Prior Authorization
$185M
Vertical OS Subtotal
$2.2B
Clinical AI — base spend × AI penetration × billing capture rate
$3,728M
Vertical OS layers: EHR Subscription · RCM $1.1B · Specialty Pharma $262M · Prior Auth $185M · Clinical Workflow $381M.
36,000 GI providers (19,000 MDs + 17,000 APPs). EHR price varies by practice size ($200–$1,500/provider/month).
Clinical AI = Clinical Delivery Base × AI Penetration Rate × Billing Capture Rate.
Sources: NIH/UNC 2021, Doximity/ACGEP 2024, AMA 2024, AANP, Grand View Research, CoverMyMeds. Illustrative purposes only.