About
About Praxigen
Praxigen is an AI-native prior authorization platform for specialty practices. It checks documentation against payer criteria before submission and drafts policy-cited appeals, grounded in cited sources.
What Praxigen is
Praxigen is an AI-native prior authorization platform for specialty medical practices. Prior authorization is one of the most manual, fragmented workflows in healthcare: every payer has different rules, and the clinical justification has to match them exactly. Praxigen brings payer-requirement lookup, a case workspace, clinical-note checking, and appeal-letter generation into one workflow.
How it is different
The AI is a tool, not the source of truth. Praxigen maintains a source-grounded intelligence layer that cross-references clinical trials, CMS coverage policy, payer medical-necessity criteria, and legislation, and shows the citation behind each claim. That makes the output something your staff can review and stand behind, rather than trust blindly. It is provider-side and documentation-first, not a payer connection or a clearinghouse.
How we handle patient data
Praxigen is not yet HIPAA-compliant, so the pilot runs on de-identified or sample data only. Patient identifiers are removed on your own device before anything is sent, and your team reviews the output. Praxigen signs a Business Associate Agreement when handling identified data, and full HIPAA controls including audit logging are on the roadmap as we scale.
Who it is for
Small and mid-size specialty practices with meaningful prior-authorization volume, where denials and turnaround time are a real administrative burden: orthopedics, pain management, spine, radiology, cardiology, gastroenterology, physical therapy, and similar.
Who is building it
Praxigen was founded in 2026 by Maya Gerdes, with a small founding team of clinical and technical contributors. We work directly with our earliest practices as design partners, and that feedback shapes what ships next.