Intake
Referrals, labs, and clinical notes from eRx, fax, or email, read and entered into your EHR or pharmacy system.
For infusion providers, specialty pharmacies & health systems
Put referral to authorization on autopilot.
Mandolin runs intake, benefits verification, and prior authorization end to end, inside your EHR or pharmacy system. Patients start therapy sooner, and you grow volume without growing headcount.
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> reading a referral fax
Serving 250k+ patients across all 50 states San Francisco
Careers ↗ Backed by early investors behind OpenAI Anthropic Flatiron Health Benchling
[001] What we do
From referral to authorization, with no waiting in between.
Benefits verification
Medical and pharmacy benefits checked on payer portals and by phone, with the patient’s cost estimated.
Prior authorization
The chart matched to payer policy, then submitted by portal, fax, or phone and tracked to a decision.
[002] Why Mandolin
Other tools leave the work to your team. Mandolin does it for you.
Other tools Your team reviews every referral
- Entyvio referral Check insurance details Waiting for you
- Ocrevus referral Check benefits and PA rules Waiting for you
- Remicade referral Match chart to payer policy Waiting for you
- Tepezza referral Check dose against policy Waiting for you
- Stelara referral Check sig and days supply Waiting for you
- Prolia referral Fill out the PA form Waiting for you
Your team’s queue
Mandolin Your team only sees what needs a decision
- Entyvio referral Benefits verified · PA submitted ✓ Submitted
- Ocrevus referral Benefits verified · PA submitted ✓ Submitted
- Remicade referral Policy checked · PA submitted ✓ Submitted
- Tepezza referral Dose on the order is above the payer’s policy limit Needs a decision
- Stelara referral Sig checked · entered in pharmacy system ✓ Submitted
- Prolia referral Benefits verified · PA submitted ✓ Submitted
Your team’s queue
[003] Oversight
Accurate on every referral, with a person on every exception.
INBOUND EMAIL
Insurance update ·
From the front desk at a referring clinic
This patient has a new insurance card. I’ve attached it with their updated demographics.
Please update the chart and re-run benefits ahead of their Entyvio infusion.
insurance-update.pdf 2 pages
- ✓ Split the attachmentInsurance card · p.1Demographics · p.2
- ✓ Extracted the new plan and demographicsPayer, plan, member ID, name, date of birth
- ! Matched the patient in the EHR Human reviewed
The name on the new card didn’t exactly match the chart. A reviewer checked the demographics sheet and confirmed it was the same patient.
- ✓ Chart updated and benefits re-run on the new planReady ahead of the infusion
When something doesn’t add up
A dose that looks wrong, a diagnosis that doesn’t support the therapy, or a site of care the plan won’t cover. Mandolin stops, and a reviewer reads the order and the chart before anything goes to a payer.
Your rules
You decide which cases always come back to your team, however clear they look. Everything else keeps moving.
What gets logged
Every action, the place in the chart it came from, and who reviewed it. It’s there when an auditor asks.
Built and overseen by pharmacists and clinicians who did this work by hand for years.
SOC 2 Type II, independent penetration testing, encryption in transit and at rest, and US-only infrastructure. Trust center ↗
[004] Coverage
Pharmacy and medical benefits, including the hardest path.
Payer policy
Under either benefit, Mandolin checks the chart against the payer’s clinical criteria before submitting, and requests anything that’s missing.
Site of care
Mandolin checks site-of-care rules with the other criteria, so the authorization covers the right site.
Pharmacy or medical
Mandolin works under whichever benefit applies, and checks both when a drug could go either way.
[005] Insights
See where referrals get stuck, and why.
Working In a queue Waiting on payer or provider
Benefits verification
Policy review
PA submitted
PA decision
Scheduled
With Mandolin, the queue between steps goes away. What’s left is mostly payer review.
ApprovedWith payerWith providerDeniedIn appeal
FIRST-PASS APPROVAL · PAYER AND DRUG
Payer A · Entyvio
Payer B · Ocrevus
Payer C · Remicade
Payer D · Tepezza
DENIALS BY REASON
Site of care
Combination therapy docs
Missing docs
Dosing
Other
Every denial links to its full case record for the appeal.
WHY SCRIPTS ARRIVE INCOMPLETE
Missing PA info
Insurance mismatch
Sig incomplete
Prescriber info
Each one goes back to the prescriber with the exact fix needed.
Why we exist
Inside the system, it’s a workflow status. For the patient, it’s waiting.
Mandolin started with our CEO Will’s grandfather. After his Alzheimer’s diagnosis, the process to start treatment felt so hard that he never began. We’re building toward a world where every patient starts treatment as soon as they’re ready.
Read the story →[006] Get started