Prior-Auth Packet Linter
A deterministic prior-authorization packet linter that runs entirely in your browser.
Open the tool → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Inputs and output
- What you enter
The documents that make up the prior-authorization packet, as PDF, DOCX, or TXT. They are read in your browser and never uploaded.
- What you get
- 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.
What this is
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.
How this is calculated
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.
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.