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Banjo Health
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Banjo Health

Banjo Health streamlines the prior authorization process for health plans and pharmacy benefit managers.

Product Overview

Banjo Health streamlines the prior authorization process for health plans and pharmacy benefit managers. BanjoPA is their prior authorization platform for health plans that consolidates prior authorization requests, provides decision recommendation based on predefined clinical decisions trees, and creates documentation to support appeal processes. Banjo Composer takes clinical criteria as inputs and creates clinical decision trees by automatically identifying decisions points and delivering in a platform that supports editing and testing.

Customers Served

Digital Health Provider
Ambulatory Practice
Hospital / Health System
Health Plan

Company Info

Founded
2019
Headcount
11-50
Total Funding
$25M
Latest Round
Series A-2
Latest Round
09/30/2022

Company Socials

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Quick Take

Use Cases

Provides mission critical workflows for health plans, PBMs, and TPAs for the management and administration of prior authorizations and medical policies.

Core Differentiators

Composer is the industry's first auto translator of complex clinical policies into decision trees and question sets. BanjoPA offers the first cloud-native PA Management software integrated with AI and NLP, streamlining the review of PAs for Health Plans and PBMs.