Prior-Auth Packet Linter
Prior-Auth Packet Linter - a deterministic tool in Sophie Well's P group.
Open the Prior-Auth Packet Linter → Runs in your browser. No signup, no tracking.
What this is
A deterministic prior-authorization packet linter that runs entirely in your browser. Drop the PDF, DOCX, or TXT documents that make up the PA packet (clinical note, payer PA form, medical-necessity letter, supporting labs and imaging, prior denial if this is a resubmission) and Sophie returns a findings list of mechanical defects: missing fields, missing evidence, expired labs, mismatched code pairs, absent attestations, wrong place-of-service, missing modifier, missing step-therapy documentation, or a missing prior-denial reference on a resubmission. Each finding ties to a stable rule id, a payer-policy citation, an evidence pointer, and a dated source hash. No AI. No server. No upload. Your packet stays in this browser tab; closing the tab destroys all in-memory state.
When to use it
Use this before you fax, portal-submit, or e-submit a prior-authorization packet to any payer. The linter is for the people doing the paperwork: utilization-management nurses, case managers, prior-auth coordinators, billers, and the moonlighting clinician who just got handed a denial. It runs locally against the packet you are about to submit, flags the mechanical defects, and produces a citable findings report that you can save, hand off, or use as the basis for a clean resubmission. Sophie PA is not a submission tool, not a coding tool, not a medical-necessity adjudicator, and not a billing engine; the clinical adequacy of every document remains the reviewer's responsibility.
References
Checks a prior-authorization packet against public coding standards (AMA CPT, CMS HCPCS, ICD-10-CM, CMS Place of Service) and published payer prior-authorization policies. Deterministic and fully on-device.
Worked example: Drop one or more files on the dropzone. Sophie extracts the text on-device, runs the rule checks, and returns a findings list where each finding shows its status, a plain-language description, the evidence it found, and a citation. Nothing leaves your browser.
Sophie Well is a reference and educational tool. Not medical, legal, or financial advice. Does not replace clinician judgment, professional billing review, or legal counsel.