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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
Demos
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.
Tennr
Claimed
Tennr
Company Info
Founded: 2021
Headcount: 11-50
Customers
Verified Customers: 8
Customers Served: Ambulatory Practice, Hospital / Health System, Digital Health Provider
Product Overview
Security and Compliance Certifications: SOC 2 Type 2, HIPAA
Tennr is an automation platform designed for healthcare operations, using its proprietary RaeLM™ machine learning model to process medical documents and optimize administrative workflows. The platform automates tasks such as processing referrals, patient intake, eligibility checks, and prior authorizations by classifying and extracting data from incoming documents like faxes. Tennr integrates with existing EHR systems, minimizing manual data entry and reducing errors, while maintaining human oversight for approvals when needed.
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.