Prior authorization, assembled and defended.

Foresight gathers the evidence, drafts the medical-necessity case, submits it, and tracks it — reviewed and signed off by your clinician before it goes out.

Scored against the payer's own rules

We load the payer's policy for the code, then read the chart criterion by criterion. Each answer resolves to true, false, or maybe — and a maybe routes to a person, never a guess.

Grounded. Every answer cites the chart line and policy clause behind it.

Auditable. The full evidence chain is saved with the decision, end to end.

Sign-off. The finished packet lands with your clinician for review before it's submitted.

The packet builds itself

Prior failed trials and step-therapy history — the top denial reason across the industry — are pulled from the chart and written into a medical-necessity letter, ready to send.

Medical-necessity letterDraftForesight

Step therapy4 failed antidepressant trials
SeverityPHQ-9 baseline documented
DiagnosisF33.2 recurrent MDD

A drafted medical-necessity letter with the evidence spans it draws from.

It tracks the course, not just the claim

We submit through the electronic PA path where a payer has one and fall back to fax where they don't — then chase status and file the appeal if it's denied. For recurring treatments we track the authorized course against what's delivered and flag reauth before it lapses.

A TMS course runs ~36 sessions; Spravato forks across the medical and pharmacy benefit — both are tracked.

Scored against the payer's own rules

The packet builds itself

It tracks the course, not just the claim

Bring a week of claims. We'll show you the layer.

Bring a week of claims.
We'll show you the layer.