FHIR Artisyn: Automated Prior Authorization for Health Systems
DataArt · Operations & Productivity
Certification per Microsoft Marketplace.
Evidence tier Source Confirmed · 1 capture on record
What the publisher says
As described on Microsoft Marketplace.
Business Challenge
Prior
Show the rest of the publisher’s description (64 more lines)
authorization (PA) costs the U.S. healthcare system an estimated $35 billion
annually and consumes roughly 13 physician-hours per week. 92% of physicians
report that PA delays care, and 29% report a PA-caused serious adverse event.
Yet 81.7% of appealed denials are ultimately overturned - PA is a
documentation-quality problem, not a coverage problem. CMS-0057-F now requires
impacted payers to expose Da Vinci PAS-conformant FHIR PA APIs by January 1,
2027, with 7-day standard / 72-hour expedited SLAs already in effect. Providers
still on fax-, portal-, and phone-based PA workflows have a narrowing window to
modernize.
Solution Overview
Artisyn
is a provider-side, Da Vinci-native agentic accelerator built on Azure AI
Foundry that automates the PA lifecycle end-to-end: intake, requirements
discovery, evidence assembly, decision support, submission, and SLA tracking.
It front-loads documentation using the Da Vinci CRD and DTR standards,
converting cases that would otherwise sit pended into real-time decisions.
Every automated approval is grounded in citations from the patient record;
every adverse or uncertain case escalates to a licensed clinician with a
complete evidence package. Artisyn never issues a denial - that determination
always remains with a human clinician, by design.
Key Capabilities
- End-to-end PA automation:
intake, requirements discovery, evidence assembly, decision support,
submission, tracking
- Native Da Vinci CRD, DTR, and
PAS support over FHIR, with fallback to X12 278, payer portals, or fax
- Citation-grounded evidence
assembly and auto-approval scoring against payer-specific policy
- Architecturally enforced
clinician-only denial path
- Real-time SLA monitoring
against CMS 7-day / 72-hour windows
- Leadership dashboards for
cycle time, approval rate, denial-recovery, and compliance posture
- Multi-tenant isolation with
role-based access for coordinators, clinicians, leadership, and admins
- A published, clinician-graded
evaluation harness tracking hallucination and override rates
Business Benefits
- Reduces order-to-submission
time from days to under 30 minutes for eligible cases
- Shifts coordinator effort
from manual assembly to review and exception handling
- Limits clinician involvement
to genuinely ambiguous, fully-prepared cases
- Improves auto-approval rates
through stronger first-pass documentation
- Builds an auditable
compliance posture ahead of the January 2027 CMS-0057-F deadline
- Gives leadership real-time
SLA and recovered-revenue visibility without manual reporting
- Lowers per-PA cost-to-serve
versus manual baselines
Typical Use Cases
- Automating outpatient imaging
(MRI, CT, PET) prior authorizations across a health system
- Preparing for the CMS-0057-F
January 2027 Da Vinci FHIR mandate
- Reducing PA backlog during
payer-mix or volume growth
- Standardizing PA workflows
across a multi-EHR integrated delivery network (IDN)
- Providing leadership with SLA
and denial-recovery reporting
Preview
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Compliance
- FedRAMPConfirmedNot listed90%, registry-checkedNo FedRAMP Marketplace entry matched this vendor's domain, checked 2026-08-27registry recordas observed 2026-08-27
Confirmed means matched to a public authoritative registry. Claimed means the vendor or its listing states it, not yet cross-checked. A framework not shown was not found in any source we hold, which is not evidence against it. Not listed means a scoped registry check found no match for this vendor's domain: a No is a scoped registry check, not a compliance judgment. Confidence bands: 95% domain-verified, 90% registry-checked, 80% self-attested, 70% weak signal. Self-attested items marked “vendor's site” are gathered from the vendor's own website and are not verified by us.
Vendor
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Sources
Publisher resources
1 linkLinked repositories
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