiler

Maps the chart against payer criteria, drafts the prior-auth packet with an inline citation on every match, and flags the gaps — clinician approves before submission.

realmindsai.com.au/theater/demos/healthcare_prior-auth-compiler.html · sandbox · read-only
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How it would work

One agent, grounded in your library, with citations on every paragraph.

01 · input
Member question
02 · agent
Your agent
03 · output
Cited answer or escalation
The problem it solves

Extracts the exact clinical evidence, dates and measurements a payer's medical-necessity criteria demand, maps each to the criterion it satisfies with an inline citation back to the source note, and lists anything unmet under a Missing Documentation Gap heading. Built for the prior-authorisation bottleneck — about 13 hours per physician per week — where a person still approves the packet before it is submitted.

TA
Tracy Anthony · Co-Founder & CEO · wrote up this design
What it would take to build

Estimated build: 4 weeks. Most of it is template work we've already done.

Estimated build time
4weeks
Diagnostic · build · soft launch · review.
Reused from template
~70%
Agent shell · retrieval · audit · deployment.
Bespoke to this skin
~30%
Payer-criteria encoding, EHR/chart connectors.
stack · Claude · private RAG · review UI
What it would cost for your org

Fixed scope, fixed price, fixed dates.

The cost band reflects the engagement shape, not a per-feature line item. We work on fixed scope, fixed price, fixed dates — see the services catalogue for what falls inside each band.

Engagement band
A bite-sized first piece → pilot build → embedded support. Start small, scale on proof — most builds land in the pilot band.

Considering this for your org?

The honest place to start is a bite-sized first piece — one contained change, low risk. Tell us where it hurts; we’ll play it back, scope it, and show you what’s possible.

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