Prior Authorization Agent
Submissions that build themselves.
Prior authorization quietly steals the hours that belong to patient care. Lumina’s PA agent reads your clinical notes, maps them to the payer’s coverage criteria, and assembles the submission for you — so you can reclaim those hours and get back to the medicine you trained for.
How the agent builds the submission
Reads the longitudinal record
The agent ingests your clinical notes and the family-contributed history, building one continuous picture of symptom onset, prior treatments, and response.
Maps to the payer’s coverage criteria
It aligns the case against the specific payer’s medical-necessity criteria for the requested therapy — identifying what each criterion needs and where the record already satisfies it.
Assembles the evidence-cited case
Every clinical claim carries a citation to a resolvable, peer-respected primary source. No fabricated references — the case is built to withstand scrutiny.
Hands you a review-ready package
You review and approve. If the payer denies, the same evidence base generates a citation-grounded appeal letter — denial is not the end of the road.
What you get
The full longitudinal history
Family-contributed tracking and your clinical record, reconciled into one honest timeline.
The strongest evidence-cited case
Every claim grounded in a resolvable, peer-respected source — never a hallucinated citation.
The paperwork, handled
No forms, no fax. The submission is assembled for your review; appeals reuse the same evidence.