Providers
See what is blocked, what evidence is missing, and attest dosage continuity against a verified medication timeline.
Learn moreOne prescription.One authorization.One chain of custody.
Demo-ready prior-auth coordination on synthetic data: one Case ID, one custody trail, and simulated payer statuses — integration-ready for provider, pharmacy, payer, FHIR, and clearinghouse configuration.
Demo environment — synthetic patient data. Simulated payer responses only. Integration-ready; payer connectivity requires customer or partner configuration.
Platform
PreRelay™ is the coordination layer between EHR, pharmacy, PBM, and payer systems. It does not replace those systems. It creates one authoritative prior-authorization case, one evidence package, and one chain of custody that every party can trust.
PreRelay currently demonstrates the complete prior-authorization workflow using synthetic patient and case data. The integration layer is designed to connect with provider, pharmacy, payer, PBM, FHIR, and clearinghouse systems. Production connectivity will be configured and validated with each participating organization.
The problem
Providers, pharmacies, PBMs, and payers maintain separate records of the same authorization — and nobody can point to the authoritative case when a patient needs medication.
Workflow
Eight deterministic steps from prescription intake to ready to dispense — AI may assist with extraction and drafting; it never approves, denies, or attests.
New Rx signals enter through the integration layer (mock adapters in the demo environment).
Coverage checks surface when prior authorization is required before dispense.
Medication continuity detects escalation (e.g. 7.5 mg → 10 mg) and gathers lower-dose history.
A single authoritative PA case is created — duplicate requests attach to the same record.
Required clinical and continuity evidence is versioned with provenance.
The case is blocked with an explicit waiting-on party and required action — not a vague “pending.”
Providers attest continuity; submission uses simulated payer responses in the demo (not a live network call).
Simulated payer decision, pharmacy adjudication, and dispense close on the same chain of custody.
Medication continuity
Demo scenario: TEST PATIENT 001 on Mounjaro — verified 2.5 / 5 / 7.5 mg dispensed, new 10 mg Rx requiring prior authorization and continuity evidence.
Verified dispensed
Verified dispensed
Verified dispensed
New Rx — PA required
Chain of custody
Every handoff attaches to one Case ID — from prescription received through provider attestation request.
Responsibility
Ambiguous status hides ownership. PreRelay™ surfaces who must act, why the case is blocked, and what action is required.
No owner. No reason. No next step. Every party assumes someone else is working it.
Who it serves
See what is blocked, what evidence is missing, and attest dosage continuity against a verified medication timeline.
Learn moreKnow whether an authorization already exists before opening another. Track adjudication and ready-to-dispense on the same case.
Learn moreReceive complete, versioned evidence packages with provenance — including prior dose history for escalation therapies.
Learn moreArchitecture
Today’s demo uses mock adapters, an NCPDP stub, and simulated payer responses. Live EHR, pharmacy, and payer connectivity requires customer or partner configuration and validation — we do not claim those connections are operational until they are.
Security
Designed with HIPAA-aligned security requirements in mind. Multi-tenant isolation, auditability, and least-privilege access are first-class product constraints — not afterthoughts. Architecture targets Microsoft Azure Container Apps hosting.
This release does not claim HIPAA Certified or HIPAA Compliant status. Controls are defined for future attestation and compliance programs.
Company
PreRelay™ is a healthcare coordination platform from Full Digital Consulting Systems (FDCS). It is not a replacement for EHR, pharmacy management, PBM, or payer systems — it is the integration, workflow, attestation, and coordination layer between them.
Prefer a guided walkthrough? We demonstrate the full prior-authorization workflow on synthetic patient data — Case ID, custody, attestation, simulated payer responses, RAG policy retrieval, and the future API/FHIR architecture. Live payer or EHR connectivity is configured per organization.
Demo environment — synthetic patient data. Free trial creates your own organization in the operator portal.