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Product Overview
Security and Compliance Certifications: HIPAA
Basys.ai
is an AI-powered platform that streamlines prior authorization (PA) for health plans using GenAI for policy encoding and request processing. It enables rapid payer onboarding and policy updates, automates complex policy rules and decision logic, and allows UM nurses to verify recommendations while making decisions. The platform recommends alternative care pathways when requests don’t match existing policies and records overrides for analytics and model improvement. It features a portal for direct document submission, API integration with Epic, and OCR for handling document types like fax.
Customers Served
Categories
Company Info
HQ Location
Cambridge, MA
Founded
2021
Headcount
1-10
Total Funding
$2.4M
Latest Round
Pre-Seed
Latest Round
07/07/2023
Company Socials
Customers
1
Verified customers
Type
0
1
Hospitals / Health System (1)
Provider Headcount
0
1
5001+ (1)
Showcased Customers
See all (1)Availity
Availity Essentials
Company Info
Founded: 2001
Headcount: 1001-5000
Customers
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
Security and Compliance Certifications: HITRUST CSF, HIPAA
Availity Essentials is an end-to-end RCM solution for providers. It offers a range of features aimed at improving efficiency and accuracy in tasks such as eligibility and benefits verification, claims management, and prior authorization.
CoverMyMeds
CoverMyMeds
Company Info
Founded: 2008
Headcount: 1001-5000
Customers
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System, Health Plan, Life Sciences
Product Overview
Security and Compliance Certifications: HIPAA
CoverMyMeds helps automate prior authorization for medications, connecting healthcare networks to improve patient medication access. It integrates with over 500 EHR systems, linking healthcare providers, pharmacies, and payers to streamline prescribing and approval.
Other Categories
GenHealth.ai
GenHealth.ai Auto Prior Auth
Company Info
Founded: 2023
Headcount: 1-10
Customers
Customers Served: Health Plan
Product Overview
Security and Compliance Certifications: SOC 2 Type 2, SOC 2 Type 1, HIPAA
GenHealth.ai
's Auto Prior Auth system automates the prior authorization process for healthcare providers and insurers with auditable, explainable decisions. It uses AI to extract patient data from various sources, including faxes, HL7v2, and call center transcripts. The system ingests medical policies and generates decision recommendations based on plan-specific workflows. It provides early abuse detection, individual risk assessments, and provider gold card recommendations.
Other Categories