AI Prior Authorization for Providers
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AKASA
Claimed
AKASA Authorization Advisor
Company Info
Founded: 2018
Headcount: 201-500
Customers
Verified Customers: 4
Customers Served: Hospital / Health System
Product Overview
Security Certifications: HITRUST CSF, HIPAA, SOC 2
AKASA Authorization Advisor is an AI-enabled prior authorization tool for streamlining the submission, tracking, and follow-up of medical authorization requests for procedures. It is integrated with Epic and Cerner, and focuses on health system-specific use cases.
Autonomize AI
Claimed
Autonomize AI Prior Auth Copilot
Company Info
Founded: 2022
Headcount: 11-50
Customers
Customers Served: Digital Health Provider, Hospital / Health System, Ambulatory Practice
Product Overview
Security Certifications: HIPAA, SOC 2 Type 2
AutonomizeAI's Prior Auth Copilot extracts and summarizes member authorization requests, links clinical data to internal sources, and assesses compliance with clinical guidelines. It generates decision summaries that help reduce administrative burdens and speed up approvals.
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Synthpop
Claimed
Synthpop
Company Info
Founded: 2023
Headcount: 1-10
Customers
Verified Customers: 9
Customers Served: Digital Health Provider, Hospital / Health System
Product Overview
Security Certifications: HIPAA, SOC 2 Type 2
Synthpop provides AI-enabled tooling for automating referral intake, analyzing patient records to evaluate treatment eligibility, and transcribing patient conversations to optimize around payer guidelines for claims submission.
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Develop Health
Develop Health
Company Info
Founded: 2022
Headcount: 1-10
Customers
Verified Customers: 4
Customers Served: Digital Health Provider, Ambulatory Practice
Product Overview
Security Certifications: HIPAA
Develop Health is an AI-enabled eligibility checking and prior authorization platform for medication that automatically calls payers to get benefits details, verifies clinical documentation against plan criteria, and automates form-filling across payer portals for faster authorization.
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Ethermed
Ethermed
Company Info
Founded: 2021
Headcount: 11-50
Customers
Verified Customers: 1
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
Ethermed is an AI-enabled prior authorization solution that helps determine authorization status, pulls clinical documentation, and automatically fills and submits requests for providers.
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Humata Health
Humata Health
Company Info
Founded: 2023
Headcount: 51-200
Customers
Customers Served: Hospital / Health System, Health Plan
Product Overview
Security Certifications: HIPAA
Humata Health provides an AI-driven platform designed to automate the prior authorization process in healthcare. It integrates with EHRs and payer systems to streamline authorizations, using machine learning for intelligent document recommendations and one-click submissions. The platform prioritizes cases, monitors for changes, and automates status updates to improve efficiency and reduce manual work.
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Latent
Latent
Company Info
Founded: 2022
Headcount: 1-10
Customers
Verified Customers: 2
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
Security Certifications: HIPAA, SOC 2 Type 2
Latent uses AI to streamline specialty pharmacy and infusion prior authorization for hospitals and clinics.
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Myndshft
Myndshft
Company Info
Founded: 2015
Headcount: 51-200
Customers
Customers Served: Diagnostic Labs, Imaging Labs, Ambulatory Practice
Product Overview
Security Certifications: HITRUST CSF, HIPAA, SOC 2 Type 2
Myndshft helps automate prior authorizations for acute and post-acute services, imaging labs, and diagnostics and genomics labs. The product uses a library of payer rules and an AI-enabled system that updates the workflow and rules engines based on previous prior authorization requests.
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SamaCare
SamaCare
Company Info
Founded: 2018
Headcount: 51-200
Customers
Verified Customers: 7
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System, Life Sciences
Product Overview
Security Certifications: SOC 2 Type 2
SamaCare is prior authorization platform primarily for buy-and-bill drugs, but can also be used for imaging and select procedures. The platform automates form-filling in payer portals, schedules reminders and auto-renewals, and identifies actions to speed up authorizations and reduce denials.
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Silna Health
Silna
Company Info
Founded: 2023
Headcount: 11-50
Customers
Verified Customers: 3
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System
Product Overview
Security Certifications: HIPAA
Silna uses AI to streamline prior authorizations, benefits and eligibility checks for therapists.
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Tandem
Tandem
Company Info
Founded: 2023
Headcount: 11-50
Customers
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
Security Certifications: HIPAA
Tandem is a prescription concierge service that uses AI to get patients their medications as quickly and cheaply as possible. It checks prescriptions against insurance and cash prices, along with coupons and financial assistance programs, to find the best price for the patient. If prior authorization is required, Tandem will work with the patient's doctor to handle it.