PayorIQ uses clinical intelligence to build medically-necessary, payer-specific prior authorization packages that get approved the first time. Purpose-built for Oncology and Orthopedics practices.
Prior authorization requirements vary dramatically by specialty and payer. PayorIQ is trained on the clinical criteria that matter for your practice.
Chemotherapy regimens, immunotherapy, radiation therapy, genomic testing, and supportive care authorizations.
Joint replacements, spinal procedures, advanced imaging, DME, and post-surgical rehabilitation authorizations.
From chart to approved authorization in minutes, not days.
Upload the patient chart — progress notes, labs, imaging, prior treatments. PayorIQ extracts structured clinical data automatically.
The engine identifies the relevant payer, plan, LCD/NCD policies, formulary requirements, and step-therapy protocols for the requested service.
A complete, submission-ready authorization package is assembled with clinical justification mapped point-by-point to payer requirements.
Submit electronically or via fax with full audit trail. Track status, respond to additional information requests, and manage appeals if needed.
Clinical justification is mapped to payer-specific criteria before submission, catching gaps that cause denials.
No more hours on hold with payer reps. Submissions go out complete and audit-ready the first time.
Your team focuses on patient care while PayorIQ handles the payer documentation burden.
Every submission is documented with clinical reasoning, payer criteria match, and regulatory compliance records.
See how PayorIQ can reduce your denial rate and give your staff hours back every week. Schedule a 20-minute demo with our team.
Schedule a Demoinfo@cloudanalytics.ai