Healthcare Automation
Built for independent practices with 1–50 providers

Your notes already have the evidence. We just submit it.

Prelude reads clinical documentation, extracts the medical justification payers require, and submits prior authorization requests automatically. Cut PA time from 45 min → under 4 min.

Try it free — see results in 60 seconds → No signup required · Paste a note · Done in under a minute
Join the waitlist — we're onboarding 10 practices this month
14 hrs
Weekly PA burden per physician
$9.8B
Annual cost of manual PA workflows
9%
Claims denied from PA errors
HIPAA Compliant
📋 FHIR Certified
✓ CMS 2026 Ready
Doctor using Prelude to submit clinical documentation for prior authorization

Prior auth is the tax on practicing medicine.

  • → Every treatment, imaging order, and specialty drug requires a permission slip from the insurer.
  • → Physicians spend 14+ hours a week on paperwork instead of patients.
  • → Fax machines. Phone holds. Denials. Resubmissions. Delays that cost patient outcomes.
  • → It's a system designed for another era — and independent practices bear the brunt of it.
  • 01
    Manual evidence gathering
    Staff dig through charts to find clinical justification payers need. The data exists, but finding it takes forever.
  • 02
    Fax-and-wait workflow
    Forms get faxed. Then you call. Then you wait. Average turnaround: days. Some take weeks.
  • 03
    Denials and resubmissions
    Incomplete evidence leads to denials. Each denial restarts the cycle, delaying patient care further.
  • 04
    Revenue impact
    Delayed auths mean delayed treatments, delayed billing, and patients who fall through the cracks.
The Result

Cut PA time from 45 min → under 4 min.

Before and after: PA time cut from 45 minutes to under 4 minutes with Prelude
How Prelude works

From clinical note to approved auth.

Three steps. No fax machines. No phone queues. No digging through charts.

AI engine: clinical documents flow through medical justification processing to authorized requests
01

Read the clinical record

Prelude ingests clinical notes, lab results, and imaging reports. It understands medical context, not just keywords.

Patient encounter → structured evidence
02

Match to payer requirements

Each payer has specific criteria for each procedure. Prelude maps clinical evidence to the exact requirements, building a complete justification package.

Evidence → payer-ready submission
03

Submit and track

Authorization requests go out electronically. Prelude monitors status, flags issues, and handles follow-ups without human intervention.

Submission → approval in seconds
Why Prelude

Built for the practices that need it most.

Enterprise PA tools cost six figures and take months to implement. Independent practices and small groups have been left behind. Until now.

◆

Provider-first, not payer-first

Most PA tools are built for insurers to process claims faster. Prelude is built for doctors to get approvals faster. Different incentive, different product.

■

Works with your existing notes

No new documentation workflow. No special templates. Prelude reads whatever your scribe, your EHR, or your AI documentation tool already produces.

●

Live in days, not months

No enterprise sales cycles. No IT department required. Connect your practice management system and start submitting authorizations the same week.

★

CMS 2026 ready

Built for the new CMS-0057-F interoperability rules and the WISeR program. Compliance is a feature, not a future roadmap item.

See It In Action
Orthopedics — Total Knee Arthroplasty

From a surgeon's note to a submission-ready package.

We ran the TKA test case through Prelude. Here's exactly what came out — and how it compares to the manual workflow.

Before — Manual PA
45 min
Staff pulls charts, searches for clinical justification, fills forms, faxes to insurer, then calls to confirm receipt.
Per authorization request
→
Prelude
replaces this
After — With Prelude
4 min
Paste clinical notes. Prelude reads, extracts evidence, and generates a complete submission package instantly.
91% faster — same case
What Prelude generated for this TKA case
📄
Cover Letter
Payer-formatted letter citing clinical justification, procedure details, and supporting criteria. Editable before submission.
🩺
Medical Necessity Statement
Structured narrative mapping the patient's condition to payer-specific medical necessity criteria for total knee replacement.
📊
Confidence Score
AI-assessed approval likelihood based on clinical evidence strength and payer policy match — so you know before you submit.
⚖️
Appeal-Ready Notes
Pre-built appeal arguments citing evidence and clinical guidelines — ready if the insurer denies on first submission.
Cost per authorization request
Manual PA workflow
$10.97
per request
~25 min staff time @ $26/hr burdened + EHR chart pull time + fax & phone overhead + rework on denials
With Prelude
$5.79
per request
~3 min staff review time + Prelude subscription (amortized) + near-zero rework  
47% savings
$5.18 saved per request. For a practice submitting 60 PAs a month, that's $3,730/year back — before you count the hours your staff gets back.
Try it yourself — paste any note → No signup required · See results in under 60 seconds
Simple Pricing

One plan. Everything included.

Try Prelude free for 14 days — no credit card required. If it doesn't save you time on day one, cancel in 30 seconds.

Launch Price
Prelude
$89/mo
Independent practices & small groups
  • Unlimited PA submissions
  • AI-generated cover letters
  • Medical necessity statements
  • Appeal preparation notes
  • Multi-provider dashboard
  • Priority support
Start Your 14-Day Free Trial →

No credit card required. Try Prelude free for 14 days.

No setup fees. No EHR integration required. Cancel anytime.

HIPAA Compliant

Every treatment starts with a prior authorization. It shouldn't end there.

Prelude exists so doctors can focus on the patient in front of them, not the paperwork behind them. The era of faxed authorizations is ending.

Or try the PA tool now →