Now booking founding partner pilots

Compliant prior auth, LUPA flags, and OASIS drafts — built for California home health.

Three modules. One California-first stack. HIPAA-compliant via AWS Bedrock + active BAA. Built by a Licensed Vocational Nurse who's been on the floor in HH and hospice.

Free 30-day pilot. No card. No contract. Walk away day 30 with zero charge.

clinicalflow.ai/pa-engine
GENERATING
0.42s

Built for California regulatory complexity

SB 1120 AB 3030 AB 1810 Hospice CHC Knox-Keene §1367.241 Title 22 §74600 CMIA HIPAA via AWS BAA

National EHRs aren't built for California's regulatory weight.

CAQH 2024 puts prior authorization at ~$11,000 per clinician per year. CMS-0057-F (live January 2026) tightened payer response windows to 7 days. CY 2026 PDGM recalibrated case-mix weights. OASIS-E2 and All-Payer OASIS arrive 2027.

$0K
Per clinician / yr on PA
0 days
CMS-0057-F PA window
$0
Lost per LUPA case
0%+
OASIS coding error rate

Prior Auth Bottleneck

Intake teams spend 30+ min/letter hand-writing clinical narrative. CMS-0057-F means complete-the-first-time or get denied on documentation.

LUPA Leakage

Under PDGM, episodes that drop below 4 visits cost you $1,500–$2,000 each. A 50-clinician agency loses $20K–$40K/year to avoidable LUPAs.

OASIS Coding Errors

Item-vs-narrative inconsistencies trigger denials and HHVBP tier slippage. OASIS-E2 (Jan 2027) and All-Payer OASIS (CY 2027) are coming.

From referral to compliant letter — in under two minutes.

No new EHR. No migration. Runs alongside whatever you already use.

I

Paste the referral

Drop the referral packet or clinical narrative into ClinicalFlow. PHI stays under your AWS BAA.

II

AI generates output

Compliant PA letter, LUPA flag, or OASIS draft — with every California reg surfaced inline.

III

Clinician reviews

Physician signs per SB 1120. Anti-fabrication guardrails mean no invented ICDs or NPIs.

Three modules. One California-first stack.

Each module solves one of the biggest revenue leaks in home health. Run individually or bundle all three.

PA + Appeal Engine

Compliant PA letters in <90 seconds

Medicare, Medi-Cal, MA plans, commercial. CMS-0057-F-aware. SB 1120, AB 3030, AB 1810 hospice CHC, Knox-Keene, Title 22 baked in. Anti-fabrication guardrails. Appeal letters included.

$799/mo standalone
LUPA Guardian

Stop leaving $1,500–$2,000 per LUPA on the table

Flags HH episodes at risk of dropping below the 4-visit LUPA threshold. Pre-episode risk scoring + mid-episode triggers + episode-closure check. CY 2026 PDGM-aware.

$799/mo standalone
OASIS Co-Pilot

Draft OASIS-E1 / E2 in minutes, not hours

Drafts OASIS items from your narrative. Flags item-vs-narrative inconsistencies. Pre-validates GG items against MA payer rules. Ready for OASIS-E2 and All-Payer OASIS.

$799/mo standalone

The category. The math.

Same problem, three different approaches. Here's how the math actually plays out for a California HH agency.

National EHR module DIY / ChatGPT ClinicalFlow AI
California regs (SB 1120, AB 3030, AB 1810) Generic templates Not surfaced Line one of every prompt
HIPAA via BAA Yes No (standard tier) AWS Bedrock + active BAA
Anti-fabrication guardrails N/A (template-based) None Built-in
Implementation 60-90 days Day 1 (rough) Day 1 (production)
Pricing $400-1,200/clinician/mo $20/user/mo + nurse rewrite $1,997/mo bundle flat
LUPA + OASIS modules Separate add-ons Not available Included in bundle

Module retainer. No per-clinician fees.

Free 30-day pilot first. Convert on day 30, or walk away with zero charge.

Single Module

$799
/month — any 1 module
  • Choose PA, LUPA, or OASIS
  • Unlimited clinicians
  • Unlimited generations
  • HIPAA via AWS BAA
  • 17% off annual prepay
Start free pilot

Founding Partner

$1,597
/month — locked for life
  • Full bundle (all 3 modules)
  • 20% off standard, forever
  • First 3 CA conversions only
  • $4,800/yr saved permanently
  • Locked at signing
Claim a slot

For a 50-clinician California HH agency, the bundle saves ~$117K/year vs unaided PA labor, LUPA leakage, and OASIS rework. Net six figures back per year.

AG
Adam Gupilan
Founder, ClinicalFlow AI
CA LVN • Oct 2022
HH + Hospice
HIPAA via AWS BAA

Built by a nurse, for nurses.

I've been a Licensed Vocational Nurse in California since October 2022. Time on the floor in home health and hospice — watching clinical teams spend more time on paperwork than patients. Watching intake nurses stay late chasing fax confirmations on prior authorizations. Watching LUPA cases close at $500 when they should have billed at $2,500.

ClinicalFlow AI is the version of the tool I wanted on the floor. California-first because that's the market I know. HIPAA-compliant via AWS Bedrock because anything else is unethical with real patients. Three modules because PA, LUPA, and OASIS are the three biggest revenue leaks in home health, and I wanted to solve all three.

If you operate a California HH or hospice agency, my calendar's open for a 15-minute look. No pitch, no slides, just the demo.

Book 15-min call →

Common questions.

Is the 30-day pilot actually free?

Yes. $0, no card on file, no auto-conversion. Walk away on day 30 with zero charge.

HIPAA — really?

Yes. AWS Bedrock with an active BAA between ClinicalFlow AI and AWS. Standard healthcare-grade infrastructure. No PHI to OpenAI, Anthropic public API, or any non-BAA-covered service. Audit logs retained 6 years.

Do you integrate with my EHR?

Not yet. ClinicalFlow runs alongside your EHR — clinician pastes the referral or narrative in, gets the document, pastes back. EHR connectors (MatrixCare, Brightree, Axxess) are on the Q3 2026 roadmap.

What if my agency is outside California?

The product works mechanically. But the California regulatory grounding (SB 1120, AB 3030, AB 1810, Knox-Keene, Title 22) won't apply to your state. You'd be paying for moat you can't use. I'd rather you waited until I expand to your state.

Why $1,997 for the bundle?

Module-retainer pricing, not per-clinician. A 30-clinician agency and a 130-clinician agency pay the same. For a 50-clinician CA HH agency, the bundle saves ~$117K/year vs unaided PA labor, LUPA leakage, and OASIS rework.

What does "founding partner" mean?

The first 3 California agencies that convert from pilot to paid bundle lock in $1,597/month for life — 20% off the standard $1,997 bundle, forever. A permanent thank-you for taking real risk on a solo founder.

Get your nurses back to patient care.

30-day pilot. No card. No contract. Find out if ClinicalFlow saves your team 12+ hours per week.

Book your free pilot →