How to evaluate prior-auth and appeal software.
Seven questions worth asking any vendor in this category — including us. Each one has a checkable answer; none of them is “trust the demo.”
The seven questions.
1
Where does every drafted sentence come from?
Each clinical assertion in a draft should trace to a specific passage in the chart or the payer's policy — a citation you can click, not a plausible paragraph. Ask to see the citations on a real draft.
Our answer · Inveto drafts are source-cited by construction; the demo shows citations resolving on a disclosed synthetic case.
2
Who signs before anything leaves the building?
A physician (or the credentialed clinician the case requires) should review and attest before any packet is final. If the vendor's answer is "nobody needs to," that's your liability, not theirs.
Our answer · Physician review and attestation sit between drafting and export — structurally, not as a checkbox.
3
Who actually submits to the payer?
Be precise about the word "automated." Portals, fax lines, and payer rules vary; a vendor claiming universal automated submission is describing an aspiration. Your team should control what gets filed, where, and when.
Our answer · Your staff controls submission — Inveto prepares the packet and tracks the follow-through.
4
How are outcomes counted?
Ask for the denominator. A headline percentage without its base — every eligible case, or just the wins? — is marketing. A serious vendor publishes its counting rules: denominators, categories, attestation, and how small samples are suppressed.
Our answer · Ours are public at /methodology, down to the small-n suppression rules.
5
What happens with patient data?
A BAA before any PHI, and launch gates that fail closed rather than defaulting open. Ask what happens when a control isn't ready — the honest answer is "the feature stays off."
Our answer · Patient data is enabled only after a customer-specific BAA and launch checks are complete; the security posture is public at /security.
6
What does it need from your systems on day one?
Distrust "fully integrated with every EHR." The honest day-one answer is what the vendor can do with the documents you already have — with integrations earned against signed, tested proof, not slideware.
Our answer · Inveto works upload-first from your denial and clinical documents; integrations follow signed proof.
7
What does accountability look like in the contract?
Named owners on both sides, defined case scope, deadlines with consequences, and outcome reporting that separates the payer's decision from posted payment. If it isn't written, it isn't a promise.
Our answer · Every eligible case is worked or carries a documented reason; a missed in-scope deadline triggers a contractual fee credit; approved and paid are tracked separately.
The receipts: how we count outcomes and the security posture.
Evaluation questions, answered.
What's the single fastest way to separate vendors?
Ask for the denominator behind any success number, and ask to click a citation in a real draft. Those two requests take five minutes and expose most of the difference between a workflow you can audit and a demo you can't.
Should 'automated submission' count in a vendor's favor?
Only if they can name exactly which payers, which transaction types, and what happens when the portal changes. Payer infrastructure is heterogeneous; staff-controlled filing with tracked follow-through is often the honest ceiling — and the safer one.
How should we evaluate Inveto by these criteria?
The same way as anyone else: watch the walkthrough at /demo, click the citations, read the outcome-accounting rules at /methodology and the security posture at /security, and put the accountability terms in the order form. Inveto is built and ready, and every criterion above is one we chose because we can answer it.
Hold us to the list.
Inveto prepares source-cited prior authorizations and denial appeals; your team controls submission. Patient data is enabled only after a customer-specific BAA and launch checks are complete. No payer outcome is ever guaranteed. This page is an educational overview, not legal, medical, or coverage advice.