- CURRENTLY IN DEVELOPMENT — SUD UTILIZATION REVIEW AUTOMATION
The authorization burden ends here.
CMPNT Health is building utilization review automation for substance use disorder clinics — so clinical teams can focus on care, not paperwork. We’re looking for partners who want to shape what this becomes.
Hours of UR staff time reclaimed per week
0
+
Average prior auth turnaround vs. our automated submission
0
hrs
Proprietary criteria replicated — fully defensible by design
0
- THE PROBLEM
Substance abuse disorder (SUD) treatment clinics are overwhelmed by the growing regulatory complexity of insurance reviews and documentation.
While providing patient care, clinical teams must navigate reviews, detailed care
documentation, varying payer requirements, and strict privacy regulations. The
administrative burden is becoming unsustainable, contributing to more claim denials,
increased staff burnout, and less time focused on treatment. Your clinicians and your
patients feel these problems every day.
Administrative Burden
Clinicians spend hours per case translating clinical observations into payer-ready language, pulling attention away from patient care.
Denials and Appeals
Incomplete submissions and mismatched criteria language result in preventable denials that consume additional staff time to appeal and prevent patients from accessing necessary care.
Regulatory complexity
Most EHR systems aren’t designed to make regulatory compliance easy at either the federal (e.g. HIPAA, 42 CFR Part 2) or state (e.g. LOCADTR 3.0) levels. Your team needs a streamlined solution.
- HOW IT WORKS
From case intake to submission packet in minutes.
CMPNT Health guides your UR team through a clear, structured, auditable, and
efficient process built around the clinical criteria payers actually use.
Intake
Your clinicians conduct biopsychosocial interviews as usual and enter identifying data, diagnostic justification, and any relevant source documents through a structured six-block schema.
Criteria Review for Optimal Results
CMPNT Health reviews patient ASAM scores and flags potential issues with documentation before submission – not after denial.
Clinician review
Your clinicians review flagged material, confirm clinical reasoning, and retain complete control of what is shared with payers for maximum patient confidentiality. CMPNT Health prepares; humans approve.
Submission packet
CMPNT Health compiles a payer-ready packet for either prior authorization or concurrent review–with audit trail–to either securely share with payer staff or to facilitate phone briefs.
- BUILT FOR UR TEAMS
Every feature designed for SUD clinical workflow.
Consistent payer requirements
Every case follows the payer requirements that were in place when it was created. This keeps reviews consistent from beginning to end, even if payer policies change later.
DEFENSIBILITY
Objective concurrent reviews
Each concurrent review is evaluated on its own using the patient’s current clinical status. This supports fair, consistent decisions based on today’s documentation.
ASAM-ALIGNED
Smarter documentation review
Clinical notes are automatically analyzed to identify missing or incomplete documentation before submission, helping reduce delays and improve authorization success.
PHASE 1
Faster appeal preparation
When a request is denied, CMPNT creates a structured appeal packet with supporting clinical evidence, documentation, and criteria references that is ready for submission.
DENIAL RECOVERY
Clear operational visibility
Track case volume, submission progress, authorization outcomes, and denial trends across payers, levels of care, and clinical teams from a single dashboard.
VISIBILITY
Built for SUD compliance
Designed specifically for substance use disorder treatment organizations, with role-based access, consent tracking, and detailed audit logs to support 42 CFR Part 2 requirements.
REGULATORY
BUILT WITHIN
- HIPAA
- 42 CFR Part 2
- OASAS / LOCADTR 3.0
- ASAM Criteria 4th Ed.
- CMS-0057-F / FHIR PAS (2027)
- New York State Medicaid
Interested in what we're building?
We’re partnering with SUD treatment organizations to
shape the product. If this solves a problem you’re living
with, we’d like to talk.