Coming Soon
What's Included
Each tier expands the workflow from intelligence, to authorization, to appeals.
Platform Foundation
- The Approval Engine™
- 9 specialties
- 79 conditions
- 451 J-Codes
- Real-time biologic intelligence
- HIPAA-conscious workflow design
Workflow Expansion
- Tier 1: formulary, step therapy, and routing intelligence
- Tier 2: PA generation, submission, tracking, and patient activation
- Tier 3: denial management, appeals, peer-to-peer, and outcome tracking
- Optional Buy & Bill / IOD module available on any tier
Frequently Asked Questions
Can I add Buy & Bill / IOD to any tier?
Yes. The Buy & Bill / IOD Module is available on Intelligence, Authorization, or Appeals for an additional $49 per month.
Does Tier 2 include Tier 1?
Yes. Authorization includes all Intelligence capabilities plus PA generation, routing, tracking, hub enrollment, copay matching, and patient notification.
Does Tier 3 include Tiers 1 and 2?
Yes. Appeals is the full platform and includes all Intelligence and Authorization capabilities.
Which tier includes appeal letters?
Tier 3 — Appeals includes AI-generated appeal letters, medical necessity templates, peer-to-peer workflow, IRO initiation, and appeal outcome tracking.
Ready to get started?
Contact our team to choose the right BioProRx™ subscription tier and activate The Approval Engine™.