Now booking founding partner pilots

Prior auths that get approved on the first shot.

For California providers who submit auths. ClinicalFlow walks the payer's criteria waterfall, matches your chart notes, and drafts the letter with citations. HIPAA-compliant via AWS Bedrock + active BAA.

Free 30-day pilot. No card. No contract. Walk away day 30 with zero charge.

clinicalflow.ai/pa-engine
GENERATING
0.42s

One PA engine. Every California provider type.

Physician Offices Chiropractic Ambulatory Surgery Centers Hospitals Home Health Hospice Cardiology Orthopedics Pain Management PT / OT / SLP Physician Offices Chiropractic Ambulatory Surgery Centers Hospitals Home Health Hospice Cardiology Orthopedics Pain Management PT / OT / SLP

Built for California regulatory complexity

SB 1120 AB 3030 Knox-Keene §1367.241 Title 22 CMIA CMS-0057-F HIPAA via AWS BAA

Your auths don't get denied on clinical merit. They get denied on citations.

The AMA's 2025 prior authorization physician survey puts practices at 40 prior auths per physician a week and 13 hours of physician and staff time. CMS-0057-F holds payers to 7 days — but the clock only starts on a complete submission. Most kicked-back auths were clinically justified. The note just never matched the criteria.

0
Prior auths per physician / week
0 days
CMS-0057-F standard window
0 hrs
Physician + staff time / week
0s
ClinicalFlow hierarchy walk

The Callback Loop

Missing criteria citation → payer nurse calls your office → staff digs through the chart → resubmit → wait again. Days lost per auth, for every provider type from chiro to ASC.

The Wrong Waterfall

Medicare wants NCD/LCD first. UHC accepts only InterQual. Medi-Cal runs plan policy + APLs. Submit against the wrong set and the clock restarts.

The Documentation Gap

The care was justified. The note even proves it. But nobody quoted the evidence against the criteria — so the reviewer can't approve without more info. That gap is where clean revenue dies.

From referral to compliant letter — in under two minutes.

No new EHR. No migration. Runs alongside whatever you already use.

I

Paste the referral

Drop the referral packet or clinical narrative into ClinicalFlow. PHI stays under your AWS BAA.

II

AI generates output

Compliant PA letter, LUPA flag, or OASIS draft — with every California reg surfaced inline.

III

Clinician reviews

Physician signs per SB 1120. Anti-fabrication guardrails mean no invented ICDs or NPIs.

One PA engine for every practice. Plus specialty modules.

PA + Appeal Engine · All Provider Types

Compliant PA letters in <90 seconds

For physician offices, chiropractic, ASCs, hospitals, HH & hospice. Medicare, Medi-Cal, MA plans, commercial, workers' comp. CMS-0057-F-aware. SB 1120, AB 3030, Knox-Keene baked in. Anti-fabrication guardrails. Appeal letters included.

Guideline Hierarchy Engine: walks the payer's exact waterfall (NCD → LCD → plan policy → MCG → InterQual), matches each criterion to your chart notes, and cites the source.

  • Termination Record — names the tier your case was actually graded against, and why the tiers above it did not apply.
  • Payer Map — what this payer accepted on your last three approvals, and what they have pended you for.
$799/mo standalone
LUPA Guardian · Home Health

Stop leaving $1,500–$2,000 per LUPA on the table

Flags HH episodes at risk of falling below the LUPA threshold for their case-mix group. Under PDGM each of the 432 payment groups carries its own threshold — the 4-visit figure is a rule of thumb, not the number applied to your claim. Pre-episode risk scoring + mid-episode triggers + episode-closure check. Recalibrated for CY 2026 (CMS-1828-F).

$799/mo standalone
OASIS Co-Pilot · Home Health

Draft OASIS items from your narrative

Drafts OASIS items from your narrative. Flags item-vs-narrative inconsistencies. Pre-validates GG items against MA payer rules.

In development — not yet released. OASIS-E2 has been the required data set since April 1, 2026. This module's drafting logic is still built on the E1 item set, so it is a training and reference tool only and is not available for a live episode. It is not part of the pilot and is not being sold. The E2 conversion is a clinical review I am doing myself before it ships.

Not yet availablewaitlist

Every payer has a criteria waterfall. We walk it for you.

Most denials aren't clinical failures — they're citation failures. The note supported the request; nobody matched it to the guideline the payer actually uses. ClinicalFlow does that walk automatically, in seconds.

HIERARCHY WALK ~9s avg
01  NCD / LCD — checked, not applicable ✓
02  Plan policy — v2026.03 loaded ✓
03  MCG 30th ed — MATCH 4/4 criteria documented ✓
04  InterQual 2026 — not needed
05  PubMed literature — not needed
Rationale drafted · criteria cited · evidence quoted from chart 94/100

Payer-specific. Not generic.

Each plan runs a different waterfall — and using the wrong one gets your auth kicked back. We map them all:

MEDICARE / MA NCD → LCD → plan policy → MCG → InterQual → literature
MEDI-CAL Plan policy (APL-aware) → MCG → InterQual → literature
UHC Plan policy → InterQual only (UHC mandate). Five plan-family exemption lists effective Oct 1, 2026 — California is not on the Community Plan one. Exemption removes the submission, not the criteria.
COMMERCIAL Plan policy → MCG or InterQual (plan-dependent) → literature
WORKERS' COMP CA MTUS → ACOEM / ODG → Labor Code §4610 UR timelines

Built from 3 years inside utilization management — reviewing auths the way payer nurses actually review them.

The category. The math.

Same problem, three different approaches. Here's how the math actually plays out for a California practice.

National EHR module DIY / ChatGPT ClinicalFlow AI
California regs (SB 1120, AB 3030, AB 1810) Generic templates Not surfaced Line one of every prompt
HIPAA via BAA Yes No (standard tier) AWS Bedrock + active BAA
Implementation 60-90 days Day 1 (rough) Day 1 (production)
Pricing $400-1,200/clinician/mo $20/user/mo + nurse rewrite $1,997/mo bundle flat

Module retainer. No per-clinician fees.

Free 30-day pilot first. Convert on day 30, or walk away with zero charge.

Single Module

$799
/month — any 1 module
  • Choose PA, LUPA, or OASIS
  • Unlimited clinicians
  • Unlimited generations
  • HIPAA via AWS BAA
  • 17% off annual prepay
Start free pilot

Founding Partner

$1,597
/month — locked for life
  • Full bundle (all 3 modules)
  • 20% off standard, forever
  • First 3 CA conversions only
  • $4,800/yr saved permanently
  • Locked at signing
Claim a slot

For a 50-clinician California HH agency, the bundle saves ~$117K/year vs unaided PA labor, LUPA leakage, and OASIS rework. Net six figures back per year.

AG
Adam Gupilan
Founder, ClinicalFlow AI
CA LVN • Oct 2022
HH + Hospice
UM • Payer Side
HIPAA via AWS BAA

Built by a nurse, for nurses.

I've been a California LVN since October 2022 — home health and hospice, watching clinical teams spend more time on paperwork than patients.

Now I work in utilization management at one of California's largest medical groups — on the payer side, reviewing the same auths agencies submit. Auths get kicked back not because the care wasn't justified, but because nobody matched the note to the criteria the reviewer has to use. That's built into every letter this tool drafts.

My calendar's open for 15 minutes. No pitch, no slides, just the demo.

Book 15-min call →

Common questions.

Is the 30-day pilot actually free?

Yes. $0, no card on file, no auto-conversion. Walk away on day 30 with zero charge.

HIPAA — really?

Yes. AWS Bedrock with an active BAA between ClinicalFlow AI and AWS. No PHI to OpenAI, the Anthropic public API, or any non-BAA-covered service — the hosted build ships without the non-BAA client library installed, so that path cannot be taken by accident. Session activity is logged without PHI. Long-term retention of those audit records to your own schedule is a deployment question we settle before go-live; it is not something the 30-day pilot provides.

Do you integrate with my EHR?

Not yet. ClinicalFlow runs alongside your EHR — clinician pastes the referral or narrative in, gets the document, pastes back. EHR connectors (MatrixCare, Brightree, Axxess) are on the 2027 roadmap.

What provider types does this work for?

Any California provider who submits prior auths — physician offices, chiropractic, ASCs, hospital outpatient, home health, hospice. LUPA Guardian and OASIS Co-Pilot are home-health add-ons.

Get your nurses back to patient care.

30-day pilot. No card. No contract. Find out if ClinicalFlow saves your team 12+ hours per week.

Book your 15-min pilot call →