Gistia
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Gistia Payer Solution Catalog

Move diagnostic requests from incomplete intake to a clear review decision.

Start where requests stall: missing information, evidence preparation, prior authorization, reviewer handoff, or status follow-through.

See the solutions Discuss a review workflow
  1. 01ReceiveDiagnostic request
  2. 02CompleteOrder readiness
  3. 03EvaluateApproved criteria
  4. 04ReviewHuman judgment
  5. 05DecideAuthorization
  6. 06ReturnStatus and next action

Solution Catalog

Choose where diagnostic review is slowing down.

Prepare complete cases earlier, focus human judgment where it is required, and keep each decision connected to status and next action.

Human review

Payer Review Portal

Give payer teams a clear record for evidence review, human judgment, status, and the next action.

EvidenceApproved criteriaExceptionsDecisionsStatus
Start here when

Reviewers spend too much time assembling context, navigating evidence, or reconstructing the decision record.

Discuss review operations

Payer review workflow

  1. 01
    ReceiveOpen a complete diagnostic review case
  2. 02
    PrepareOrganize evidence, context, and open issues
  3. 03
    ReviewApply authorized human judgment
  4. 04
    DecideRecord the decision and supporting trace
  5. 05
    ReturnSend status and the next action to the right system
Designed around your operationConfigure the workflow around approved criteria, review authority, evidence requirements, exceptions, and downstream systems.

Before review

Prepare review-ready cases before they reach the reviewer.

Bring the order, clinical context, supporting records, requirements, missing items, and exceptions into one controlled path.

Order Completion

Order readiness

Bring the order, clinical context, supporting records, missing items, and follow-up into one path.

Start here when

Requests reach review without the order detail, clinical context, records, or follow-up needed to proceed.

Discuss order readiness

Prior Authorization

Prior authorization

Prepare the case against approved requirements and route exceptions for authorized review.

Start here when

Teams repeatedly assemble the same requirements, chase missing evidence, or manually route exceptions.

Discuss prior authorization

Each solution is scoped around approved criteria, review authority, existing systems, controls, and the operating result you need.

Connected review operation

Keep the request, evidence, decision, and status connected.

Share identity, workflow signals, integrations, evidence, audit history, and production support across the review capabilities you introduce.

Discuss integration

Where does diagnostic review lose the most time?

Start with order completion, prior authorization, evidence review, reviewer handoff, or status follow-through.

Discuss the workflow Explore Custom AI Solutions