ProblemENT offices complete 40+ prior authorizations per week (AAO-HNS), and staff manually track prior auth, H&P, cardiac clearance, labs, anticoagulant holds, and financial clearance across separate systems before surgery. Day-of cancellations hit 4-5% with 70% avoidable.
SolutionA read-only morning clearance board that ingests the surgery schedule via FHIR or CSV and flags which cases are truly clear for the OR and which are blocked by missing documentation, expired auth, or incomplete financial clearance.
Market opportunity12,609 US otolaryngologists across ~8,000 practices and ASCs. ASC market $45.3B (2025) growing at 6.3% CAGR. No ENT-specific EHR (ModMed $799-1,299/provider/mo, Nextech, CureMD) owns the clearance layer. Solo founder can ship in 90 days.