What it is
Authorization backlogs are rarely caused by hard clinical questions. They're caused by everything around the question: incomplete submissions bouncing between provider and reviewer, documentation hunted across attachments, criteria checked by hand, timelines tracked in spreadsheets. Clinical reviewers spend most of their day being clerks — and statutory clocks tick while they do.
This accelerator is a full TAR lifecycle platform with that clerical layer automated. Submissions are validated for completeness at the door. Documentation is assembled and mapped against your medical-necessity criteria before a reviewer opens the case. The reviewer sees an organized case with the relevant evidence surfaced — and makes the determination. The decision is always human; the accelerator's job is to make sure that's the only part a human has to do.
What's inside
- Provider submission portal — guided TAR submission with completeness validation, attachment handling, and status visibility that eliminates status-call volume.
- Agentic intake and triage — automated completeness checks, documentation assembly, criteria pre-mapping, and routing by urgency and service type — with every machine action logged and reviewable.
- Clinical review workspace — criteria-aligned case presentation, structured determination capture, and peer-review escalation paths.
- Timelines and compliance — statutory and program clocks tracked per request, with alerts before deadlines rather than reports after them.
- Determinations, notices, and appeals — decision notices generated from the determination record, plus a full appeals workflow with its own clock.
- Program analytics — turnaround, approval, and modification rates by service, provider, and reviewer — the data utilization management is supposed to run on.
How we adapt it
Architects encode your criteria sets, service categories, and timeline rules, and calibrate the agentic triage against a sample of your historical cases before it touches a live one — measured, with your clinical leadership reviewing the results. This is our Agentic Operations discipline applied to a domain where the audit trail is non-negotiable.