PA Intelligence — Prior Auth for Providers

PA Intelligence for Providers is a managed SaaS prior-authorization copilot for the healthcare industry — built for physician practices, specialty clinics, medical groups, and health systems — powered by Quadrant Technologies on Microsoft Azure.

Prior authorization is the single largest administrative burden in a provider practice. For every request, staff must determine whether a procedure needs authorization, hunt through the chart for supporting documentation, hand-fill each payer’s bespoke form, and then fight avoidable denials caused by a single missing note — 30 to 45 minutes of clerical work per PA, paid for in staff burnout, delayed care, and revenue lost to abandoned or denied authorizations.

PA Intelligence for Providers runs the entire provider-side prior-authorization workflow end to end. It checks coverage and returns a documentation checklist, mines the patient chart for the evidence each criterion needs and cites it, flags genuine gaps for a quick operator attestation, drafts the payer’s form as a complete FHIR submission, submits it, streams the live determination, and — on denial — drafts a clinically cited appeal letter ready for clinician signature. A 30-minute manual task becomes a two-minute guided review.

Value proposition

• ~90% less time per PA — from 30–45 minutes of manual work to roughly two minutes of guided review.
• Higher first-pass approval — the right evidence is cited before submission, reducing denials on technicalities.
• Recovered revenue — fewer abandoned authorizations and faster, consistent appeals on denial.
• Faster patient access to care and reclaimed staff capacity, without added headcount.
• Full traceability — a complete audit trail with authorization outcomes written back to the EHR.

Target industry

Healthcare provider organizations — ambulatory and specialty clinics, physician practices, medical groups, and integrated health systems that submit prior-authorization requests to commercial and government payers.

Who it’s for

• PA coordinators & operators running daily authorization volume.
• Signing clinicians who review and approve submissions and appeals.
• Revenue-cycle leaders targeting first-pass approval and recovered revenue.
• Clinical-operations and health-system leaders standardizing prior authorization across clinics.

What you can use it for

Coverage discovery

Determine whether a procedure requires prior authorization for a given member and plan, and get back a documentation checklist with step-therapy and peer-to-peer flags.

Chart evidence assembly

Search the patient’s conditions, procedures, medications, and claims for each checklist item, with citations back to the source chart entry.

Gap detection & attestation

Flag genuinely missing evidence and let an operator attest or upload a supporting document before submission.

Drafting & submission

Populate the payer’s questionnaire as a complete FHIR PAS bundle, submit it, and track the determination as it streams back live.

Appeal drafting

On denial, classify the reason and draft an evidence-cited appeal letter from the original chart citations, ready for signature.

Why it’s different

• Evidence-cited, not a form macro — every criterion is backed by a citation to the actual chart entry.
• FHIR-native — builds a complete FHIR PAS bundle and writes the outcome back to the EHR.
• Whole lifecycle, including appeals — coverage check through submission, tracking, and denial defense in one workflow.
• Azure-governed — identity through Microsoft Entra ID, secrets in Azure Key Vault, a Microsoft Fabric data estate, telemetry in Azure Monitor, and no PHI retained for model training.

Built on Microsoft Azure

PA Intelligence for Providers is delivered entirely on Microsoft Azure and governed through the same identity and security model your organization already operates. It uses Microsoft Fabric for the data estate, Microsoft Entra ID for single sign-on and role-based access control, Azure Key Vault for secrets and credentials, and Azure Monitor for telemetry and compliance reporting — a natural extension of infrastructure health systems already own alongside Microsoft 365.