Physicians lose 13+ hours per week to prior authorization. PA Sherpa uses AI to reclaim that time, built for independent specialty practices that can't afford enterprise solutions.
Sources: AMA Prior Authorization Physician Survey (2024), CAQH Index (2023), KFF Medicare Advantage Denial/Appeal Analysis (2024)
Prior authorization is the most hated process in healthcare. Insurance companies require pre-approval for procedures, and the burden falls entirely on medical practices.
Each payer has a different submission process. Staff toggle between phone holds, fax machines, and payer-specific web portals all day.
Patients call the office every 2 days asking "was my MRI approved?" Your front desk becomes a human status tracker for insurance processes.
When PAs are denied, practices lose procedure revenue, even though 80.7% of denials are overturned on appeal (KFF, 2024). Most small practices never appeal because they lack the time and expertise.
Everything your practice needs to submit, track, and win prior authorizations. Powered by AI trained on clinical guidelines and payer requirements.
Enter patient and procedure info once. Our AI analyzes clinical data, identifies missing documentation, and optimizes the submission for maximum approval likelihood.
Give patients a simple link to check their PA status anytime. No login required, no phone calls to your office.
80.7% of PA denials are overturned on appeal, but most small practices never appeal. Our AI generates clinical appeal letters and peer-to-peer prep briefs in seconds.
PA Sherpa replaces your Excel spreadsheet, your fax machine, and your "on hold with Aetna" playlist.
Patient info, diagnosis, and procedure. That's it. Our guided form handles the rest.
PA Sherpa analyzes payer requirements and clinical data to maximize approval probability.
One click to submit. Real-time status updates for your team and patients.
Denied? AI generates your appeal letter with clinical citations in under 30 seconds.
The CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) already mandates faster PA decision times as of January 2026, and requires payers to support standardized FHIR APIs for electronic PA submission by January 2027.
We're building on FHIR R4 and Da Vinci PAS standards now, so your practice is ready the moment payers are required to connect.
3-10 provider practices in high-PA-volume specialties. Too small for enterprise solutions, too busy for broken workflows.
Enterprise PA tools cost $50K+ and take 6 months to implement. PA Sherpa is live in a day for a fraction of the cost.
Our AI understands the clinical guidelines, CPT codes, and payer requirements specific to your specialty.
Cloud-based, works in any browser. No hardware, no EHR integration required to start. Just log in and submit your first PA.
PA Sherpa launches summer 2026. Get early access and help shape the product for practices like yours.
Free for beta practices. No credit card required.