Insurers have algorithms. Now you do too.
InfiMed AI reads the chart, fills the payer form, submits it, watches for a decision, and writes the evidence-backed appeal when the answer comes back wrong. Your staff reviews and signs off — that's the job now.
No card required · Guided pilot · BAA signed before any PHI moves
- Median time to a submitted request
- 30sMedian time to a submitted request
- Staff hours returned each week
- 15+Staff hours returned each week
- Less hands-on time per authorization
- 95%Less hands-on time per authorization
Illustration: an authorization request for Semaglutide 1 mg reaching “Ready to submit” in 00:27.
Connects to the systems and standards your practice already runs on
- HIPAA aligned
- SOC 2 Type II program
- BAA on every plan
- US data residency
Prior authorization is quietly bankrupting the front desk.
It is the most expensive clerical process in American medicine, and it is growing. Every hour spent chasing an approval is an hour nobody spends on a patient.
The paperwork tax
Physicians and their staff lose the better part of two working days a week to authorization forms, payer portals, faxes and hold music — work that generates no clinical value and no revenue.
13 hrs
per physician, every week
Denials at machine speed
Utilization management is increasingly automated on the payer side. Requests are screened and rejected in seconds, while the rebuttal is still assembled by a human being with a highlighter.
1 in 3
requests denied on first pass
Patients wait, then give up
A delay of a few days sounds administrative until it is your therapy that stalls. Care gets postponed, conditions progress, and a meaningful share of patients abandon treatment entirely.
78%
of physicians see patients abandon care
Burden figures reflect the American Medical Association's 2024 prior authorization physician survey.
Four steps. Half a minute.
InfiMed AI works the way your staff already does — it just does the slow parts instantly and never forgets to follow up.
01
Drop in the chart
Upload a referral packet, a clinical note or a scanned fax. InfiMed AI reads it the way a nurse would: diagnosis codes, prior therapies, lab values, dates and prescriber details, all extracted and structured.
~5 seconds
02
Let the agent fill the form
It selects the right payer form for the plan and drug or procedure, then completes every field against the current coverage policy — flagging the criteria you still need to satisfy rather than guessing.
~10 seconds
03
Review and send
Your team sees a clean, side-by-side summary with every value traced back to its source page. Approve it and InfiMed AI submits through the payer's portal, fax line or FHIR endpoint.
~15 seconds
04
Track, then fight back
Status is polled automatically. If a request is denied, InfiMed AI drafts a citation-backed appeal addressing the stated reason within minutes — so nothing sits in a pile waiting for someone to notice.
Continuous
Everything the approval actually requires.
One workspace for the whole lifecycle — intake to decision to appeal — with an audit trail your compliance team can defend.
- AI powered
Clinical document understanding
Scanned faxes, handwritten notes and 40-page referral packets get parsed into structured clinical facts, each one linked back to the page it came from.
Payer-aware form engine
A maintained library of plan-specific forms and coverage criteria, so the request that leaves your office already matches what that payer asks for.
- Signature feature
Evidence-backed appeals
When a denial arrives, InfiMed AI retrieves the governing clinical guidance, quotes it accurately, and answers the payer's stated reason point by point.
Live status tracking
Every open request in one queue, with automatic status checks, deadline countdowns and alerts before a timely-filing window closes.
Denial intelligence
See which payers deny what, which criteria trip you up most, and which appeal arguments actually overturn decisions across your book of business.
Built for PHI from day one
Encryption in transit and at rest, least-privilege access, full audit logging, US-only data residency and a signed BAA before your first upload.
Appeals that cite real guidelines — not generic language.
Most appeal templates restate the request louder. InfiMed AI builds an argument: it finds the governing clinical guidance, quotes the passage that applies to this patient, and rebuts the specific reason the payer gave.
- Retrieves current specialty-society guidance and labelling at the moment of drafting
- Quotes the recommendation verbatim, with the issuing body and publication year
- Answers the payer's stated denial reason directly, criterion by criterion
- Pulls the patient's documented history and failed prior therapies from the chart
- Formats as a signature-ready letter with prescriber, NPI and member identifiers
- Delivers a reviewable draft in under a minute, with every citation linked
Draft appeal
Denial reason: step therapy not documented
Sources retrieved
- Specialty society standard of care2025
- FDA-approved labellingcurrent
- Plan medical policyrev. 2025
The determination cites an absence of documented step therapy. The record establishes two prior agents trialled at therapeutic doses for 14 and 19 weeks respectively, both discontinued for documented intolerance — a sequence the plan's own policy accepts in lieu of the standard step requirement.
Every quoted passage links to its source before you sign.
The arithmetic is not subtle.
What a single physician's authorization volume costs a practice today, and what changes when the busywork is automated.
- Authorization requests per physician each year
- ~2,000Authorization requests per physician each yearRoughly 39 every week, before appeals.
- Staff hours given back weekly
- 15+Staff hours given back weeklyRedeployed to scheduling, intake and patient follow-up.
- Annual administrative cost avoided per provider
- $15KAnnual administrative cost avoided per providerBased on loaded staff time at typical practice rates.
- Reduction in hands-on minutes per request
- 95%Reduction in hands-on minutes per requestFrom a half-hour of portal work to a 30-second review.
Volume and burden figures from the American Medical Association's 2024 prior authorization physician survey; savings modelled on practice staffing costs.
It meets your stack where it already is.
InfiMed AI connects through the standards payers and EHRs actually use — and falls back to fax when a plan still insists on it.
Electronic health records
- Epic
- Oracle Health
- athenahealth
- eClinicalWorks
- NextGen
- Veradigm
Interoperability standards
- HL7 FHIR R4
- Da Vinci CRD / DTR / PAS
- X12 278
- NCPDP SCRIPT
- CDS Hooks
When a payer still wants paper
- Secure digital fax
Ready for the CMS interoperability and prior authorization API requirements as payers bring their endpoints online.
What changes in the first month.
Composite accounts from pilot practices, shared with permission and attributed by role.
We used to run a Thursday backlog session just for authorizations. That meeting no longer exists. The queue clears itself and my team only touches the ones that need judgment.
The appeal drafts are the part I did not expect. They read like something a clinician wrote, they cite the actual guideline, and I can see where every sentence came from before I sign it.
Nothing falls through any more. Deadlines are tracked, statuses update themselves, and I stopped finding two-week-old denials at the bottom of the fax tray.
Priced per provider. No per-request penalties.
You should not pay more for working harder. Every plan includes unlimited authorizations, unlimited appeals and a signed BAA.
Practice
For independent practices that want the paperwork to stop.
$249per provider / month
Start a pilot- Unlimited authorizations and appeals
- Document parsing and form auto-fill
- Status tracking with deadline alerts
- Secure digital fax submission
- Email support, next business day
Group
Most chosenFor multi-site groups standardising across locations.
$199per provider / month
Request a Demo- Everything in Practice
- EHR integration via FHIR or HL7
- Denial analytics across all sites
- Shared work queues and routing rules
- Named onboarding lead, priority support
Health system
For systems with their own security review and payer contracts.
Customannual agreement
Talk to us- Everything in Group
- SSO, SCIM and custom role model
- Private deployment options
- Payer-specific policy tuning
- Quarterly business review and SLA
Illustrative list pricing. Pilots run for 30 days with no commitment.
Questions we get asked first.
Still unsure whether this fits your setup? Send us the specifics and we will tell you plainly, including when the answer is no.
Ask us directlyPer provider, per month, with unlimited authorizations and appeals on every plan. There is no charge per request and no surcharge for appeals, because pricing that punishes volume punishes the practices that need help most. Pilots run 30 days with no commitment.
Most practices send their first live request the same week. Fax-based submission and document upload work immediately after your BAA is signed. A full EHR integration typically takes two to four weeks depending on your vendor and IT review.
PHI is encrypted in transit and at rest, stored in US regions only, and reachable only by the roles you grant. Every access is logged, we sign a business associate agreement before any patient data moves, and your data is never used to train shared models.
InfiMed AI integrates with the major ambulatory and enterprise EHRs over HL7 FHIR and the Da Vinci implementation guides, and supports X12 278 and NCPDP for payers that require them. If your system is not on the list, document upload and secure fax work on day one while we scope the connection.
You are, and the product is built to respect that. Nothing is submitted without a human approving it. Every extracted value and every quoted guideline links to its source so a clinician can verify the draft in seconds rather than trusting it blindly.
Yes. Pilots start with a subset of your providers and your real authorization volume, so you measure the difference on your own numbers rather than ours. No card is required to begin.
Give your staff their week back.
See InfiMed AI run against your own authorization volume. Thirty minutes, your forms, your payers, your numbers.
No card required · Guided pilot · HIPAA-aligned from day one