From signed BAA to first auto-approval in 30 days.
A pilot is the only honest way to evaluate a PA platform. Here is what it looks like, week by week, with concrete deliverables and success criteria. We charge per approved auth, so your CFO sees zero upfront capex.
Three phases. Concrete exit criteria at each one.
- BAA + DPA signed
- Production tenant provisioned in us-east-2
- SSO integration — Epic, Cerner, Microsoft Entra, or Okta — 2 days
- FHIR R4 endpoint registration (sandbox first, prod after parallel review)
First test PA submitted end-to-end in sandbox by day 10.
1 named clinical lead, 1 IT lead, 4 hours per week.
- 100 real (or shadow-mode) PA cases routed through Authora
- Parallel review by your existing UM team — both decisions captured side by side
- Decision-agreement report published twice weekly
- Zero production cutover until exit criteria are met
By day 30: ≥80% decision agreement on closed cases, ≤30-second median latency, zero PHI handling incidents.
Your UM team reviews Authora outputs in parallel. ~6 hours per week of senior reviewer time.
- Expand to 1,000 cases per week production volume
- Authora becomes the system of record; your UM team handles exceptions
- Weekly business review with appeal-overturn comparison vs. baseline
- Continuous criteria tuning against your medical-policy library
By day 90: ≥60% auto-approval on eligible categories, ≥85% reviewer-agreement on referred cases, 100% CMS-0057-F field coverage.
Continue at the agreed run-rate, or exit — we refund the unused portion of the per-auth fee.
Numbered, mono, defensible.
- 01≥ 60%auto-approval on the seven seeded high-volume categories
- 02≤ 30smedian end-to-end latency (CRD card to decision)
- 03≥ 85%reviewer agreement on referred cases (within 5pp of your UM baseline)
- 040PHI handling incidents
- 05100%CMS-0057-F public-reporting field coverage
- 06≥ 99.95%platform uptime over the 90-day window
A pilot is only honest if both sides commit.
- Named clinical lead with UM authority
- Named IT lead with FHIR endpoint access
- 100-case sample for week 1–2 (real or shadow)
- BAA-bound legal review
- Production tenant + dedicated implementation engineer
- 24×7 on-call during the 30-day pilot window
- Weekly written business review
- Decision audit + appeal-overturn comparison
- Exit guarantee — refund of any unused per-auth fee if you terminate within 90 days
Zero upfront capex. You pay when we approve.
No setup, no platform fee during pilot.
Only on auths that auto-approve. Pended and referred cases are free during pilot.