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Prior authorization automation

Payer portal scraping, X12 278 submission, and status polling.

Authored byAnonymous Badger
Vibe-coded in JetBridge AI · clone in one click on launch day
Drafting
1
Awaiting payer
2
Pended for info
1
Approved (week)
1

Auth queue

Avg turnaround: 1.4 days · 92% auto-submitted

Marcus Reyes

PA-77815 · CPT 27447Total knee arthroplasty

Pending review
Payer
UHC Choice Plus
Reference #
UHC-22-339811
Submitted
2026-04-21
Clinical justification (extracted)

63yo F with severe tricompartmental OA confirmed by 4/2026 weight-bearing X-ray (Kellgren-Lawrence grade 4). Failed 12 weeks NSAIDs, 3 corticosteroid injections, and 8 weeks PT. ROM 0-95°, KOOS pain subscale 28/100. Meets MCG criteria ORT-001 for elective TKA.

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