RheumAuth
Rheumatology medication-access platform
Coverage intelligence first. Generation second.

Help rheumatology clinics get the right drug approved faster.

RheumAuth is a rheumatology medication-access operating system built to guide prior auths, denials, renewals, and peer-to-peer prep with a simple, clinic-friendly workflow.
MVP focus
Auths + Appeals
Also renewal support and peer-to-peer prep
Primary user
Clinic Staff
Built for older physicians and older staff too
North star
Fast Path
Get the fastest realistic path to approval

What makes RheumAuth different

It does not just draft letters. It guides the next best medication-access action.

Coverage intelligence

Surface payer requirements, benefit pathway, common denial traps, and specialty-pharmacy rules.

Chart abstraction

Extract prior failures, disease activity, screening, and contraindications from the note.

Submission composer

Generate initial PA text, appeals, renewals, and peer-to-peer prep from structured facts.

Denial triage engine

Classify the denial, explain what likely went wrong, and recommend the next move.
MVP foundation

The first version focuses on the most painful workflows

Start narrow, solve the clinical and operational pain well, and earn trust before expanding into a full medication-access operating system.
New Prior Auth
Input patient, insurer, drug, and indication to get a payer-aware submission path.
Denial Analysis
Map denial language to the real issue and generate the next best action.
Peer-to-Peer Prep
Give physicians concise talking points grounded in the chart and likely payer objection.
Renewals
Support continuation requests with benefit language and interruption-risk framing.
Interface philosophy

Simple enough for a busy clinic to actually use

Large text, plain labels, clear status colors, and obvious next steps. The design is intentionally calm so older physicians and staff can move quickly without fighting the software.
1. Choose the case context
Select the payer, plan, drug, diagnosis, and route.
2. Review what was found
See green, yellow, and red signals for what is present, weak, or missing.
3. Generate the next move
Create the PA, appeal, renewal summary, or peer-to-peer sheet.
Pricing

Simple clinic-friendly pricing

Start with small to medium rheumatology practices, prove ROI with time savings and better approval flow, then expand.
Starter
For smaller rheumatology practices beginning with medication-access workflows.
Custom
• Core auth + denial workflows
• Small team access
• Demo support
Growth
For busy clinics handling repeated biologics and renewals each week.
Custom
• More users
• Renewal + peer-to-peer workflows
• Criteria library
Enterprise
For larger groups that want rollout support and deeper operational visibility.
Custom
• High-volume usage
• Priority support
• Future analytics layer
RheumAuth
Medication-access operating system
Human review before submission

Clinic overview

Start with the simplest path: new auths, denials, renewals, and criteria review.
Pending cases
14
4 need review today
Renewals due
6
2 due in 48 hours
Denials needing action
3
1 likely step-therapy
Today’s focus
Get the fastest realistic path to approval
Use payer criteria, chart evidence, and denial language together before generating anything.
New Prior Auth
Build a payer-aware auth packet.
Analyze Denial
Classify and prepare appeal.
Renewal Summary
Support continuation requests.
Criteria Library
Review payer playbook.
Current workflow queue
A future sticky layer: what is pending, who touched it, and what needs action next.
RheumAuth • Built for clearer rheumatology medication-access workflows