VerityHealth.ai builds intelligent automation that gives providers their time back—starting with the most broken process in medicine: prior authorization across every treatment type in oncology.
AI-powered prior authorization platform purpose-built for community oncology practices. Handles every PA type—drugs, imaging, procedures, radiation, devices, and supportive care—with clinical intelligence and linked workflows that eliminate redundant data entry.
Providers spend 13+ hours every week navigating prior authorizations—faxing forms, waiting on hold, chasing approvals across multiple payer portals and UM vendors. In oncology, 97% of treatments require PA, and a single cancer patient generates 6–15 PA events across drugs, imaging, procedures, radiation, devices, and supportive care over their treatment journey. When denials happen, 80% of physicians don't appeal—leaving $10,000–$50,000 per case on the table. Only 21% of medical benefit PAs are handled electronically today. Most tools only handle drug PAs. The rest still live in faxes and phone queues.
This isn't a workflow problem. It's a clinical intelligence problem. Existing tools automate the paperwork but can't understand the medicine. That's what we're building.
One platform for every prior authorization—drugs, imaging, procedures, radiation, devices, and supportive care—with AI clinical intelligence, team coordination, and ROI tracking built for community oncology practices.
Handles drugs, imaging, radiation, procedures, devices, and supportive care with category-specific clinical forms. Enter patient data once, reuse across related PAs with auto-fill.
Matches clinical data against payer-specific criteria and NCCN guidelines. Identifies documentation gaps before submission and predicts approval probability in real time.
Real-time eligibility checking across 3,400+ payers. Know coverage details, copays, and plan specifics before you start the PA.
Connected to the ClinicalTrials.gov national API. When a patient is denied, automatically search for relevant trials matched by diagnosis, treatment history, and eligibility criteria.
Track approval rates by payer and PA category to reach the 90%+ threshold for PA exemption. See which payer/category combinations qualify at a glance.
Full coordination workspace with activity logs, follow-up reminders, queue management, and a supervisor dashboard showing hours saved, FTE equivalents, and monthly cost savings.
The prior authorization market is flooded with tools that automate paperwork. They digitize fax machines, scrape payer portals, and track submission status. That's necessary work—but it doesn't solve the core problem.
The core problem is clinical. Does this patient meet the payer's criteria for this drug? What documentation is missing? If denied, what's the strongest clinical argument for appeal? These are questions that require understanding medicine, not just managing forms.
VerityHealth.ai is building the clinical intelligence layer that the PA ecosystem is missing. We start with oncology—the specialty with the highest PA burden, the most complex drug regimens, and the most at stake when authorizations are delayed. Our AI understands NCCN guidelines, payer-specific criteria, and the clinical nuances that determine approval or denial. And because oncology patients need PAs for everything—not just drugs, but imaging, procedures, radiation, devices, and supportive care—we built a platform that handles the full treatment journey in one system with linked workflows that eliminate redundant data entry.
Our data architecture is built for intelligence, not just transactions. Every AI interaction, every payer decision, every status change is captured in structured tables designed to reveal payer behavior patterns, prove AI effectiveness, and generate the clinical intelligence that makes the system smarter with every PA processed.
We're starting with community oncology practices—the 3–15 provider groups that enterprise competitors ignore. These practices treat the majority of cancer patients in America, and they deserve tools as sophisticated as what large health systems have access to. That includes not just AI clinical intelligence, but complete team coordination—activity logs, follow-up reminders, configurable queue management, and supervisor dashboards that prove ROI in hours saved and FTEs replaced.
What oncology practices want to know before getting started.
VerityAuth.ai is built for community oncology practices. We focus on medical oncology, radiation oncology, and hematology/oncology groups that handle high volumes of prior authorizations—not just drugs, but imaging, procedures, radiation, devices, and supportive care. Our platform handles all 6 PA types with category-specific clinical forms and linked workflows.
No. VerityAuth.ai works as a standalone web portal—no EHR integration required for version 1. Your staff can start using it the same day they sign up. EHR integration is on our roadmap for practices that want deeper workflow automation.
Our AI matches patient clinical data against payer-specific criteria and NCCN guidelines. It identifies missing documentation before submission, pre-populates forms, generates appeal letters with clinical citations when denials occur, and links related PAs so your staff enters patient data once. Beyond AI, the platform includes full team coordination—activity logs, follow-up reminders, internal status tracking, and supervisor dashboards with ROI reporting.
Less than the cost of a part-time PA coordinator—and we replace an entire FTE's worth of PA work. All features included, no setup fees. Our built-in ROI dashboard tracks hours saved and cost savings in real time so you can measure the impact. We offer a free pilot so you can see the numbers before committing. Contact us for pricing details.
Yes. All patient data is encrypted in transit and at rest. We provide a Business Associate Agreement (BAA) for every customer. Our infrastructure runs on HIPAA-eligible AWS services with enterprise-grade security controls.
Same day. VerityAuth.ai requires no installation, no integration, and no IT involvement. Sign up, create your practice profile, and your staff can begin submitting PAs immediately. We provide onboarding support for every new practice.
Schedule a 20-minute demo to see how VerityAuth.ai reduces prior authorization time by 90% for oncology practices. Or just reach out—we're happy to talk.