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.
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.
- Step therapy4 failed antidepressant trials
- SeverityPHQ-9 baseline documented
- Diagnosis
F33.2recurrent MDD
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.