Most of what distinguishes one provider network from another is invisible until something goes wrong. These are the commitments that shape how ours works, stated plainly so you can hold us to them.
Every decision is made by a licensed provider
Approvals are not automated. A licensed provider reviews the intake, evaluates the patient against the protocol, and records a decision — approve, decline, or request more information. Software routes and documents; it does not decide. A system that approves on rules alone is not performing a good faith exam, whatever it is called in the marketing.
We do not commit to an approval rate
We are asked for one regularly, and the answer is always no. A guaranteed approval rate is a guarantee that no real review is happening, which is precisely the liability a client was trying to buy their way out of. A meaningful proportion of requests are declined or returned for more information, and that number moves with the population rather than with a target.
The provider exercises independent judgment
Your brand does not direct clinical decisions, and neither does ours. That is not a courtesy — it is the load-bearing element of the PC-MSO structure, and in California it is now written into statute with Attorney General enforcement behind it.
Protocols are documents, not intentions
- Written against the service list actually being offered, and revised when it changes.
- Matched to each receiving license, because delegation never expands scope.
- Reviewed on a fixed cycle, and additionally where a state requires a specific annual review.
- Version-controlled, so it is possible to say which protocol governed a decision made eight months ago.
The record is complete
Every request carries the intake, the reviewing provider, the decision, the reasoning and the timestamp. Where AI tools touch documentation they operate under a Business Associate Agreement, and a clinician reviews and signs what is produced. The dangerous failure in that category is a fluent note describing an exam that never happened, and the signing clinician owns it.
We say no
Some programs we decline to support: molecules with no lawful compounding pathway, structures whose only purpose is to make a non-physician the real decision-maker, and arrangements that pay us a share of clinical revenue in states that prohibit it — which is why we do not structure fees that way in any state.
Book a call if that is the kind of partner you are looking for. If it is not, we would rather find out on the first call.