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Just Healthcare

Products

Each product solves a different barrier. The suite carries the case forward.

Purpose-built products for submission, peer-to-peer review, appeals, policy research, clinical evidence, integration, and operations. Just Connect™ links them with your EHR and existing software, and Gravity™ brings the work into one view. Start with the barrier that costs your team the most time.

Policy intelligence

Prisym™

Know the patient's coverage criteria. Then use it to secure access.

Prisym™ helps your team find the right payer policy, understand the criteria, and apply those requirements to the patient in front of you.

prisym.health/coverageLive

Search a therapy across every payer

Sources CommandsAll payers
PayerPolicyCoverageUpdated
DeterminationM. Okafor · UnitedHealthcare

Oncology Imaging · PSMA PET

Initial staging · CPT 78815

With criteria
Checking the chart0 of 4 criteria met
  • Unfavorable-intermediate risk or higher
  • PSA and Gleason documented
  • No prior PSMA PET for staging
  • Conventional imaging report attached
Send to Submission Copilot
Review queue
  • Anthem RAD.00072Revised
  • Cigna MM 0553Annual review
  • Aetna CPB 0964Codes added

Clinical intelligence

Base9™

Find the evidence. See where it came from.

Base9™ is a knowledge base of current clinical literature that helps your team support a clinical decision or a payer argument with cited evidence.

based9.com/queries/newLive

Ask a clinical question

Sources CommandsEvidence · v2
Retrieved context
Searching0.0s
Synthesiswaiting for context

For authorization and billing teams

Submission Co-Pilot™

Catch missing information before the request goes out.

Submission Co-Pilot™ checks the case against the patient's coverage criteria, shows what is missing, and prepares a patient-specific medical-necessity rationale for review.

app.justappeals.org/tools/submission-copilotLive
Guided flow6 short steps · about 5 minutes
  1. Gather documents4 files routedRunning
  2. 2Patient & payerM. Okafor · UnitedHealthcareQueued
  3. 3Requested treatmentPSMA PET/CT · 78815 + A9595Queued
  4. 4Check payer criteriaUHC Oncology Imaging · PSMAQueued
  5. 5Clarify before submitting1 item · imaging reportQueued
  6. 6Review & generatePackage · 9 pagesQueued
Document routing
Consult note → Clinical1 tool call
Payer criteriaUHC Oncology Imaging · PSMA PET
Waiting for the record0 of 5 criteria met
  • Biochemical recurrence after prostatectomy
  • PSA rising on two consecutive draws
  • Conventional imaging negative
  • No PSMA PET in the prior 12 months
  • Imaging report attached, not just the summary
Generate packagePHI scrubbed locally

For treating clinicians and support staff

P2P Co-Pilot™

Go into every peer-to-peer call prepared.

P2P Co-Pilot™ turns the payer policy, patient record, and review question into a focused call brief with likely objections, patient facts, talking points, and citations.

app.justappeals.org/tools/p2p-copilotLive

Proton beam therapy · CPT 77525 · Skull-base chordoma

Member 44-2019 · Medicare Advantage · MP 8.01

Call in 14:32
Talking points
Objections answered0 of 3 criteria met
Likely payer objections0 / 3 answered
  1. Objection 1

    “IMRT can deliver equivalent target coverage.”

    Rebuttal 1

    Only by exceeding brainstem Dmax. The DVH shows 61 Gy against a 54 Gy constraint.

    DVH comparison

  2. Objection 2

    “There is no randomized evidence for protons in chordoma.”

    Rebuttal 2

    The plan's policy lists skull-base chordoma as a Group 1 indication; randomized data is not the coverage standard here.

    MP 8.01 §2

  3. Objection 3

    “Dose could be reduced to meet constraints.”

    Rebuttal 3

    Local control in chordoma falls sharply below 70 Gy(RBE). De-escalation is not standard of care.

    NCCN Bone · Chordoma

For patient access, billing, and clinical teams

Responder™

Build a stronger appeal without starting from a blank page.

Responder™ uses the denial, clinical record, payer policy, guidelines, and supporting evidence to draft a patient- and payer-specific appeal for review.

app.justappeals.org/tools/responder-photonLive
Denial letterAetna · CO-50

“Stereotactic body radiation therapy for oligometastatic prostate cancer is considered experimental and investigational because its effectiveness has not been established. Requested: 77373 × 5.”

Patient
R. Chen
Diagnosis
C61 · 3 lesions
Appeal by
Nov 12
Stage
Initial
Tool calls
Read denial letter1 tool call
Appeal letterInitial2nd appealIROALJ

Drafting0.0s
Export PDF

For IT and integration teams

Just Connect™

Keep your systems. Connect the work.

Just Connect™ links Just Healthcare products with your EHR and existing software so case information, status, and completed work can move without unnecessary re-entry.

justconnect.health/connectionsLive
Connections0 of 6 connected
  • EPEpicEHRFHIR R4 · 14 resourcesPairing
  • CECernerEHRFHIR R4 · 11 resourcesWaiting
  • ARAriaOncology ISAPI · plans + dosimetryWaiting
  • AVAvailityPayer portal270/271 · 278 · statusWaiting
  • DODocument dropUploadPDF · TIFF · DOCXWaiting
  • SESecure snapshotUploadEncrypted · PHI scrubbedWaiting
SMART on FHIR · OAuth 2.0 · TLS 1.3Pairing systems
Event stream0 events · today
  • Waiting for connections

For revenue and clinical operations

Gravity™

See every case. Know what happens next.

Gravity™ is an optional revenue and clinical operations tracker for health systems that want deeper integrations, less manual work, and a complete view of each case.

gravatiy.com/workflows/oligometastatic-sbrtLive
Workflow · Oligometastatic NSCLC · SBRTBPMN 2.0 · autosaved
NodesStartTaskDecisionNotificationWait / follow-upLink workflow
noyesReferralEHR · FHIRCoverage checkPrisymBenefit verificationAvaility · 270/271Prior authorizationSubmission Co-PilotApproved?Notify physicianDenial alert · MDPeer to peerP2P Co-PilotDraft appealResponderWait / follow-up5 business daysNotify patient+ care team · SMSSchedule SBRTEHR · FHIR · 5 fxCharge captureClaim · 77373 × 5
Case 5128 · J. Alvarez · SBRT · adrenal metastasisBuilding workflow
Connected systems7 live
  • EHRFHIRConnected · idle
  • AvailityPayer portalConnected · idle
  • PrisymPolicy intelligenceConnected · idle
  • Submission Co-PilotJustAppealsConnected · idle
  • P2P Co-PilotJustAppealsConnected · idle
  • ResponderJustAppealsConnected · idle
  • NotificationsSMS · emailConnected · idle

Start with the problem that hurts most

Show us where your team is losing time.

We will show you which product fits the work, what your team would see, and how the solution can support the way your organization operates today.