AI Prior Authorization & Appeals for Oncology

Translating clinical empathy into algorithmic approval.

Torna Health is an AI software platform that automatically drafts and submits prior authorization appeals for oncology clinics—turning insurance denials into approvals in days, not weeks.

Clinical Empathy
27 Days
AVERAGE CARE DELAY

96% of physicians report prior authorization delays have a negative impact on patient care. We eliminate the administrative bottleneck.

1.2 Seconds
Cigna proprietary Pxdx algorithm

The average time an insurer's AI takes to deny a claim. We arm you with the generative infrastructure to fight back.

82% Won
ONCOLOGY OVERTURN RATE

The median success rate when oncology denials are formally appealed. We give you the firepower to win.

KEYTRUDA® (PEMBROLIZUMAB) • OPDIVO® (NIVOLUMAB) • IBRANCE® (PALBOCICLIB) • TECENTRIQ® (ATEZOLIZUMAB) • AVASTIN® (BEVACIZUMAB) • IMBRUVICA® (IBRUTINIB) • DARZALEX® (DARATUMUMAB)KEYTRUDA® (PEMBROLIZUMAB) • OPDIVO® (NIVOLUMAB) • IBRANCE® (PALBOCICLIB) • TECENTRIQ® (ATEZOLIZUMAB) • AVASTIN® (BEVACIZUMAB) • IMBRUVICA® (IBRUTINIB) • DARZALEX® (DARATUMUMAB)KEYTRUDA® (PEMBROLIZUMAB) • OPDIVO® (NIVOLUMAB) • IBRANCE® (PALBOCICLIB) • TECENTRIQ® (ATEZOLIZUMAB) • AVASTIN® (BEVACIZUMAB) • IMBRUVICA® (IBRUTINIB) • DARZALEX® (DARATUMUMAB)KEYTRUDA® (PEMBROLIZUMAB) • OPDIVO® (NIVOLUMAB) • IBRANCE® (PALBOCICLIB) • TECENTRIQ® (ATEZOLIZUMAB) • AVASTIN® (BEVACIZUMAB) • IMBRUVICA® (IBRUTINIB) • DARZALEX® (DARATUMUMAB)
UNITEDHEALTHCARE • EMPIRE BLUECROSS BLUESHIELD • AETNA • CIGNA • ANTHEM • FIDELIS CARE • HUMANA • EMBLEMHEALTH • OSCAR HEALTH • CVS CAREMARK • EXPRESS SCRIPTS • OPTUMRXUNITEDHEALTHCARE • EMPIRE BLUECROSS BLUESHIELD • AETNA • CIGNA • ANTHEM • FIDELIS CARE • HUMANA • EMBLEMHEALTH • OSCAR HEALTH • CVS CAREMARK • EXPRESS SCRIPTS • OPTUMRXUNITEDHEALTHCARE • EMPIRE BLUECROSS BLUESHIELD • AETNA • CIGNA • ANTHEM • FIDELIS CARE • HUMANA • EMBLEMHEALTH • OSCAR HEALTH • CVS CAREMARK • EXPRESS SCRIPTS • OPTUMRXUNITEDHEALTHCARE • EMPIRE BLUECROSS BLUESHIELD • AETNA • CIGNA • ANTHEM • FIDELIS CARE • HUMANA • EMBLEMHEALTH • OSCAR HEALTH • CVS CAREMARK • EXPRESS SCRIPTS • OPTUMRX
Collaborating Doctors

Clinical Empathy,
Algorithmic Execution.

We believe empathy shouldn't be a liability in the insurance world. Torna bridges the gap between the nuanced reality of patient care and the rigid demands of payer algorithms.

  • Built with Clinicians

    Designed alongside oncologists to capture the nuances of patient history.

  • Empathy-Driven AI

    Our models are trained to advocate for the patient, not just follow a script.

Advanced Clinical Infrastructure

Scalable technology that handles the heaviest administrative burdens in healthcare.

NCCN Clinical Grounding

Precision-mapped rebuttals grounded in the latest NCCN oncology guidelines.

NY DFS & ERISA Regulatory Compliance

Automated enforcement of NY State Prompt Pay and federal ERISA mandates.

HIPAA Compliant

Transforming fragmented clinical notes into cohesive medical arguments.

ENTERPRISE SECURITY & INFRASTRUCTURE

HIPAA BAA EXECUTED
SOC-2 TYPE II READY
CLOUD DLP API

Engineered for medical complexity.

We bridge the gap between clinical intent and administrative rigor through four key architectural pillars.

1

Intake & Data Ingestion

Drag and drop the messy fax, denial letter, and patient chart. No complex EHR integration required for day one. We absorb the data entry.

2

The NCCN AI Rebuttal Engine

Our enterprise LLM pipeline instantly cross-references patient history with NCCN guidelines to draft a medically accurate appeal letter.

3

1-Click Enterprise e-Fax API

Healthcare is stuck in the 90s. We don't just build the appeal; we launch it. One click instantly e-faxes the 50-page packet to the exact payer fax number with a delivery receipt.

4

The 'Hold-Sitter' Voice Agent

Never sit on hold for a Peer-to-Peer again. Our AI voice agent dials the payer, waits on hold, and instantly bridges you into the call the second the Medical Director picks up.

"Silicon Valley measures success by 'Time on Screen.' We measure it by 'Time OFF Screen.' We build software that wants to be closed—absorbing the faxes, data entry, and phone calls—so the oncologist can turn their chair around and just be a doctor."
— The Torna Health Ethos

Let's make healthcare simple again.

By keeping bureaucracy out of relationships. Join the exclusive pilot program for independent oncology practices and start protecting your patients today.