More care, less busywork.
The Headache Vault automates prior authorizations for migraine and headache medications and all headache disorders — free, for every clinician, with no account required. Covers 1,205 insurance plans across all 50 states.
No signup required · Free forever for one-off PA guidance · Works with any headache disorder
1,205
Payers in database
All 50
States covered
Free
No account required
All headache disorders
Not migraine-only
The access crisis
7–10 million Americans are clinically appropriate for CGRP therapy. About 575,000 are on it.
The specialist shortage is real — approximately 800 UCNS-certified headache specialists serve 39 million patients. But the most modifiable failures sit in the middle of the pipeline: prior authorization friction, prescriber inertia, and documentation errors that cause preventable denials.
96% of managed care organizations require prior authorization for CGRPs. The average PA takes 30–45 minutes of clinical staff time. The Vault reduces that to under 15.
See the full data → The Access CrisisWhat the Vault does
One platform. Three problems solved.
PA Automation
Clinical note → policy match → PA letter. Free for every clinician, every payer, every headache disorder. No account required.
Run a PA →Longitudinal Tracking
A headache record that travels with you across care team changes, institutional transitions, and AI platforms. You own it.
Learn more →Outcomes Research
Validated instruments (MIDAS, HIT-6), structured collection windows, and a data layer designed for outcomes research from the start.
Research program →PA Engine
From clinical note to PA letter in three steps.
Paste a clinical note
Drop in your SOAP note or dictation. The engine extracts diagnosis, medications, payer, and state — no formatting required.
Get the policy match
Instantly surfaces step therapy requirements, denial codes, and clinical phrases that win — for your specific payer and drug.
Generate the PA letter
Pre-populated, ICD-10 coded, clinically precise. Download or copy to your EHR. The whole workflow takes under 15 minutes.
Ready to try it with a real patient?
No account needed. Works with sample patients or paste your own note.
Launch PA Engine →Who it's for
Built for the whole headache care relationship.
For clinicians
Your patients qualify for better treatment. Prior auth shouldn't be what stops them.
Free PA guidance for every clinician — PCP or specialist, one patient or a full headache practice. The paid tier adds population management when you're ready to scale.
- ✓PA letter generation — all headache disorders
- ✓1,205 payer policies across all 50 states
- ✓Step therapy requirements & denial codes
- ✓ICHD-3 headache classification
- ✓MOH risk screening
- ✓Gold Card law tracker by state
For patients
A headache record your provider can act on — before you even sit down.
Structured check-ins, validated instruments, and a pre-visit report your provider can act on. Your data travels with you — across care teams, EHRs, and AI platforms.
- ✓Structured daily check-ins (30 seconds)
- ✓MIDAS & HIT-6 validated instruments
- ✓Pre-visit report for your provider
- ✓AI partner connection — your record travels with you
- ✓Your record, always yours
- ✓$25/year — 3-month free trial
Why we built this
“I spent 30 years as a headache patient fortunate enough to access good care — and close enough to the system to see how many people couldn't. The gap is real, it's measurable, and too much of it is administrative.”
Alex Doty, Founder
Headache patient · Headache Alliance board member · Headache on the Hill
Built by a headache patient
30+ years of lived experience with headache disorders informed every product decision.
Headache Alliance board member
Home of Headache on the Hill — the annual Congressional advocacy effort for headache policy.
Policy data: open and citable
Our insurance policy database is free to use — for research, advocacy, and congressional briefings. Updated quarterly and openly licensed.
Research program
Designed to support outcomes research from the start.
Two parallel research programs: patient outcomes (longitudinal MIDAS/HIT-6 collection, requires IRB) and health policy (CC BY open dataset, payer policy attribution, available now).
The payer policy dataset is CC BY — open for any researcher to use and cite. The patient outcome layer requires enrollment, IRB approval, and a data use agreement.
Research program →Patient outcomes
MIDAS, HIT-6, and prospective diary data — collected weekly, not from a single retrospective recall at a visit
Health policy
CC BY open dataset — 1,205 payers, step therapy requirements, formulary changes, updated quarterly
Two separate programs
One requires IRB approval and a data use agreement. One doesn't. Both were scoped before the first patient enrolled.
The mission
A patient's ZIP code should not determine their time to treatment.
The Headache Vault is infrastructure for the headache care community — clinicians, patients, researchers, and policy advocates — built to last beyond any one AI platform or institutional relationship.
Run your first PA — free, no account →