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Five denials.
One clear pattern.
We trace each case to the payer rule, missing evidence, and next action.
Revenue certainty for complex cardiac care.
Prior authorization and appeals, built for cardiology and electrophysiology.
Built by technologists and healthcare operators trained at leading institutions.
How it works
Five denials in. Revenue intelligence out.
Send the denials
Five recent cases. Securely uploaded.
Find the failure
Trace each denial to the payer requirement.
Fix the case
Know what is missing and what comes next.
See the pattern
Reveal where authorization breaks across your book.
Five denials.
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Know exactly what
the payer needs.
We match each case to the policy, plan, procedure, and version that governs it.
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AI finds the rules.
Specialists own the review.
AI agents retrieve and compare requirements. A specialist reviews the case before delivery.
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See where denials repeat.
Track each case by payer, plan, procedure, requirement, evidence gap, action, and outcome.
Start with five denied cases.
Know why they failed.
Know what happens next.
$995 fixed fee · Five cases · Results within one business day
Why StandaHealthCase 01
- Why it failed
- Symptomatic AF was not documented with monitor evidence in the submitted case.
- Payer requirement
- Payers typically require documentation of symptomatic atrial fibrillation, such as ECG, Holter, or event-monitor evidence.
- What happens next
- Add the relevant monitor documentation from the chart and prepare the case for resubmission.
Illustrative sample based on common cardiology denial reasons. Not a real patient case.
AppealableCase 02
- Why it failed
- A qualifying ejection fraction was not documented in the submitted request.
- Payer requirement
- Payers typically require a qualifying ejection-fraction measurement from recent imaging.
- What happens next
- Add the relevant imaging report and state the measurement clearly in the request.
Illustrative sample based on common cardiology denial reasons. Not a real patient case.
Missing evidenceCase 03
- Why it failed
- The medication history contained an antiarrhythmic trial, but the submitted summary did not clearly state the treatment outcome.
- Payer requirement
- Payers typically require documentation of failure or intolerance of antiarrhythmic therapy.
- What happens next
- State the medication trial and its outcome directly in the clinical summary.
Illustrative sample based on common cardiology denial reasons. Not a real patient case.
PreventableCase 04
- Why it failed
- The request was prepared against policy criteria that did not match the case context.
- Payer requirement
- The criteria that apply depend on the payer, the plan, the procedure, and the policy in force for the case.
- What happens next
- Confirm the applicable criteria and rebuild the request against the correct requirement set.
Illustrative sample based on common cardiology denial reasons. Not a real patient case.
Policy mismatchCase 05
- Why it failed
- The denial may be workable, but the appeal window stated in the denial is approaching.
- Payer requirement
- Appeal timing is governed by the deadline stated in the denial letter and the plan's appeal process.
- What happens next
- Confirm the deadline and file the appeal before the stated window closes.
Illustrative sample based on common cardiology denial reasons. Not a real patient case.
Deadline approachingPayer rule identified · Evidence gap found · Next action ready
The $995 is credited toward a pilot started within 30 days, and a 30-minute findings call is included.
Start the reviewWhy now
Prior authorization is consuming clinical capacity.
- Correct before submission
- Specialist on every case
- Compliance before transfer
- CIED implant
- CRT
- Cardiac ablation
13 hours
Weekly on prior authorization
26% report a serious adverse event
2025 American Medical Association Prior Authorization Physician Survey, n = 1,000.
Device & ablation authorizations.
Specialized depth
Payer by payer
Built for defensible submissions.
Payer criteria, case evidence, and specialist review stay tied together.
Business associate agreement signed by Standa. PHI governance in place before data transfer.
Start with five denials
Care should never wait for permission.
Send five denied cases and get the review back within one business day.
Start a ReviewWhy StandaHealth