Prior Authorization

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Banjo Health logo
Banjo Health
Banjo Health
AI Prior Authorization for Payers
Prior Authorization
Banjo Health streamlines the prior authorization process for health plans and pharmacy benefit managers.
Arrive Health logo
Arrive Health
Arrive Health
Prior Authorization
Arrive Health's Prior Authorization solution for providers facilitates real-time access to coverage, cost, and restriction information within the EHR. It automatically initiates the prior authorization process, and shows potential alternative treatment options in the EHR.
Availity Essentials logo
Availity
Availity Essentials
End-to-End Revenue Cycle Management
Eligibility Checking
Claims Clearinghouse
Prior Authorization
Availity Essentials is a healthcare provider portal offering functionalities like eligibility and benefits checking , claims processing, remittance advice, provider information management, prior authorization and referral management.
Basys.ai logo
Basys.ai
Basys.ai
AI Prior Authorization for Payers
Prior Authorization
Basys.ai is an AI-powered platform that streamlines prior authorization (PA) for health plans using GenAI for policy encoding and request processing.
Change Healthcare Prior Authorization logo
Change Healthcare
Change Healthcare Prior Authorization
Prior Authorization
Change Healthcare's Clearance Authorization software is a comprehensive solution designed to streamline prior authorization workflows in healthcare settings. It automates the process of verifying if pre-authorizations are required and on file, directly submitting requests to integrated payers.
Co:Helm logo
Co:Helm
Co:Helm
AI Prior Authorization for Payers
Prior Authorization
Co:Helm is a generative AI platform for payer organizations, providing a co-pilot dashboard to empower UM nurses to get all of the right data summarized and presented so they can make the right decision faster.
Cohere Health logo
Cohere Health
Cohere Health
AI Prior Authorization for Payers
Prior Authorization
Cohere Unify Platform helps health plans to streamline the prior authorization process using automation and AI.
CoverMyMeds logo
CoverMyMeds
CoverMyMeds
Prior Authorization
CoverMyMeds helps automate prior authorization for medications, connecting healthcare networks to improve patient medication access.
Develop Health logo
Develop Health
Develop Health
AI Prior Authorization for Providers
Eligibility Checking
Prior Authorization
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
AI Prior Authorization for Providers
Prior Authorization
Ethermed is an AI-enabled prior authorization solution that helps determine authorization status, pulls clinical documentation, and automatically fills and submits requests for providers.
Experian Health Prior Authorization logo
Experian
Experian Health Prior Authorization
Prior Authorization
Experian Health's Prior Authorization enables the management of prior authorizations for providers, handling inquiries and submissions automatically. It connects to a comprehensive database that regularly updates with national and local payer requirements, ensuring that users have access to the most current information.
Fairway Health logo
Fairway Health
Fairway Health
Prior Authorization
Fairway Health is an AI assistant designed for health insurers to expedite the prior authorization process for patient treatments. The platform uses large language models (LLMs) to analyze extensive and complex medical records, determining patient eligibility for specific treatments.
FastAuth logo
FastAuth
FastAuth
Prior Authorization
FastAuth is a prior authorization platform that helps automate patient insurance eligibility and approval.
Glidian logo
Glidian
Glidian
Prior Authorization
Glidian is prior authorization platform focused on interoperability between providers and payers. It supports integration methods including manual entry, X12 278, HL7, CSV, and API for prior authorization submissions, and consolidates all authorizations in a single dashboard for real-time status updates.
Latent logo
Latent
Latent
AI Prior Authorization for Providers
Prior Authorization
Latent uses AI to streamline specialty pharmacy and infusion prior authorization for hospitals and clinics.
Myndshft logo
Myndshft
Myndshft
AI Prior Authorization for Providers
Prior Authorization
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.
Rhyme logo
Rhyme
Rhyme
Prior Authorization
Rhyme Health streamlines prior authorization by connecting EHR systems and insurance carriers for faster submission and approval.
RxLightning logo
RxLightning
RxLightning
Prior Authorization
RxLightning is a prior authorization platform that automates and simplifies the onboarding process for specialty medications. It provides healthcare providers with tools to complete patient enrollment forms, conduct benefit checks, manage prior authorizations, collect consents, and access patient assistance programs.
SamaCare logo
SamaCare
SamaCare
AI Prior Authorization for Providers
Prior Authorization
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
AI Prior Authorization for Providers
Prior Authorization
Silna uses AI to streamline prior authorizations, benefits and eligibility checks for therapists.
Valer Health logo
Valer Health
Valer Health
Prior Authorization
Valer Health's Prior Authorization solution is designed to reduce the time and effort typically required for managing prior authorizations by eliminating manual processes. It automates submissions and status checks through a single platform that integrates with the EHR and practice management system.