AI Prior Authorization for Providers

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AKASA Authorization Advisor logo
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 Prior Auth Copilot logo
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: SOC 2 Type 2, HIPAA
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.
Synthpop logo
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: SOC 2 Type 1
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.
Develop Health logo
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.
Ethermed logo
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.
Humata Health logo
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.
Latent logo
Latent

Latent

Company Info
Founded: 2022
Headcount: 1-10
Customers
Verified Customers: 2
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
Security Certifications: SOC 2 Type 2, HIPAA
Latent uses AI to streamline specialty pharmacy and infusion prior authorization for hospitals and clinics.
Myndshft logo
Myndshft

Myndshft

Company Info
Founded: 2015
Headcount: 51-200
Customers
Customers Served: Diagnostic Labs, Imaging Labs, Ambulatory Practice
Product Overview
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.
SamaCare logo
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
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.
Silna logo
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.
Tandem logo
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.