⚡ AI-Powered Clinical Tool

Prior Authorization
Letter Generator

Paste a clinic note. Get insurer-ready justification, a full prior auth letter, and a denial appeal for biologics and specialty medications in under 60 seconds.

Portal text for online submissions Full letter with diagnosis and history Appeal letter if denied Missing doc alerts before submission
⚠ Do Not Include Patient Identifiers
This tool is not HIPAA-compliant for identifiable patient data. Before pasting a clinic note, remove all protected health information (PHI). Your note text is sent directly to OpenAI under your API key and is subject to their data policies.
✕ Patient name ✕ Date of birth ✕ MRN / chart number ✕ Address ✕ Phone / email ✕ Insurance ID ✕ Dates of service ✕ Physician name
What to paste: De-identified assessment and plan only. Example: "Seropositive RA with persistent moderate disease activity despite methotrexate 20mg weekly x 6 months and hydroxychloroquine. DAS28 4.8. Requesting adalimumab."
Generate Prior Authorization
Fill in the required fields and paste the clinic note. All processing happens through your API key. No data is stored.
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For physician and clinical staff use only. This tool generates draft language to support your clinical judgment. Always review and edit generated text before submission. Do not paste identifiable patient information. Your note is transmitted directly to OpenAI under your API key only.
🩺 Extracted Clinical Information
Portal Text
Full PA Letter
Appeal Letter
Portal Submission Text
Full Prior Authorization Letter
Denial Appeal Letter
Appeal a Prior Authorization Denial
Paste the denial reason and original clinic note. The tool generates a targeted first-level appeal, a peer-to-peer review request, and an external independent review (IRO) request letter.
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For physician and clinical staff use only. Generated letters are drafts to support your clinical judgment. Review all content before submission. Do not paste identifiable patient information. Data is transmitted directly to OpenAI under your API key only.
1 First-Level Appeal Letter
Send this first. Required before escalation.
2 Peer-to-Peer Review Request
Request physician review in same specialty. Dramatically increases overturn rate.
3 External Independent Review (IRO) Request
Use if internal appeals are exhausted. Required by law in most states.