Priorly × NARMC

What if NARMC didn't just
survive — but became the model
for every community hospital?

Three Commitments

Priorly exists to do three things — and only three things.

01

Make it simpler to be an administrator.

Prior auth, denials, appeals, status calls, referral tracking — the work that buries your staff. We make it disappear.

02

Make it simpler to be a patient.

No more confusion about coverage. No more waiting without answers. No more falling through the cracks between referral and care.

03

Empower healthier lives.

Actionable, personalized, respectful support — reaching people where they are, before they need the emergency room.

What This Looks Like at NARMC

Five moments that change everything.

The Administrator
Today → Day 1

PA disappears from the to-do list.

A physician orders an MRI. Before anyone picks up a phone, Priorly checks the patient's coverage, confirms the PA requirement, assembles the clinical documentation, and submits — all in the time it takes to close the order. Across 13 clinics. Every payer. Every procedure.

The Patient
Today → Month 3

A phone call that changes a life.

Priorly, calling on behalf of NARMC

"Ms. Johnson, your doctor ordered a knee MRI. Your insurance approved it. We've scheduled you for Thursday at 2pm in Harrison. Would you like us to arrange a ride? You'll need to arrive 15 minutes early. Do you have any questions?"

One call. Authorization, scheduling, transportation, and peace of mind — in 90 seconds.

The CEO
Today → Month 6

The denial problem becomes a negotiation advantage.

Priorly shows you which payers deny the most, which procedures they target, and how much it costs NARMC. You walk into your next contract negotiation with data no one else in the state has.

The Community
Today → Year 2

Chronic care that doesn't wait for a crisis.

A diabetic patient at NARMC. Priorly ensures the endocrinology referral is authorized and scheduled. Arranges transportation. Tracks whether she filled her metformin. Reminds her of her A1C follow-up. Connects her to nutrition support. If she falls off — Priorly calls. Before the ER visit. Before the hospitalization. Before the cost.

The Balance Sheet
Today → Year 1

A new revenue line, courtesy of CMS.

Priorly works alongside NARMC to take part in CMS' ACCESS Model — the new federal initiative paying providers to expand technology-supported chronic care. The same model that pays NARMC also keeps chronic patients out of the ED.

The Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) Model is a ten-year CMS Innovation Center program. Participating providers receive outcomes-based payments for delivering technology-supported chronic care to Medicare beneficiaries. Priorly handles the enrollment workflow, documentation, and patient outreach end-to-end. The diabetics, COPD, and CHF patients enrolled stay out of the ED. Revenue up. Avoidable visits down.

Inside the CEO View

The data you walk into your next payer negotiation with.

CMS-0057-F requires impacted payers to publish PA metrics, decide standard requests in seven days and urgent in seventy-two hours, and expose a FHIR PA API by January 2027. Priorly turns those obligations into your evidence file.

priorly · NARMC · executive view
Trailing 12 months
12,847
PAs submitted (TTM)
+4.1% vs prior year
18.6%
Initial denial rate
Benchmark: 12%
4.2 days
Median time-to-decision
CMS-0057 target: ≤ 72h
$3.94M
Revenue at risk in pending PAs
Aged > 14 days
Payer scorecard
Denial % · TTD · Overturn %
Payer A — Commercial27% · 6.1d · 71%
Payer B — Medicare Adv.19% · 4.8d · 64%
Payer C — Commercial22% · 5.4d · 58%
Payer D — Medicare Adv.11% · 2.9d · 49%
Payer E — Medicaid MCO8% · 1.7d · 42%

When you negotiate with Payer A next quarter, you can quote their denial rate, their median decision time, and the percentage of those denials NARMC successfully overturned — line-item, by procedure.

CMS-0057 watchlist
Leverage
API non-compliancePayer A

No FHIR PA endpoint live as of 1/1/26

>72h decisionPayer C

31% of urgent PAs exceed CMS-0057 SLA

No denial reasonPayer A

42% of denials lack specific clinical rationale

Metrics not postedPayer C

Annual PA metrics not publicly reported

What this gives you

A documented, payer-specific record of where each contract partner is failing federal rule — the same record CMS, the state insurance commissioner, and your board are entitled to see.

Illustrative — figures shown reflect a representative rural community hospital.Updated nightly

For the first time, the asymmetry flips. The payer no longer knows more about your PA performance than you do — you know more about theirs.

A Future Concept · Beyond the Hospital Walls

Health Pods.

NARMC closed two clinics. Those communities didn't stop needing healthcare. A health pod is not a clinic — it's an access layer. A private space in a pharmacy, a church, a fire station. A fraction of the cost. NARMC's name is on the wall. Priorly is invisible.

This is a forward-looking concept, not a Day-1 deliverable. We see it as a natural next chapter — potentially built in partnership with the Heartland Whole Health Institute — once the administrative foundation is in place.

The patient doesn't experience this as technology. They experience it as someone who cares enough to be there.

🩺
Telehealth visits

See an NARMC physician without driving to Harrison. Private, scheduled, connected.

📋
Insurance navigation

Medicaid enrollment. Coverage explanations. PA status. In plain English.

❤️
Basic vitals

Blood pressure, glucose, weight. Connected devices that feed back to NARMC in real time.

🤝
SDOH resources

Food assistance. Housing. Transportation. Mental health. The things that determine health more than medicine does.

The Real Vision

Every patient at NARMC gets
the same care a concierge patient
gets in Manhattan.

Proactive outreach. Barrier removal. Care navigation. Someone who remembers them and anticipates what they need. Not an app. A phone call. A text. A pod in their community. A system that's invisible — and always working.

$0
Medicaid PA — free, forever
$1
Per approved non-Medicaid PA

Every Medicaid prior authorization is on us — always. For all other payers, Priorly charges a flat $1 per approved PA. We only get paid when NARMC gets paid — our incentives are aligned with the provider, not the payer. No seats, no setup, no minimums.

Let's build this together.

Sammie — we're not here to sell you software. We're here to ask if NARMC will help us design what administrative excellence looks like for every community hospital in America. You named the problem. We built the company. Let's make Harrison the place where it starts.

Jason
Jason Ovryn · Co-Founder & CEO, Priorly
Priorly · ConfidentialHarrison, ArkansasMay 2026