Solutions · Specialty Clinics
Payer-specific packets, referral loops that actually close.
Cardiology, GI, endocrine, rheumatology, infusion — the workflows that get harder as patient complexity grows, drafted into reviewable packets.
Human-in-the-loop·HIPAA-aligned architecture·Audit on every action
01Where the day breaks down
Admin pain
Every payer wants a different packet.
What gets approved at one plan stalls at another for the same medication or procedure.
Admin pain
Referrals don't loop closed.
Outbound to subspecialists or imaging, inbound from PCPs — both leak.
Admin pain
Infusion and injectable scheduling is fragile.
Drug acquisition, auth, and chair time depend on three timelines lining up.
Admin pain
Coding is high-variance.
Complex E/M, time-based, infusion sequencing — easy to miss.
02How CliniLoom helps
01Per-payer PA templatesDrafted packets shaped to what each plan actually approves, with the missing-evidence list.
02Referral loop trackingOutbound and inbound referrals tracked to closure with drafted follow-ups.
03Infusion coordinationAuth, drug, and chair-time aligned with surfaced gaps before scheduling.
04E/M + infusion codingTime-based and sequence-based code suggestions with supporting note lines.
03Example workflow
Every step is recorded. Staff approve before anything leaves the clinic.
01 · SYSTEM
Specialty visit complete
02 · AI
Identify required follow-ups
03 · AI
Draft PA packet (if needed)
04 · AI
Draft referral loop closure
05 · STAFF
Clinician + admin approve
AI · drafted · medium confidenceSource: Last 4 infusion notes + labs
Infliximab continuation · Laila Morgan · BCBS
Drafted continuation packet citing CDAI score, lab stability, and absence of adverse events. Missing: most recent TB screening result.
ApproveEditEscalate
Safety
CliniLoom never sends, prescribes, or codes without a clinician's review. Drafts are clearly marked and every action is logged in the audit trail.
04Relevant modules
Next step
See CliniLoom on your real workflows.
A 30-minute walkthrough — your inbox, your prior auth, your follow-up backlog. No sales theater.