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Authorization requests that arrive complete.

Arca builds each request from the record the treatment plan already lives in: diagnosis, stage, biomarkers, the plan, and the guideline it follows. Missing documents are found before the request goes out, so it comes back with a decision.

The oncologist decides the treatment. Arca prepares the evidence around it.

What goes into each request.

Each item comes from a document in the record and keeps a link to it, so the reviewer sees the source along with the summary.

  1. Pathology reportDiagnosis and stageStage III colon adenocarcinoma
  2. Molecular reportBiomarkersMSI stable · KRAS, NRAS, BRAF wild type
  3. Oncology noteThe treatment planFOLFOX, 12 cycles
  4. Guideline checkGuideline matchOn pathway for the stage and biomarkers
  5. Found before sendingMissing labRecent CEA not attached · requested from the lab
  6. Operative notePrior treatmentColectomy, Jul 18

The request carries its evidence.

“Approved through cycle 12. No additional records requested.”

Payer decision · Patient 2207, colon · Aug 6 · synthetic
Plan recordedAug 4
Request assembledAug 4, one lab requested
SentAug 5
DecisionAug 6, approved

The reviewer sees the plan, the guideline it follows, and the documents behind both in one request. Health plans that delegate oncology to the group see the same record.

3.2median days to a decision in September

Requests returned for more information, by reason

46%Missing records24%Coding18%Clinical question14%Other

Synthetic figures for one program.

Complete before sending

Arca checks each request against what the payer asks for and names any missing item while it can still be fixed.

Every request in one place

Pending requests show their age. One waiting past five days goes to utilization review.

For delegated plans

Plans that delegate oncology see each request's evidence and status alongside the episode it belongs to.

Tell us where your oncology risk sits.

Which contracts, which sites, and who manages the follow-through today. We reply within two business days with how Arca would run alongside them, starting with one program.