Prior-authorization delay report builder

Build the short, source-backed packet a reviewer can act on.

Start with the 20% that carries the credibility: documented dates, treatment-specific evidence, the carrier’s own published metrics, and a read-aloud statement for peer-to-peer, appeal, legal, or policy use.

Prior auth delay calculator

The credibility spine

1Documented treatment timeline

2Peer-reviewed treatment evidence

3Carrier’s own published PA metrics

4Read-aloud legal/clinical packet

Core packet inputs

Report purpose

This changes the language in the generated report, not the science.

Disease area

Delay length (days)

Fallback only. If dates are entered below, they override this number.

Mortality evidence

Morbidity / nonfatal harm evidence

Documented treatment timeline — recommended

Order / treatment recommendation

PA submitted / payer received

Final PA decision / approval

Actual treatment start

Use actual clinical dates. If the chart supports PA attribution, add that context in the note; the calculator itself treats this as a documented treatment timeline.

Insurance carrier / benchmark

Carrier data is operational context only. It supports authenticity; it does not replace the patient’s treatment-start timeline.

Legal / regulator routing — optional

Insurance type

State

Today this adds regulator lookup context only. It does not yet change state-specific law, deadlines, or appeal rules.

Additional clinical context — optional

Diabetes Cardiovascular disease Kidney disease Immunosuppression Mental health condition Frailty / functional limitation

Context only. These do not change the numeric model unless a future source-backed modifier is added.

Optional note for report

Mortality risk

Mortality estimate

Delay scale 14 days

Morbidity / nonfatal harm

Morbidity estimate

Same delay 14 days

Use this now

Read-aloud summary

This is the short statement meant for peer-to-peer, appeal, legal, or policy use. The full source-heavy preview is collapsed below.

Generated report preview

Peer-to-peer prior-authorization delay report

modeled estimate

Important framing This tool estimates population-level risk or summarizes source-backed harm evidence. It does not prove that any insurer caused a specific outcome. Legal/regulatory output is public information, not legal advice.