PA LogiQ checks complex specialty requests against exact payer criteria, assigns the right codes and required fields, and flags what's missing — before submission. Cleaner the first time. No new headcount.
We don't do patient access, billing, or collections. PA LogiQ is mid-cycle — coding, documentation, and prior authorization. The complex part everyone else routes around.
Get documentation and coding right before submission, and the downstream effects compound.
Every billable code captured, in the right order, with the right modifiers. The work was done — make sure it gets paid for. No more biologics or pelvic fixation quietly dropped off the claim.
Each request is checked against the exact payer policy before it leaves the building. Missing documentation is flagged while it can still be fixed — not after a denial, a resubmission, or a peer-to-peer.
Fewer coding errors mean fewer surprise bills and confusing statements. Faster approvals mean faster surgery. Cleaner mid-cycle work quietly improves the parts of the experience patients actually feel.
PA LogiQ keeps the home page focused on the operating layer. The specialty pages show the concrete workflow details.
Oncology infusion authorization readiness across benefit routing, HCPCS units, NDC package requirements, product preference, clinical gates, and active authorization windows.
Guided CPT generation, clinical-document prefill, payer criteria checks, and packet readiness for high-friction surgical authorization work.
Clinic defaults, document extraction, deterministic rules, and clear action lists before the payer sees the submission.
Drop in the clinical plan or connect directly to the EHR. PA LogiQ pulls the documentation, structured and unstructured, and reads it into a clean authorization request.
A rule-based engine — not a chatbot guessing — assigns CPT codes, modifiers, and ICD mappings. Same input, same output, every time. Auditable end to end.
The request is validated against the specific payer's criteria — clinical evidence, documentation requirements, product rules, and site constraints — and anything missing is flagged before submission.
Export a payer-formatted packet your team submits, or submit directly through the connected pathway. Either way the output carries no vendor markings — it looks like your work, only complete.
Coders are quietly pasting protected health information into consumer AI tools every day. PA LogiQ is the answer to that problem, not another instance of it.
PHI stays inside a controlled environment with a business associate agreement in place. Nothing is routed through a public model.
Code logic is built on a licensed CPT data agreement — not scraped, not guessed. The catalog is under contract.
The decision path is rule-based, not generative. Every code traces to the document and policy that produced it. You can show your work.
The underlying decision-intelligence framework is the subject of a filed nonprovisional patent. Hard to build, easy to rely on.
Code LogiQ is the open, no-cost front end to the same engine — type a procedure, get the codes. A small taste of what PA LogiQ does across the full prior-auth workflow.
We're working with a small number of design partners in high-friction specialty care. If higher first-pass approval and cleaner mid-cycle work matter to your bottom line, let's talk.
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