From prescribed to started.
Priorly Health Inc. is the end-to-end treatment orchestrator for safety-net health
care. It runs the whole path — authorization, fill, delivery, follow-up — and
measures therapy started, not requests approved.
Care doesn't fail. It stops.
An order is written. Then it waits at a gate nobody is watching: authorization,
fill, delivery, follow-up. An approved request is not a treated patient.
40 prior authorizations per physician per week — 13 hours of physician and staff
time. 79% of physicians report patients abandoning treatment because of prior
authorization. 12.5% of Medicaid managed-care requests are denied, and roughly 89%
of those denials are never appealed. Sources: AMA 2025 Prior Authorization Physician
Survey, n=1,000; HHS OIG OEI-09-19-00350, 2019 data.
The worst gate is the first one.
The order should summon the system, not the other way around. Priorly is built to be
triggered by the order itself — push, not pull — reading the same chart the clinician
is reading and answering whether authorization is required, whether the request will
approve as documented, and what the payer actually demands. In build: chart-connected
readiness is live against athenahealth FHIR; MEDITECH Expanse is in development;
today's pilot runs in a coordinator queue.
Prior authorization first. Then the rest of the path.
We start at the first gate — pharmacy-benefit prior authorization — because it is the
hardest gate and the only one with a same-week feedback loop. From there the same
engine extends: medical-benefit authorization, then fill, then delivery, then
follow-up. Sequenced on purpose. State by state, EHR by EHR.
Every answer shows its work.
Each criterion is quoted verbatim, matched to chart values, and traced to source
record identifiers.
Rules are data, not code.
Criteria, thresholds, and lists are editable configuration with an audit note — not
a release.
Approval is an event, not an ending.
One event produces the next action, with the evidence attached. Priorly prepares the
action; a person authorizes it. A stalled therapy is a clinical failure and a revenue
event at the same time. Direction, not shipped behavior.
One entry in the record, everything it set off.
A lab resulted. A patient went home. A sensor logged a temperature. Each entry either
satisfies a rule or breaks one, and each one produces the next named action with the
rule it answers to. Illustrative prototype, synthetic data. Direction, not shipped
behavior.
Built for safety-net care the big vendors skip.
Safety-net health systems, FQHCs, and public hospitals. Priorly takes no payer
relationships and no pharma relationships; we sell to providers only. Integrations:
athenahealth FHIR connector built, not yet in production; MEDITECH Expanse in
development; Oracle Health planned. Standards we build to: FHIR, SMART on FHIR, CDS
Hooks, NCPDP SCRIPT, and Da Vinci CRD/DTR/PAS — standards the architecture targets,
not a claim that each is in production today.
In build, with partners.
In live pilot with a multi-specialty physician practice. In design partnership with a
rural Arkansas health system on MEDITECH Expanse. Integrated with a national prior-
authorization network for pharmacy-benefit submission. First integrated
user-acceptance testing scheduled for Q4 2026.
Operators, not observers.
Jason Ovryn, co-founder. Second-time founder; previously built and sold Carry, a
same-day delivery company in New York. Led AI strategy at Walmart eCommerce. Former
EMT.
Orchestrate the whole path, not the paperwork.
Contact: hello@priorly.com. We respond within
one business day. Priorly is in build with pilot and design partners.