Healthcare providers face unpredictable prior authorization denials and delays from AI systems they can't understand or appeal

Physicians and medical practices are struggling with Medicare's AI-driven prior authorization system that makes opaque decisions about which treatments get approved, causing treatment delays, patient harm, and revenue uncertainty. Current solutions lack transparency into how AI makes denial decisions, making it nearly impossible for providers to effectively challenge rejections or optimize their authorization strategies, leaving them caught between patient care needs and administrative gridlock.