Outpatient imaging
Know the scan is covered before the patient is on the table.
An MRI happens in thirty minutes. Its denial takes ninety days to fight. Prior-auth and medical-necessity denials on advanced imaging are knowable at order time — payer rules, auth status, plan coverage are all checkable before the slot is booked. Undersign checks them, clears the study, and signs for the outcome.
The scan is expensive. The denial is more expensive. Both were knowable Tuesday.
freestanding imaging centers competing on schedule density
days to fight a denial on a scan that took thirty minutes
days to guaranteed payment on cleared-then-denied studies
In your workflow
Where the guarantee plugs in.
Clear at referral
Referral arrives; your scheduler (or RIS integration) calls clearance with payer, member, CPT (70553, 72148, 78815…), and ordering context.
Book with confidence
cleared books the slot. step_up tells you what's missing — auth number, updated eligibility — while the referral is still warm.
Paid in 30
Eligibility, coverage, or auth denial on a cleared study: contracted value paid within 30 days; the appeal runs on our desk.
Outpatient Imaging, visualized
Order to table, cleared in between.
grt_01J9ZKQ4T7The whole path is knowable before the appointment — so it's guaranteed before the appointment.
What changes
Three lines on your P&L, rewritten.
Protect the schedule
Every cleared study is a slot that stays sold. No more retroactive un-selling by an EOB.
High-ticket claims deserve underwriting
A $1,400 MRI denial hurts 10× more than a $140 office-visit denial. Basis-points pricing scales with what's actually at stake — so does the protection.
Patient trust at the front desk
“Your scan is covered — guaranteed” ends the surprise-bill conversation before it starts.
Fair questions
Asked by every outpatient imaging operator we talk to.
“Our RCM vendor already does auth checks.”
Checking auth status and owning the consequence of the check are different products. Theirs bills you monthly either way. Ours pays you when the check turns out wrong.
“Medical necessity is subjective.”
Which is why the guarantee covers the objective failure classes — eligibility, plan coverage, auth validity. Where a payer's posture is erratic, the engine prices it or steps up. We take risk we can measure.
“We run thin margins on volume.”
Exactly the profile that can't absorb denial variance. Moving denial risk off a thin-margin book is worth more basis points than it costs.
The API is in development
Be first on the ledger.
Imaging pilots will follow the launch of behavioral health and therapy. Get in the queue.