Where do you want to start?
I have a patient in front of me right now
Generate a complete PA letter in under 3 minutes.
I want to understand this better
The clinical orientation for primary care headache.
I'm looking for something specific
20 cards covering CGRP, Botox, step therapy, MOH, referral criteria, and more.
The gap, named plainly
Most headache patients can be effectively treated in primary care. The clinical tools exist — CGRP-targeting therapies, Botox, a clear acute treatment ladder. Getting the referral criteria right means the patients who need a specialist get there, and the patients who don't get treated well where they are.
For those who do get referred, there is often a considerable wait for the first appointment. A patient who arrives with 30 days of logged functional data, a structured referral letter, and a pre-visit report doesn't start from scratch — the specialist can act on day one.
The Vault is built for both situations: treat well where you are, and hand off well when you need to.
EHR Smart Phrases
Load into your EHR once. PA documentation generates as a byproduct of routine charting.
PA documentation for CGRP monoclonal antibody preventive therapy — diagnosis, failed trials, functional impact, medical necessity narrative.
PA documentation for onabotulinumtoxinA — includes domain-level MIDAS fields required by Noridian MAC as of Feb 22, 2026.
Neurology and headache specialist referral with clinical summary, reason for referral, and specific questions for the consultant.
Guidance Library
Twenty clinical reference cards. Four representative ones below.
CGRP Preventive Therapies
What they are, who qualifies, and how to document the step therapy that payers require.
Read →Medication Overuse Headache
When the treatment becomes the problem — and how overuse complicates both the clinical picture and the PA.
Read →Botox / OnabotulinumtoxinA
Chronic migraine only. What the LCD requires, how to document it, and what Noridian now demands at every visit.
Read →When to Refer to a Headache Specialist
Referral criteria, what to send when you do refer, and how to manage the gap until the specialist appointment.
Read →Referral and handoff
When a patient does need a specialist, the Vault generates the referral letter and the patient's 30-day Vault Visit Report. The specialist receives a structured case summary instead of a blank intake.
This is what “handing off well” looks like in practice.
Everything you need for a single patient
- ✓Prior authorization tool
- ✓Guidance library (20 cards)
- ✓EHR smart phrases
- ✓Payer policy lookup
For practices managing headache patients
- +PA history and status tracking
- +Patient enrollment and logging
- +Vault Visit Reports
- +Population queue