Every PA touchpoint,
automated.
From EHR data pull to payer submission to patient notification — Navistrada handles the entire prior authorization workflow so your coordinators can focus on patients, not payer portals.
From chart to approval
in 8 minutes.
Not a portal. Not a form filler. A complete clinical intelligence layer that handles the full authorization lifecycle — automatically.
Your chart feeds Navistrada.
Not the other way around.
No double entry. No copy-paste. Navistrada connects to eClinicalWorks via FHIR R4 and pulls everything the payer needs in under 1.5 seconds. Your coordinator never touches a keyboard for data already in the chart.
- 8 FHIR queries run in parallel — patient, conditions, medications, labs, insurance, encounters — all at once
- Lab values extracted by LOINC code — CRP, ESR, hemoglobin, ferritin — with dates automatically calculated
- Medication history with treatment durations computed — no guesswork on how long the patient was on MTX
- Authorization outcomes written back to the patient chart — automatic audit trail, zero manual documentation
Knows what payers want
before they ask for it.
Every payer has policies not in their published LCDs — discovered through denials. Navistrada has catalogued real-world payer behavior across commercial plans and applies that intelligence to every submission automatically.
- Detects step therapy conflicts before submission — not after denial
- Applies continuity-of-care exceptions automatically for established biologic patients
- Surfaces undocumented patterns — Cigna's BMI rule, BCBS TX's imaging requirement, Humana's biosimilar policy change
- 91% first-pass approval — 23 percentage points above the industry baseline
Your patient shows up
already authorized.
The moment a payer approves, Navistrada texts your patient with the auth number, facility, estimated cost, and prep instructions. The imaging center gets a pre-verification fax. No phone calls. No day-of confusion.
- Instant SMS on approval — auth number, facility address, patient cost estimate
- Imaging center fax with auth pre-verified — no phone call needed on arrival
- 48-hour appointment reminder automatically scheduled after approval
- TCPA-compliant consent management built into the workflow
Hi Margaret, your MRI has been approved by Aetna. Auth #: AUT-2025-88471. Valid through June 15.
10:42 AM
Your MRI is at Memorial Imaging, 4800 Westover Dr. Arrive 15 min early. Auth pre-verified — no phone call needed. Est. cost: $180.
10:44 AM ✓✓
Navistrada doesn't submit PAs.
It knows your payers' playbook.
The policies that matter most aren't published. They're discovered through denials. Navistrada has already learned them.
- Aetna: 3-month DMARD trial. BCBS TX: 6 months. Documentation formatted per payer automatically.
- UHC biosimilar-first policy: AI detects and applies continuity-of-care exception for existing patients.
- Humana 2025 policy change: biosimilar protocol exception logic built in before most practices knew.
- Cigna undocumented BMI denial pattern at BMI ≥ 40: weight counseling note added automatically.
- CMS requires hemoglobin below 10 g/dL for ESA initiation. Lab must be within 30 days — stale values flagged before submission.
- TSAT below 20% or ferritin below 200 (dialysis) / 100 (non-dialysis) — extracted directly from EHR labs by LOINC code.
- PTH and phosphorus values pulled and formatted per payer requirements for calcimimetic authorization.
- Dialysis vs. non-dialysis status identified automatically. Medicare vs. commercial criteria applied correctly.
- IBD biologic step therapy hierarchy per payer — Entyvio, Stelara, Skyrizi, Remicade — applied automatically.
- HCV genotype pulled from labs. Mavyret vs. Epclusa vs. Harvoni selection is genotype-driven — no manual lookup.
- BCBS TX 2024 colonoscopy policy update: new PA requirements incorporated immediately when the policy changed.
- CDAI and Mayo scores extracted from structured data or progress notes via AI for disease activity evidence.
The only platform built
for specialty medicine.
Generic RCM platforms added a PA module. Navistrada was built from the ground up by a specialty physician who does this work every day.
| Capability | Navistrada | Cohere Health | Olive AI | Availity Portal | Waystar |
|---|---|---|---|---|---|
| FHIR R4 EHR auto-pull — zero manual entry | ✓ | ◐ | ✓ | ✗ | ◐ |
| Specialty clinical AI — Rheum, Neph, GI | ✓ | ✗ | ✗ | ✗ | ✗ |
| Proprietary payer policy intelligence | ✓ | ◐ | ✗ | ✗ | ✗ |
| Patient SMS notification on approval | ✓ | ✗ | ✗ | ✗ | ✗ |
| Full Rx pathway — DUR, PDMP, NCPDP SCRIPT | ✓ | ✗ | ✗ | ✗ | ◐ |
| Biologic renewal queue — automatic expiry alerts | ✓ | ✗ | ✗ | ✗ | ✗ |
| SMB specialty practice pricing | ✓ | ✗ | ✗ | ✓ | ◐ |
✓ Full ◐ Partial ✗ Not available · Based on public documentation as of Q2 2026.
Plugs into the systems
you already use.
No rip-and-replace. Your coordinators keep working in eClinicalWorks — Navistrada works in the background.
HL7 FHIR R4 · HIPAA compliant · TCPA-compliant SMS · SOC 2 Type II in progress
Your first authorization
submitted in under 8 minutes.
Schedule a 30-minute live walkthrough. We'll show you exactly what your coordinator's morning looks like when Navistrada handles the paperwork.