Flag icon

U.S.-Based

Healthcare

Prior Authorization AI

start video call <> start video call <>
  • Client

    Prior Authorization AI

  • Industry

    healthcare

  • Location

    New Jersey

  • Service

    platform development

01.Overview

Prior authorization is one of healthcare's most persistent administrative burdens: repetitive, deadline-driven, and easy to let slip.

For Joseph Oluwo, founder of Prior Authorization AI and operator of a Medicare/Medicaid medical transportation company in New Jersey, it consumed days of phone calls and manual data entry every single week.

SoftDoes built a custom AI platform that ingests patient documentation, populates authorization forms, flags issues before submission, and tracks renewal deadlines automatically.

What was a sprawling manual process is now a clean review workflow, and a product Joseph plans to bring to market for providers across the country.

"Every time I sent a request, if there was anything that didn't work, they were able to turn it around quickly. Even when there were no updates yet, they always reached out to let me know they were working on it."

-Joseph Oluwo, Founder Prior Authorization AI

02.Client background

Joseph Oluwo runs a medical transportation company serving dialysis patients and other Medicare/Medicaid recipients in New Jersey. His patients travel on fixed schedules, many three times a week, making consistent and on-time prior authorization essential to operations.

With deep clinical and logistics experience and no technical background, Joseph recognized an opportunity that most operators in his space had missed: the inefficiency was unaddressed, and therefore solvable. Prior Authorization AI was built from that insight.

03.Challenge & solution

challenge

Prior authorization for medical transportation is relentless. Every patient transport requires documented approval from Medicare before it can happen.

That means collecting clinical notes from doctors, social workers, and specialists; assembling them into a compliant submission packet; and filing before a hard deadline. Miss the window, and the transport cannot happen.

For Joseph, that process looked like this:

  • Spending up to 16 hours on the phone each week chasing documentation from doctors' offices

  • Manually assembling patient records and transportation applications for each submission

  • Tracking authorization renewal dates (every 30 or 90 days, per patient) with no automated reminders

  • Resubmitting when records arrived incomplete or with incorrect verbiage

  • Managing all of this as a solo operator while also running day-to-day transportation logistics

Every hour spent on clerical work was an hour unavailable for growth, patient relationships, or clinical quality.

solution

SoftDoes built Prior Authorization AI: a custom AI-powered prior authorization platform designed specifically for medical transportation providers.

The platform sits between the doctor's office and Medicare, automating the intake, review, and submission process end to end:

  • Receives faxed patient documentation via API integration, eliminating manual document collection

  • Uses AI to extract and populate required fields for authorization submissions automatically

  • Flags missing data or non-compliant verbiage before anything leaves the system

  • Connects directly to Medicare's API to streamline filing without manual data re-entry

  • Tracks per-patient renewal deadlines (30 and 90-day cycles) with automated reminders

  • Provides a clean review interface so Joseph Oluwo can approve, flag, or request corrections in seconds

The engagement also included HIPAA-compliant infrastructure setup on AWS, GitHub onboarding, and hands-on technical education for a non-technical founder navigating these systems for the first time.

04.Results

Prior Authorization AI is live and in final validation ahead of its first Medicare submission, a meaningful milestone for a solo founder building in a regulated industry.

  • Document collection reduced from 16+ hours of weekly phone calls to automated fax-to-platform

  • Authorization renewal deadlines (30 and 90-day cycles) now tracked and flagged automatically

  • Pre-submission AI review catches missing data and non-compliant verbiage before filing

  • Direct Medicare API integration eliminates manual re-entry at the point of submission

  • Founder freed from clerical work to focus on clinical oversight and business development

  • Platform built for commercial expansion, with plans to bring it to transportation providers nationwide

"I spent two days on the phone, literally 16 hours, collecting documents. That's what this is replacing."

-Joseph Oluwo, Founder Prior Authorization AI

More case studies

Flag icon

U.S.-Based

Discuss Your Project

This is a no-pressure, 30-minute conversation. We will talk through what you are building, identify risks or unknowns, and outline what it would take to do it right.

Certificates

Let's build together.

Talk with a senior engineer about your product idea, architecture, and what it would take to build it.

Upload File