AI‑assisted medical necessity docs for PAs, biologics, and audit responses.
Luma turns payer rules and clinical notes into payer‑ready documentation for prior authorizations, biologics, and audit letters — without exposing PHI.
- • Medical necessity notes for meds, imaging, and procedures
- • Prior auth and letter templates tuned to payer criteria
- • Audit response letters built from your existing chart data
Lost annually to audit clawbacks
Wasted weekly on paperwork
HIPAA violation fines at risk
What Luma Covers
Documentation, research, and guidance. One platform.
Built for Biologics Documentation
Biologics require the most rigorous medical necessity justification of any drug class. Luma generates documentation that meets LCD/NCD criteria for every major biologic — Humira, Stelara, Dupixent, Entyvio, and 50+ more.
- Step therapy and prior treatment failure documentation
- Disease activity scoring (CDAI, PASI, DAS28, Mayo) auto-referenced
- Lab value integration for monitoring requirements
- Biosimilar interchange justification when applicable
How It Works
From data entry to submission in minutes, not hours
Enter Clinical Data
Patient name, age, diagnosis codes, lab values, prior treatments. No PHI required.
AI Generates Docs
Comprehensive medical necessity documentation tailored to your payer's requirements.
Review & Customize
Adjust the generated documentation to match your clinical judgment and style.
Export & Submit
Download as Word or PDF. Paste into your EHR or payer portal. Done.
Enter Clinical Data
Patient name, age, diagnosis codes, lab values, prior treatments. No PHI required.
AI Generates Docs
Comprehensive medical necessity documentation tailored to your payer's requirements.
Review & Customize
Adjust the generated documentation to match your clinical judgment and style.
Export & Submit
Download as Word or PDF. Paste into your EHR or payer portal. Done.
What practices see with Luma
less time spent on documentation
in clawbacks prevented
reduction in denied claims or rework
Built for high-risk, high-scrutiny specialties
Rheumatology
Biologics PA pressure across dozens of agents and step-therapy protocols
Oncology
Complex regimen documentation with evolving NCCN guideline requirements
Wound Care
Skin substitute prior auth mandates and seven-figure audit clawback exposure
Gastroenterology
IBD biologics step-therapy barriers and growing biosimilar PA complexity
Trusted by Healthcare Providers
Real results from practices protecting their revenue
“We recovered $847K in a single audit cycle that would've been clawed back. Luma's documentation caught every detail the auditors were looking for.”
Dr. Priya Nair
Chief Medical Officer, Pacific Rheumatology Group
“Cut our prior auth time from 45 minutes to under 2 minutes per case. My nurses can finally focus on patient care instead of paperwork.”
Michael Torres, NP
Clinical Director, Metro Gastroenterology Associates
“Our wound care LCD documentation used to get flagged constantly. Since switching to Luma, zero clawbacks and our audit responses practically write themselves.”
Danielle Kessler, CPC
Billing Manager, Advanced Wound Care Specialists
Every PA. Under two minutes.
AI-generated medical necessity documentation.
HIPAA-safe. Audit-proof. So you can focus on patients.
Built to Avoid PHI
Luma collects only the minimum clinical context needed for AI generation.
No protected health information required.
What we do not collect
- ×Date of birth
- ×Medical record numbers
- ×Full street addresses
- ×Phone numbers or email addresses
- ×Insurance member IDs
- ×Exact dates of service
What we do collect
- ✓Age or age range
- ✓State only (no city or zip)
- ✓Payer name (insurance company)
- ✓Diagnosis codes and clinical details
- ✓Treatment history and medication names
Business Associate Agreement: Because PHI is not collected or processed in this workflow, a BAA is generally not required. For organizations with internal policies requiring a BAA regardless of PHI handling, we can discuss enterprise arrangements.
Users are responsible for ensuring they do not paste PHI into free text fields. Our platform blocks common PHI patterns like Social Security numbers and dates of birth.
Simple, Transparent Pricing
Everything you need to secure your revenue
3 seats · Unlimited cases
Need more?
Common Questions
Still have questions? Contact our team