OrthoRelay
Built in Texas, for Texas Ortho Clinics

Prior Auth. Done Right. Built for Texas Orthopedics.

OrthoRelay is a narrow Texas orthopedic prior auth v1 focused on BCBS-TX and UHC. It shows how a clinic can review case details, check payer requirements, and assemble a submission-ready packet using synthetic data before a guided pilot.

Synthetic demo data · Texas ortho workflow · BCBS-TX + UHC v1 scope
View Product Demo → Request Walkthrough →
The public experience uses synthetic sample data. Admin workspace access is for guided demos and internal testing.
SyntheticPublic demo dataset
BCBS-TX firstCurated rules in demo today
OrthoTexas orthopedic workflow
Guided pilotReal-data rollout by request

Why prior auth drains your team

Auths vary by payer and plan. Staff re‑key EMR data, chase checklists, and fight denials from missing elements.

Time sink

30–90 minutes per auth across faxes, portals, and phone trees.

Preventable denials

Missing notes, LoMN, or imaging evidence lead to rework and cancellations.

Inconsistent packets

Every payer/plan is different. Results vary by staffer and day.

How OrthoRelay works

From sample intake to packet review, the public demo shows the workflow we are validating with clinics.

1

Load sample case

Start from a synthetic orthopedic case with preloaded notes, payer context, and required fields.

2

Review extracted fields

Show how OrthoRelay organizes case details and highlights what staff should verify before submission.

3

Check requirements

Walk through payer-specific checklist logic and what documents are still needed before submission.

4

Packet preview & handoff

Generate a packet preview and handoff summary. Portal submission remains a guided workflow today.

Current payer scope

Today’s public product scope is BCBS-TX and UHC only. Texas Medicaid is out of scope for this pass.

Blue Cross Blue Shield of Texas

Curated demo
Deepest payer coverage in the current public walkthrough
  • Knee MRI (73721)
  • Rotator Cuff Repair (29827)
  • Total Knee Arthroplasty (27447)
  • Lumbar Fusion (22633)
  • SI Joint Fusion (27279)

UnitedHealthcare (Texas)

Limited demo
Admin workflow and repo rules are in scope for v1, though the public walkthrough still has lighter UHC storytelling than BCBS-TX.
  • Seeded example rows for 27130, 29881, 22633, and 73721
  • Simulated payer handoff example in the public demo
  • No live portal submission automation
  • No full curated public rules bundle parity yet

Texas Medicaid (STAR & STAR+PLUS)

Not live
Not included in this v1. We are not claiming Medicaid workflow support in the current product scope.
  • UHC Community Plan
  • Molina Healthcare
  • Superior Health Plan (Centene)
  • Aetna Better Health TX
Rules shown in the public demo are curated examples for walkthroughs, not a production rules engine or live payer feed.

See it in action

From patient chart to packet review, shown as a guided demo workflow with synthetic data.

Built for Texas Orthopedic Clinics

Built specifically for Texas orthopedic service lines, with BCBS-TX demo depth first and limited UHC examples today.

Orthopedic Surgery Sports Medicine Spine Surgery Pain Management

How we work with your clinic

Discovery first. Real-data pilots come only after security, workflow, and data-handling review.

1

Your team requests access

PA coordinator or office manager shares their workflow and pain points so we can tailor the walkthrough.

2

We set up your clinic

We scope workflow, access, and data handling before any live-data pilot is considered.

3

Your team starts saving hours

If there is a fit, we plan a guided pilot with explicit scope, data rules, and success metrics.

What clinics want to improve

The demo is built around three outcomes teams care about. Exact impact still needs to be measured in a real pilot.

Less rework
Fewer missing items before submission
Faster prep
Shorter staff prep cycles
Clear queue visibility
One place to see case readiness
Synthetic public demo BCBS-TX rules + limited UHC examples Admin workspace by invite Pilot scoping available Texas ortho focus

Request a guided walkthrough

Tell us about your clinic and workflow. We will use it to tailor the next demo or pilot discussion.

Email hello@orthorelay.ai Email sales@orthorelay.ai Open request page →
Include clinic name, specialty, payer mix, and whether you want a walkthrough or pilot discussion. Do not send PHI.