Prior authorization intelligence

Know it will be approved before you submit.

FirstPass checks your clinical documentation against the exact payer criteria — every requirement scored, every gap flagged with ready-to-use fix language — before the request leaves your practice.

Built by a board-certified vascular surgeon · 18 yrs in practice
Scan · Readiness report Procedure  Endovenous ablation, GSV
Policy      Commercial · Chronic venous insufficiency
Pass
Duplex-documented reflux > 500 ms
Reflux 2.8 s at SFJ recorded in study dated 02 Mar.
Pass
Symptomatic disease, CEAP C3+
C4a documented; edema and skin changes noted.
Partial
Conservative therapy trial — 12 weeks
Compression documented for 6 weeks; policy requires 12.
Suggested fix languageDocument compression-therapy trial 14 Jan – 07 Apr (12 wks), grade II stockings, with persistent symptoms despite compliance.
Pass
Symptoms interfering with daily activities
Aching and heaviness limiting prolonged standing at work.
Pass
GSV diameter threshold met
6.1 mm at mid-thigh on duplex.
1 gap found · fix language readyChecked in 9 s
The problem

Prior auth is a second job
your practice never applied for.

40/wk
Prior authorizations the average physician completes every week.
13 hrs
Physician and staff time consumed by prior auth, each week.
95%
Of physicians say prior authorization delays access to necessary care.
32%
Report their requests are often or always denied.
Source: AMA Prior Authorization Physician Survey, 2025
Product

Two tools. One outcome:
first-pass approval.

Most denials aren't about medical necessity — they're about documentation that doesn't speak the payer's language. FirstPass closes that gap at the point of care.

Before you write

Intake

A guided, MA-driven intake that collects the clinical history, runs a payer-specific documentation check, and generates an optimized clinical note formatted to the carrier's own criteria — ready to paste into your chart.

  • 4-step wizard for MAs — no clinical guesswork
  • MA Intake and Full Note modes
  • Payer-specific validation before generation
  • One-click copy into any EHR
Before you submit

Scan

Paste an existing note, select payer and procedure, and get a scored readiness report: every criterion checked Pass / Partial / Fail, gaps flagged, and fix language written for you.

  • Criterion-by-criterion scoring
  • Ready-to-use fix language for every gap
  • Overall readiness score before submission
  • Session history for every check
Coming soon

Patient Cost Comparison

A clear, side-by-side estimate of insurance out-of-pocket versus self-pay — so patients can make an informed decision in the exam room instead of waiting on a callback.

  • Insurance vs. self-pay, side by side
  • Built for the exam-room conversation
  • Joins the suite in Phase 2
How it works

From chart to clean submission
in under a minute.

Select payer & procedure

Choose the carrier and the procedure. FirstPass loads that payer's current criteria set — versioned, so you always check against what's in force today.

Check every criterion

Your documentation is scored against each requirement: Pass, Partial, or Fail. Nothing is summarized away — you see exactly what the reviewer will look for.

Fix gaps, then submit

Every gap comes with suggested fix language drawn from your own clinical facts. Update the note, re-check, and submit with a readiness score you can stand behind.

Security & compliance

Built HIPAA-first,
not HIPAA-eventually.

FirstPass is engineered so protected health information stays where it belongs — encrypted, isolated per practice, and fully audited.

AI under a healthcare BAA

All AI runs through Amazon Bedrock inside our AWS environment under a healthcare Business Associate Agreement. Clinical data is never sent to a public AI endpoint, never leaves US regions, and is never used to train models.

Encrypted, end to end

Encryption in transit and at rest with managed keys, across the application, database, and backups.

Practice-level isolation

Every practice's data is isolated at the database layer with row-level security, plus role-based access for all four staff roles.

Complete audit trail

Every access to patient information and every AI check is logged in an append-only audit trail — who, what, when.

No PHI in the plumbing

Patient information never appears in logs, error monitoring, web addresses, or browser history — by architecture, not by policy.

Made for shared devices

Automatic 15-minute session logoff, two-factor authentication, and tablet-first design for exam-room workstations.

HIPAA Security Rule technical safeguards mapped and documented · independent penetration testing prior to launch
Specialties

Deep in vascular today.
Expanding where prior auth hurts most.

FirstPass launches with payer criteria built and clinically validated for vascular and vein procedures, with high-denial specialties next on the roadmap.

Vascular & vein — available Pain management Orthopedics Bariatrics
"I built this because I was tired of watching medically necessary care get denied over a missing sentence."
The FounderBoard-certified vascular surgeon
Clinical18 years of practice — the criteria engine reflects how reviewers actually read notes, not how vendors imagine they do.
ProvenWorking product in daily use today; the platform brings it to your practice as a secure, hosted service.
Specialty-ledCriteria sets are authored and validated per payer, per procedure — by people who perform the procedures.
Pricing

Simple monthly plans,
per practice.

Pick the tool you need, or run the full workflow. Pilot pricing is available for founding practices — every plan starts with a guided onboarding.

Intake

For practices that want clean, payer-ready notes from the first keystroke.

Monthly · per practice · request pilot pricing
  • Intake module
  • MA Intake + Full Note modes
  • Payer-specific note generation
  • Session history & audit trail
Request pricing
Full workflow

Full Suite

Intake and Scan together — write it right, then verify before it goes out the door.

Monthly · per practice · request pilot pricing
  • Everything in Intake and Scan
  • Unlimited users across all four roles
  • Practice admin dashboard & usage metrics
  • Priority criteria updates
  • First access to Patient Cost Comparison
Request pricing

Scan

For practices that want a final payer-criteria check on existing documentation.

Monthly · per practice · request pilot pricing
  • Scan module
  • Pass / Partial / Fail criteria scoring
  • Fix language for every gap
  • Session history & audit trail
Request pricing
Questions

Frequently asked.

Does it integrate with my EHR?
It works alongside any EHR today: generated notes and fix language copy cleanly into your chart with one click. Direct EHR integration is on the product roadmap, and the platform is built to support it.
Is it HIPAA compliant?
The platform is built on a HIPAA-compliant architecture: AI processing under a healthcare BAA via Amazon Bedrock, encryption at rest and in transit, per-practice data isolation, role-based access, automatic logoff, and a complete audit trail. Security documentation is available to practices under agreement.
Which payers and procedures are covered?
Launch coverage focuses on vascular and vein procedures across major commercial and Medicare policies, with criteria sets maintained as versioned data so updates reach you as payer policies change. Coverage expands by specialty — tell us your payer mix during the demo.
Who in the practice uses it?
All four roles have a place: MAs run guided intake, providers review and finalize notes, insurance specialists run Scan before submission, and practice admins manage users, usage, and billing from the dashboard.
How long does onboarding take?
A practice can be live the same week: create your practice, invite your team with the right roles, and start checking documentation. No installation, no IT project — it runs in the browser on desktop, laptop, and exam-room tablets.
Book a demo

See your own note scored,
live on the call.

Bring a de-identified note from a recent prior auth. We'll run it through Scan together and show you exactly where the gaps are — in thirty minutes.