OpenRx

Prior authorization sandbox

From clinical answer to submission-ready appeal, in one chat.

Choose a synthetic denial. OpenRx assembles cited evidence, drafts an appeal, and shows the FHIR submission handoff without transmitting patient data.

Synthetic cases onlyClinician review requiredNo live payer transmission
Review privacy and evidence posture

Denial-to-appeal workspace

FHIR PA handoff demo

sandbox

01 Ask

02 Cite

03 Draft

04 Submit

Pick a denial scenario

The conversation will arrive preloaded with a synthetic clinical summary and denial reason.

No PHI, account, or wallet is required in the sandbox.

Sources are linked and licensed-content boundaries are visible.

The draft supports review. It is not an approval guarantee.

Guided walkthrough — what the engine is doing

  1. A denied prior authorization becomes an appeal-ready packet

    Deterministic scenario engine: synthetic Tecvayli denial with a full document trail, public-source citations, and a simulated FHIR trace — no model improvisation.

    Run this case in chat →

  2. A minimal profile gets a version-stamped screening plan

    Guideline engine: encoded USPSTF rules answer “age 45 male” with source, evidence grade, and a version stamp on every recommendation.

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  3. A symptom signal routes to a clinician, not a checklist

    Safety routing: a reported red flag (rectal bleeding) overrides routine screening logic and produces an urgent clinician-review row instead of an interval.

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Every case is synthetic and resolves on a deterministic path — scenario engine, guideline engine, or safety routing — so the walkthrough completes even when the model API is unavailable. Recommendations carry source, grade, and version stamps; sandbox actions are logged with audit rows.