Jaguar & Fern connects directly into your EHR and screens every scheduled surgical case against objective CMS site-of-care criteria. When a case is headed to a higher-cost setting than the standard supports, your team sees it — before it reaches the OR, before the claim is filed, and before a denial enters your revenue cycle.

The engine flags. Your clinician decides. Nothing moves without their sign-off.

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  Payer Negotiation Leverage: Every routing decision is documented against objective federal standards — giving your team defensible data when it's time to negotiate payer contracts. 

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  Denial Prevention: Correctly routed cases don't generate site-of-care denials. Fewer denials means less rework, fewer appeals, and a cleaner revenue cycle.

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  ASC & OR Capacity Optimization: Right-sized cases move to the appropriate lower-cost setting — increasing ASC throughput and freeing OR block time for the high-acuity cases that require it.

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  Built for Any Health System: Rural critical access hospitals, regional networks, and large IDNs — the platform works alongside your existing systems regardless of size or complexity.

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  CMS TEAM Alignment: For health systems participating in the TEAM bundled payment program, routing cases to the cost-effective site means beating your bundle target — turning a mandatory compliance program into a margin opportunity.

52% of ASC-eligible surgical procedures are booked at higher-cost hospital outpatient settings. That gap represents one of the largest recoverable cost opportunities in your book of business — and it's happening on every claim, across every service line, every week of the year.

The 2027 CMS prior-authorization API mandate is coming regardless. The question is whether your infrastructure investment captures billions in cost avoidance along the way — or just satisfies a compliance checkbox.

Jaguar & Fern connects directly into your prior-authorization workflow and screens every incoming authorization against objective CMS site-of-care criteria. Cases headed to a higher-cost setting than the standard supports surface to your team — with the applicable CMS ruling and full procedure detail.

Every decision stays with your reviewers. We never auto-deny.

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  Cost Avoidance = Captured Margin: Over-sited cases are caught before the claim is ever filed — eliminating the overpayment at the source, not on the back end.

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  Reduction in Back-End Denials: When cases are routed correctly upfront, there is nothing to deny. No appeals, no rework, no administrative cost of catching mis-sited cases after submission.

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  Reviewer Efficiency: Routine, appropriately-sited cases clear automatically. Your team focuses on the cases that actually need judgment.

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  One Integration Covers Entire Network: A single connection to Jaguar & Fern reaches every provider who submits authorizations to your plan — no per-provider onboarding required.

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  2027 Compliance Ready: The CMS prior-authorization API mandate is coming. The infrastructure you build now to capture cost avoidance is the same infrastructure that satisfies your compliance obligation.

When a health system and payer deploy Jaguar & Fern together, the routing decision closes the loop entirely. The member enters through their plan, gets routed to the right in-network site, and books directly at the provider — one seamless path from authorization to appointment.

Each platform stands alone. Together they capture the full margin opportunity on every mis-sited case — for the health system, for the plan, and for the patient.

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  Full Loop Closed: The payer captures cost avoidance on the front end. The health system receives appropriately-routed, already-approved patients. The member gets to the right place with fewer surprises.

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  Shared Visibility, Fewer Surprises: Both the health system and the payer see the same routing decision — eliminating the disconnect that turns correctly-routed cases into back-end disputes, denials, and rework.

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  Documented on Both Sides: Every routing outcome is captured for both the health system and the payer — creating a shared record that supports contract negotiations, compliance reporting, and ongoing optimization.

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  One Patient. One Path. One Decision: From authorization to appointment, the patient moves through a single coordinated routing decision — no friction, no gaps, no surprises at billing.

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  Network Scale: When payer and provider are both onboarded, a single connection routes every eligible case across your network through one platform from day one.