Introduction

AccelRx is an AI-native prior-authorization platform. Drop in a chart note; our agents extract the clinical profile, score payer coverage, draft the letter of medical necessity, submit the fax, and write the appeal if denied.

What is AccelRx?

A workspace for prior-auth teams that pairs HIPAA-grade infrastructure with clinical-grade AI. The whole pipeline — intake, drafting, submission, appeals — sits in one place, with every PHI access logged.

Quickstart

Sign in with your clinic email. Create a case from a chart note. Watch the agents extract diagnoses + prior therapies, draft the LMN, and score the payer policy. Approve the bundle and submit by fax in one click.

Your first case, step by step

1. Upload the visit note (PDF, .docx, or paste).
2. Confirm the extracted patient + diagnosis.
3. Review the AI-drafted LMN and coverage score.
4. Sign + fax to the payer.
5. Track the response — approval, denial, or info request.

Core concept: the Case

A Case is the unit of work — one drug, one patient, one prior-auth request. Every artifact (chart note, LMN, fax, appeal, denial letter) attaches to the Case and shows up on the timeline.

The workflow

Cases move through pending_notes → analyzing → reviewing → form_ready → submitted → approved / denied / info_request. Denials enter the appeal sub-flow.

Roles & permissions

Three roles — doctor, staff, admin. Doctors see and act on cases. Staff see master data + the Fax Inbox. Admins manage users and master data. Permissions on doctors are per-account toggles (write_cases, generate_pdfs, send_faxes, manage_policies).

Payer policies

Policy URIs are tenant-scoped; the AI uses them to score a case's coverage before you ever click submit.

Chart note intake

Drop a PDF, .docx, or paste raw text. The intake parser normalizes it into the clinical profile (diagnoses, prior therapies, BMI, comorbidities, allergies).

AI analysis

Cheap extraction models (Haiku) pull the profile. Clinical reasoning models (Sonnet) draft the LMN. The whole chain runs through aiCall so every call is audited and traceable.

CMM form fill

For payers with a CoverMyMeds question bank, the form-fill agent answers from the extracted profile and the learned policy evidence — zero re-keying.

Appeals workflow

When a denial fax lands, the apply pipeline parses the reason and drafts the appeal letter automatically — so the rebuttal is ready by the time the denial shows up on your dashboard.

Fax delivery

Outbound + inbound faxes go through RingCentral. Inbound faxes auto-classify into denial / approval / RFI / other and link back to the originating case.

HIPAA compliance

PHI never leaves your tenant-scoped workspace. Every read and write to a PHI table sets the Postgres RLS GUC; every mutation pairs with an audit-log row; the boot healthcheck refuses to start a misconfigured prod instance.

Audit trail

Append-only. Every event carries tenantId + actorUserId + occurredAt; PHI never lands in the payload. Discriminated-union schema rejects unknown event types at write time.