Drugs
Specialty therapies,approved on time.
Infusions, injectables, and high-cost medications carry the most demanding coverage rules in healthcare. We determine coverage, match the clinical criteria, and appeal the denials, end to end.
The right drug, for the right patient,with the evidence already attached.
What we handle
- 01
Coverage determination
Medical versus pharmacy benefit, site of care, and plan-specific rules resolved the moment the drug is ordered.
- 02
Criteria matching
Diagnosis, labs, prior therapies, and dosing pulled from the chart and mapped to the payer's policy.
- 03
Drug appeals
Denied therapies appealed with policy language, clinical evidence, and deadline tracking.
94%
Criteria matched above confidence threshold
-41%
Repeat denials after prevention feedback
100%
Appeals with cited policy language
Built on Just Healthcare intelligence
Intelligence you can audit.Security before everything.
Explore the intelligence- 01Artificial intelligenceFrontier models that read policy and the chart, and write out their reasoning.
- 02Security firstPHI stays local, inside encrypted infrastructure you control.
- 03Human in the loopConfidence thresholds decide what completes on its own and what a person reviews.
Other solutions
- ProvidersEvery clinic, focused on care.
- PharmaciesEvery prescription, cleared to dispense.
- PayersUtilization management that earns trust.
- Prior authorizationAuthorizations that finish themselves.
- Revenue cycle managementA revenue cycle that runs itself.
- Workflow efficiencyGive every team its time back.
- Services & ProceduresEvery procedure, cleared before it is scheduled.
Ready to take the wait out of specialty therapy?
Send us your highest-volume drugs. We will show you the approval rate and turnaround you can expect.