Autonomous AI agents that prevent prior-authorization denials at the point of care and fight for maximum reimbursement — embedded directly in your EHR.
Instantly see prior-auth, step-therapy, and documentation requirements for any drug and payer.
Try free →Draft an evidence-backed medical-necessity appeal letter in under 60 seconds.
Generate letter →Translate any CARC/RARC denial code into plain English, appealability, and your next action.
Decode a code →See exactly how much denied revenue your clinic can recover and how many staff hours you save.
Calculate ROI →| Capability | UnitedHealthcare / Optum | PriorZap |
|---|---|---|
| Whose side it is on | The payer | The provider & patient |
| Point-of-care denial prevention | — | CDS Hooks inside Epic / Oracle Health |
| Autonomous AI appeal drafting | — | Evidence-backed, one click |
| Learns which arguments win | — | Payer memory vault, compounds over time |
| Maximize provider reimbursement | Minimizes payout | Recovers every defensible dollar |
| Free tools, no login required | — | Checker · Appeals · Decoder · ROI |
Deploy an AI agent that watches your remits, drafts appeals, and escalates automatically — no staff needed.
The free tools above prove the approach. VerbaFlow designs and ships full-production healthcare tech on your timeline — deployed in your environment, integrated with your EHR.
A per-clinic AI that monitors remits, drafts appeals, and escalates automatically. No extra staff required.
CDS Hooks, FHIR R4, HL7 v2 — embed denial prevention and decision support inside Epic, Oracle Health, or athenahealth.
Claims submission, remittance parsing, prior auth workflows — end-to-end RCM tooling built to your process.
Coverage lookup, financial assistance screeners, PA status trackers — built for your patient population.
Automated policy monitoring, win-rate tracking, and appeal strategy optimization across your payer mix.
Need something specific? We scope it, price it, and build it. Tell us what your practice needs.
Tell us about your practice and we will identify which denials are costing you the most and what would take the least time to fix.