The Problem

Prior authorization is the administrative bottleneck of American healthcare.

Authorization teams do not lose time in one clean system. They lose it stitching together clinical notes, payer portals, policy PDFs, LCDs, EOBs, and the tribal memory of what each insurer denied last time.

11/11
public corpus files mapped for internal testing.
12
workflow checkpoints mapped for end-to-end review.
3
core readiness checks verified for the pilot workflow.
0 PHI
production patient data required for trial review.

Policy truth is scattered

Staff manually search payer portals, PDF bulletins, CMS coverage files, and old denial letters just to know what evidence belongs in the packet.

First-pass packets miss payer-specific language

A clinically valid request can still fail because the conservative-therapy timeline, failed-medication history, or exact documentation phrase is missing.

Denial lessons do not compound

When a payer explains why a case failed, that intelligence usually stays in an inbox. CanyonRift turns it into reusable rules for the next run.

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