Prior Authorization, Prepared Right the First Time

Caldarium transforms clinical documentation into payer-ready prior authorization drafts, with every claim traceable to source notes so your team can review, approve, and submit with confidence

Human-reviewed. Audit-ready. Designed for Medicare Advantage complexity.

No auto-submission. Your team controls the final request.

Designed for real workflows, not sandbox demos.

What the output looks like (synthetic example)

OUTPUT PREVIEW

A packet your team can review quickly, defend in audits, and reuse for resubmissions.

01

Draft Authorization Packet

Structured narrative + key facts, ready for internal review.

02

Evidence Map

Structured narrative + key facts, ready for internal review.

03

Missing Items Checklist

What’s absent, unclear, or contradictory, before you submit.

Hospital DISCHARGE

FASTER DISCHARGE TO HOME HEALTH

Without replacing your EHR or discharge workflows

Hospitals lose bed capacity when discharge to home health slows down.

The most common reason is not clinical readiness. It’s documentation that does not meet downstream home health and payer requirements.

Caldarium is a documentation readiness layer that works alongside your existing EHR and discharge tools.

Human-in-the-loop by design.

No automated clinical decisions and no change to discharge ownership.

THE CALDARIUM ADVANTAGE

What We Do, and What We Don’t

No replacement of EHR or discharge planning tools

Evidence-linked documentation, not generated summaries

No automated clinical decisions

Integrates with existing hospital workflows

Designed for compliance and auditability

Why This Matters

Medically ready patients wait in beds.

Home health agencies request clarification or reject packets.

Prior authorization and intake stall downstream.

Staff rework documentation under time pressure.

Prior authorization is slow because the evidence is scattered

PA teams lose hours per request to

Reading lengthy notes and discharge documentation
Hunting for payer-required details hidden in the record
Rebuilding submissions due to “missing documentation”
Coordinating rework across clinical and administrative staff

The result: Delays in care, delayed starts of service, burnout, and inconsistent packets that slow payer decisions.

WHAT CALDARIUM DOES

A prep system for staff, not an autopilot

Caldarium helps your team assemble a clearer, more complete home health authorization packet by:

  • Extracting the clinical and administrative facts that matter
  • Structuring them into a clean, reviewable draft
  • Linking every claim to the exact source text for verification
  • Flagging missing or weak documentation before submission

No clinical decision-making. No black-box text. Just better preparation.

DELIVERABLES

Deliverables your team can actually use

  • Draft Authorization Packet
    A structured narrative plus key facts, formatted for review and auditing.
  • Evidence Map
    Every claim is traceable to the original documentation.
  • Missing, Weak, Conflicting Items List
    Flags gaps and contradictions before you submit.

HOW IT WORKS

Start in a week, no deep EMR integration required

Caldarium can run pilots using the documents you already have, without major workflow disruption.

Securely upload or transfer documents Discharge summary, notes, referrals, orders, attachments.
We extract key facts into payer-relevant sections Diagnosis, function, prior treatments, risks, homebound, face-to-face, ordering provider, timing, and more.
Every fact is cited back to the source text So reviewers can click, verify, and approve quickly.
Missing or weak documentation is flagged Before submission, not after a denial.
Your team reviews and submits. You stay fully in control of the final request.

PACKET TYPES

Packet types we support first
Start with one packet type and prove impact fast

PILOT METRICS

Metrics you can measure in 30–60 days
Caldarium is designed to reduce:

Pilot measurement approach:

Baseline in week 1

Improvement tracking weeks 2–8

Expand or stop based on measured results

DIFFERENTIATION

Why teams choose Caldarium

Most tools either move forms around or generate text you cannot audit.

Caldarium is built for defensibility:

SECURITY AND PHI

Built for sensitive healthcare workflows

PILOT OFFER

Start small, prove value, then expand

Typical pilot:

Pilot timeline

WHO IT’S FOR

Ideal users:

PA specialists, intake coordinators, UR teams, RCM teams

Ideal buyers:

VP Revenue Cycle, RCM Directors, COOs, admins overseeing throughput

FAQ

Does Caldarium submit prior authorizations to payers?

No. Caldarium prepares a payer-ready draft packet with evidence links. Your team submits and stays accountable.

No. It reduces manual assembly work and rework cycles, staff stays in control.

Not for pilots. We start with secure transfer of the documents you already use.

We operate under a BAA, do not train on customer PHI, and support customer-controlled deployments. We can share our security overview covering access controls, encryption, audit logging, and operational safeguards during procurement.

Ready to see what a traceable, reviewable packet looks like?