How it works Who it's for Contact
Request demo
Clinical decision infrastructure

Turn care decisions
into action — instantly.

Gotchu assembles complete, consented patient context the moment a care decision is made — and activates referrals, prior auth, and specialty access instantly.

See Gotchu in action How it works
Scroll
The real problem

Care doesn't break at diagnosis.
It breaks after the decision.

Referrals
Sent blind — specialists receive no context, patients fall out before the appointment
Specialty access
PA starts late, denial loops begin — therapy delayed weeks after the prescribing decision
Patient context
Same forms, same history — repeated at every touchpoint and still often incomplete
Payer visibility
Payers react to claims after the fact — no view into what care is needed before it happens
Core flow

The moment a care decision is made, Gotchu moves.

Gotchu picks up where the clinical workflow leaves off —
assembling context and activating next steps without manual coordination.

1

One minimal input

Provider, patient, or payer triggers Gotchu with basic details. Identity is resolved and consent captured automatically — minimal friction, not repeated forms or manual back-and-forth.

Identity resolution · Consent capture · Any entry point
2

Full context assembled

Longitudinal records pulled, coverage evaluated, access path determined — in seconds. No chasing history, no fax requests, no coordinator calls required to begin.

Records · Coverage · PA path · Prior treatments
3

Care workflows activated

Referral, prior auth, and support programs triggered in parallel. The right next step executes immediately — patient moves forward without coordination delay.

Referral · Prior auth · Specialty access · Support programs

Decision to activated workflow — typically within 60–90 seconds

Before and after

What changes when Gotchu is present

Without Gotchu
Clinician decides — then manual coordination begins
Coverage and PA status unknown for days
Referral sent without patient context attached
Patient repeats history at every handoff
Payer has no visibility until the claim arrives
Delays, back-and-forth, and drop-off at every step
With Gotchu
Decision made — context assembled, next step activated
Coverage and PA path clear within seconds of the Rx
Referral carries full history and prior treatments
Patient identity resolved once — context flows forward
Payer gains pre-encounter visibility before claims occur
Patient moves forward — no coordination gap, no drop-off
Who Gotchu serves

Different roles. One infrastructure. Complete context for all three.

🏥
Providers
PCPs · Specialists · Health Systems
Make decisions with complete context. Let Gotchu handle the rest.

Providers no longer need to manually gather patient context — Gotchu assembles it before the encounter. The traditional coordination burden around intake and referral preparation is largely eliminated.

  • No more chasing records or repeating intake calls
  • Referrals sent with full history and prior treatments attached
  • Specialty access workflow starts at the moment of prescribing
  • Staff burden drops; PA approval rates rise
  • More time for clinical decisions, less time on coordination
"Collect → figure out → act"  →  "Decide → Gotchu executes → follow up"
🏦
Payers
Health Plans · Population Health VPs
Move from reacting to claims — to guiding care before it happens.

Payers today are flying blind until a claim lands. Gotchu gives payers pre-encounter visibility and control — seeing who needs access, what's planned, and where barriers exist before care occurs.

  • Pre-encounter visibility into member needs and therapy plans
  • Members activated into the right pathways — not just "call us"
  • Fewer preventable denials — PA likelihood known before submission
  • Lower avoidable specialty spend through earlier intervention
  • Reduced call center volume; earlier member activation
"Reacting to claims"  →  "Shaping care before it happens"
🧑‍⚕️
Patients
Clinician invite · Self-enroll · PA denial
Stop navigating the system. Start getting care.

When your clinician makes a care decision, Gotchu already knows who you are — your history, your coverage, your access path. You don't coordinate anything. Gotchu orchestrates it.

  • Identity resolved once — no repeated forms at every visit
  • Coverage and access path visible from the moment of the decision
  • Guided through referral, approval, and pharmacy — step by step
  • Faster access to treatment; fewer drop-offs and denial surprises
  • One consistent experience across every care touchpoint
"Chasing the system"  →  "Being guided through care"
What makes Gotchu different

Built for the moment after the decision.

Patient identity layer

Knows who the patient is. Automatically.

Identity resolved, consent captured, and longitudinal records assembled from a single minimal input — whether the trigger comes from a clinician, a patient, or a PA denial.

Real-time decision intelligence

Coverage and PA path in seconds, not days.

What to do next, where to send, and what authorization is required — assembled from the moment the clinical decision is made, not hours or days later.

Specialty and referral access

Built where coordination fails most expensively.

Specialty referrals, therapy access, and complex prior auth workflows — built specifically for this complexity, not adapted from a general-purpose tool.

Pathway continuity

The decision remembered across the care journey.

Decision → action → outcome — connected across every touchpoint, so care continuity is maintained without manual follow-up or repeated coordination.

Built for healthcare

Designed for trust.

Built for healthcare environments — with privacy, security, and interoperability as core architecture, not afterthoughts.

🔒
HIPAA-aligned
PHI-minimized architecture with BAA coverage at every processing layer
⚡
Interoperability-ready
FHIR-native, USCDI-aligned, built for EHR and payer integration
🛡️
Privacy by design
Consent-first identity — no PHI moves without explicit authorization
🔬
Specialty-native
Built for specialty and complex care workflows — where access friction is highest

Gotchu is the decision-to-action infrastructure for modern healthcare.

Providers, payers, and patients. Complete context. Automated workflows. From decision to activated care — in seconds.

Request a demo
hello@gotchuhealth.com