We know
We configure Foresight around your treatments, documentation, and payer contracts.
Weight management
Indication-specific GLP-1 coverage, benefit exclusions, documented lifestyle trials, and continuation evidence for renewals.
Psychology & psychiatry
Rendering-provider restrictions, psychotherapy with E/M, telehealth modifiers, and testing or collaborative-care documentation.
Interventional psychiatry
Payer-specific medication-trial evidence, rating-scale requirements, TMS session limits, and Spravato medical-versus-pharmacy billing.
Addiction medicine
Medicaid/MCO changes, film-versus-tablet formulary restrictions, expiring pharmacy PAs, and provider enrollment by state.
Infectious diseases
PrEP versus HIV treatment, HCV requests, injectable and vaccine units, and Ryan White/ADAP requirements.
From intake to payment.
Verify coverage
Confirm the plan, benefit, provider, and authorization requirements for the service.
Check the evidence
Apply payer rules to the chart. Identify missing information and conflicting records.
Review and submit
Route clinical questions to your team. Every PA requires clinician sign-off; claims follow your review thresholds.
Resolve and renew
Track decisions, corrections, payments, and renewals. Keep an owner and next action on outstanding work.