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Fill patient, insurance, prior auth & billing forms in one click. Local AI on Chrome — patient data never leaves your computer. Stop retyping the same patient, insurance, and provider information into medical web forms. MedAutoFill helps healthcare teams complete web-based forms faster by matching saved profile data to fields on payer portals, prior authorization forms, billing pages, credentialing sites, and other healthcare workflows. Built for front desk, prior authorization, billing, credentialing, and administrative workflows. SAVE TIME ON REPETITIVE MEDICAL FORMS MedAutoFill helps populate commonly used information such as: PATIENT INFORMATION • Name, DOB, MRN • Phone, email, address • Demographics and identifiers you choose to save INSURANCE & SUBSCRIBER • Member ID, group number • BIN / PCN • Payer information • Subscriber details PROVIDER & PRACTICE • Rendering NPI • Billing NPI • Tax ID / EIN • Taxonomy code • Specialty and practice information CLINICAL & BILLING • ICD-10 diagnosis codes • CPT / HCPCS procedure codes • Date of service (DOS) • Place of service (POS) • Modifiers and referring provider information PRIOR AUTHORIZATION & PHARMACY • Authorization details • Medication information • NDC identifiers • Days supply and pharmacy details HOW IT WORKS 1. Install MedAutoFill 2. Create one or more saved profiles with information you frequently reuse 3. Open a supported web form in Chrome 4. Click a field and use MedAutoFill to help match the appropriate saved value 5. Review before submitting You remain in control at all times. MedAutoFill does not auto-submit forms. AI-ASSISTED FIELD MATCHING Medical forms vary widely between payer portals and websites. MedAutoFill uses AI-assisted matching to help identify relevant form fields, including variations such as: • “Patient Name” • “Full Name” • “Subscriber” • “Member Information” • “Rendering Provider” On supported versions of Chrome, compatible on-device AI may be used to help process matching locally. PRIVACY & CONTROL MedAutoFill is designed with privacy in mind: • Saved profile information stays in your browser storage unless you explicitly configure external services • No automatic form submission • No automatic cloud routing by default • You control when values are inserted OPTIONAL BRING-YOUR-OWN AI PROVIDER (BYOK) By default, all AI processing runs locally using Gemini Nano — Chrome's built-in on-device model. Your form data, your answers, and your corrections never leave your browser. You can optionally connect your own API key from a supported provider such as OpenAI, Anthropic, Groq, or OpenRouter. No account required, nothing stored on our servers, and zero telemetry. When enabled, requests may be sent to your selected provider according to your configuration and that provider’s policies. Please review your organization’s compliance requirements before enabling cloud-based services. WORKS WITH MANY HEALTHCARE WEB FORMS MedAutoFill is designed for standard web forms commonly used in healthcare administration, including payer portals, prior authorization workflows, credentialing forms, and billing systems. Compatibility varies by website structure and form implementation. FREE & PRO FREE • 25 AI-assisted matches per day • 1 saved profile • Local features available where supported LIFETIME PRO — ONE-TIME PURCHASE • Unlimited AI-assisted matching • Up to 10 saved profiles • Export / import backups • Answer history • Priority support • Future updates included No subscription required. SUPPORT support@donbrico.net