VantaHG is expanding beyond federal IDR into first-level utilization review — prior authorization, medical necessity, concurrent review, and peer-to-peer — with AI-assisted clinical briefs and board-certified physician sign-off in 24-48 hours.
The average physician practice spends 13 hours per week navigating prior authorizations. Health plans are drowning in volume. Qualified reviewers are scarce. Turnaround times slip. Members wait. And every delayed determination is a compliance risk.
Dedicated specialist panels across three high-demand verticals — each with AI-assisted case preparation and the same rigorous physician sign-off process.
First-level reviews across the specialties that drive the highest authorization volume for health plans and TPAs.
Licensed dentist reviewers for the procedures that generate the most friction between dental plans and providers.
Optometrist and ophthalmologist reviewers for the coverage questions that create the most plan-provider disputes.
Submit via secure portal, API, or direct integration. Records, request, and clinical question captured automatically.
Our engine extracts the clinical question, matches criteria, and generates a structured one-page brief with supporting documentation.
Board-certified, specialty-matched physician reviews the brief, applies clinical judgment, and signs the determination.
Signed determination delivered within SLA. Full audit trail, timestamped records, and compliance reporting in real time.
Already processing federal IDR determinations under the No Surprises Act. First-level review is a natural extension of capabilities we have proven at the highest complexity level.
IRO accreditation in progress — positioning VantaHG as your single provider for first-level review, internal appeals, and independent external review.
Part of the Wells Onyx constellation — a private equity holding company with 25+ years of operational excellence across healthcare, technology, and professional services.
Whether you need 10 reviews a week or 1,000 a day — our infrastructure scales to your volume. No long-term contracts required to start.
Houston, TX · Tallahassee, FL · Miami, FL
