Banjo Health

BANJO HEALTHbuyer room · privateManage buyer room

AI-adjudicated prior-authorization, appeal and grievance case data across BOTH medical and pharmacy benefits for payer and PBM clients: inbound request content harmonized from EHR, eligibility, claims and ePA feeds; automated vs human review routing; machine-generated decision-tree evaluation traces from the Computer Assisted Review Engine; approval/denial outcomes with cited criteria; appeal filing and overturn outcomes; and — unusually — the machine-readable clinical decision trees themselves, generated by the Composer tool from payer criteria documents