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Waystar
Waystar Prior Authorization
Waystar's Prior Authorization platform uses intelligent automation to manage the entire authorization process. It automatically verifies, initiates, tracks status, and retrieves authorization details, integrating directly with major EHR systems. The platform automates patient referral status, handles unscheduled admissions, and generates necessary medical notices.
Product Overview
Security and Compliance Certifications: HITRUST CSF, HIPAA
Waystar's Prior Authorization platform uses intelligent automation to manage the entire authorization process. It automatically verifies, initiates, tracks status, and retrieves authorization details, integrating directly with major EHR systems. The platform automates patient referral status, handles unscheduled admissions, and generates necessary medical notices. It adapts to changing payer rules and is maintained by an in-house team of experts. AI is used to verify if authorization is required, gather data, send documentation, check status, and flag potential issues.
Customers Served
Categories
Company Info
HQ Location
Louisville, Kentucky
Founded
2017
Headcount
1001-5000
Total Funding
$1.23B
Latest Round
Post-IPO Equity
Latest Round
06/07/2024
Company Socials
Customers
4
Verified customers
Type
0
1
2
Hospitals / Health System (2)
Specialty Practice (1)
Specialty
0
1
Nephrology (1)
Provider Headcount
0
1
2
5001+ (2)
Showcased Customers
See all (4)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 and Compliance 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.
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.
Change Healthcare
Change Healthcare Prior Authorization
Company Info
Founded: 2007
Headcount: 5001-10000
Customers
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System
Product Overview
Security and Compliance Certifications: HITRUST CSF, SOC 2 Type 2, PCI DSS
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. The software incorporates real-time checking of clinical codes for Medicare compliance and helps minimize denials and financial losses associated with patient care pre-authorizations. Additionally, it includes tools to manage medical necessity checks and create Advanced Beneficiary Notices, ensuring that financial liability is communicated effectively to patients before service delivery.
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