Input Mode
Upload clinical notes, face sheets, IME reports, or prior correspondence. The AI will extract relevant data and generate PA documents.
Drag & drop files or click to browse
PDF, DOCX, TXT, images supported
eCW via Keragon API
Paste the patient data payload returned from your Keragon webhook trigger. The tool will parse all structured fields automatically.
Paste the patient data payload returned from your Keragon webhook trigger. The tool will parse all structured fields automatically.
Clinical Guidelines
✓
NY WC MTGNYSWCB
✓
AMA GuidesMMI / Disability
ODG
Work Loss
Work Loss
MCG / Milliman
Utilization
Utilization
Generate Outputs
✓
Full PAR Letter
Narrative
✓
Supporting Doc Checklist
Structured
Appeal Letter Template
On Denial
MAIC · Medalliance Medical Health Group · Bronx NY
📋
PAR Letter will appear here
Complete the form on the left and click Generate
✅
Supporting Document Checklist will appear here
Complete the form on the left and click Generate
⚖️
Appeal Letter will appear here
Select "Appeal Letter Template" and click Generate