One platform. Prior auth, denials, appeals, and ERA recovery. Pick the size that fits.
Every paid tier is unlimited on scribe, prior auths, and appeals — no overage, no per-PA charges, no surprise bills. Eligibility checks pass through to our clearinghouse at $0.30 each (Enterprise: included). 7-day free trial on every tier.
Independent
7-day free trial · cancel any time
1 seat · unlimited PAs, appeals, and scribe
- ✓Unlimited PAs, appeals, and scribe — no per-request charges
- ✓Eligibility checks $0.30 each (clearinghouse pass-through)
- ✓Patient records + per-patient open-work dashboard
- ✓All 90 specialty verticals (~1,691 treatments)
- ✓Insurer-specific citations + medical-necessity arguments per letter
- ✓Statutory appeal ladder + deadline reminders
- ✓Biologic/specialty renewal tracker
- ✓HIPAA audit log
- ✓Self-serve. Cancel any time.
Practice Starter
7-day free trial · cancel any time
Up to 5 seats · unlimited PAs, appeals, and scribe
- ✓Unlimited PAs, appeals, and scribe — no per-request charges
- ✓Up to 5 role-based seats (owner/admin/prescriber/coordinator/viewer)
- ✓Eligibility checks $0.30 each (clearinghouse pass-through)
- ✓Shared patient records + appeals case queue
- ✓Patient self-intake link
- ✓Scheduling with .ics export
- ✓AI in-basket for patient messages
- ✓White-label letterhead + prescriber signature
Practice Growth
7-day free trial · cancel any time
Up to 15 seats · unlimited PAs, appeals, and scribe
- ✓Unlimited PAs, appeals, and scribe — no per-request charges
- ✓Up to 15 role-based seats
- ✓Eligibility checks $0.30 each (clearinghouse pass-through)
- ✓Everything in Starter
- ✓X12 835 (ERA) remittance reconciliation
- ✓Per-batch denial viewer with one-click draft-appeal
- ✓ERA-driven appeal outcome auto-detection
- ✓Peer-to-peer call-prep briefs
Practice Chart
7-day free trial · cancel any time
5 seats · unlimited PAs, appeals, scribe + charting
- ✓Unlimited PAs, appeals, and scribe — no per-request charges
- ✓Unlimited charting — encounter staging + SMART-on-FHIR writeback to your existing EHR
- ✓Document Factory (13 types: FMLA, state disability, SSDI, LTD/STD, school/504, RTW, DMV/CDL, travel, jury, pre-op)
- ✓Referrals + after-visit summaries
- ✓Everything in Starter
- ✓Custom BAA + onboarding
Enterprise
Health systems, hospital networks, large specialty groups
- ✓Custom volume + pricing tailored to your network
- ✓Full platform — PAs, appeals, 835/ERA recovery, charting
- ✓SMART-on-FHIR integration support (Epic, Oracle/Cerner, Athena, eCW, MEDITECH, DrChrono)
- ✓Dedicated account manager
- ✓SLA-backed support
- ✓White-label patient-facing surface
- ✓Custom BAA + onboarding
Where the hours actually go
Clinicians and staff spend 13 hours per week on prior authorizations and complete ~39 PAs per physician per week. Only 10% of denials are ever appealed, despite an 83% overturn rate. AMA 2024.
| Task | Manual | With ApprovalHelp | Source |
|---|---|---|---|
Appeal letter Medical-necessity argument with regs + guideline citations + chart facts | 1 hour per letter | 5 minutes per letter | AMA 2024 — 83% overturn rate, only 10% of denials appealed |
Prior authorization Cross-referencing payer policy, gathering chart docs, submitting on the portal | 20 minutes per PA (primary care) | 5 minutes per PA | Lyles et al., JABFM 2013 — direct-observation study, 9 NY primary-care practices |
Encounter note Documentation per 8-hour clinic day; AI-scribe delta is peer-reviewed | 5.9 hours /day on EHR (family med) | 16 minutes /8-hr day saved (medical specialties) | Rotenstein et al., JAMA 2026 — multisite cohort n=8,581 across 5 health systems |
Eligibility + benefits Per-patient verification across plan, copay, deductible, in-network status | 1.2 hours /visit (full manual workflow) | 30 minutes /visit saved at full automation | CAQH Index 2024 — 70 minutes savings opportunity per visit at full automation across all 10 transactions |
After-hours "pajama time" EHR work after the clinic day ends — most-cited burnout driver | 1.4 hours /night on EHR | 27 minutes /8-hr day saved (heavy AI-scribe users) | Arndt et al., Annals of Family Medicine 2017 — Epic event-log analysis, n=142 |
Manual-time figures are sourced to peer-reviewed studies and industry surveys (linked above). ApprovalHelp times are in-product measurements from clinician demos — not yet peer-reviewed. Your mileage will vary by specialty, payer mix, and chart density.
FAQ
What’s included in “unlimited”?
Prior authorisations, appeal letters, and ambient AI scribe are unlimited on every paid tier — no per-request charges, no monthly caps, no surprise bills. Eligibility checks pass through to our clearinghouse at $0.30 each (Stedi rate, no markup). Enterprise tier absorbs eligibility cost too.
What counts as a PA or an Appeal?
A PA is one generated prior-authorisation narrative — patient-specific medical-necessity rationale, prescriber-signed and ready to submit. An Appeal is one generated appeal letter responding to a denial, at any level of the statutory ladder. Both are tied to the patient record.
How does the free trial work?
7 days from signup, full access to every feature in your selected tier. We don’t bill until day 8. Cancel any time during the trial and you’re never charged. Stripe holds the card on file from day 1 so the transition is seamless if you stay.
When does Enterprise make sense?
When any of these is true: more than 15 prescribers, a hospital system with central procurement, day-one SMART-on-FHIR integration, contractual uptime/SLA needs, or a white-label patient-facing surface. Pricing is a custom contract scoped to your network.
Can I switch tiers mid-contract?
Yes. Upgrade prorates immediately; downgrade takes effect at the next billing cycle. Switch by visiting your account billing page. Switching from any self-serve tier to Enterprise: contact us at /enterprise, we’ll prorate manually.
What’s in the appeals case queue?
Every PA and appeal lands in a per-practice case queue with live counts, search, and status/vertical/assignee filters. Coordinators can assign, add notes, run bulk actions, and see each case’s filing deadline at a glance — so nothing slips and no one re-keys the same patient twice.