AI Prior Authorization for Providers
These are tools that use AI to streamline the provider end of the prior authorization process. Functions usually include:
• Identification of prior authorization requirements and processes
• Automatic population of prior authorization forms
• Submission of prior authorization requests
• Reporting and checks on prior authorization status
• Support with appealing prior auth denials
Prior authorization vendors vary meaningfully in their service coverage, with some specialized for pharmacy and others focused on certain types of medical services.
9 Results
AKASA
AKASA Authorization Advisor
AKASA Authorization Advisor is an AI-enabled prior authorization tool for streamlining the submission, tracking, and follow-up of medical authorization requests for procedures. It is integrated with Epic and Cerner, and focuses on health system-specific use cases.
Synthpop
Synthpop
Synthpop provides AI-enabled tooling for automating referral intake, analyzing patient records to evaluate treatment eligibility, and transcribing patient conversations to optimize around payer guidelines for claims submission.
Develop Health
Develop Health
Develop Health uses AI to streamline medication prior auth for providers.
Ethermed
Ethermed
Ethermed is an AI solution that fills and submits prior authorization requests for providers.
Iodine Software
Iodine Aware UM
Iodine Aware UM facilitates more effective utilization management in healthcare systems by optimizing resource allocation and prioritizing cases.
Latent
Latent
Latent uses AI to streamline specialty pharmacy and infusion prior authorization for hospitals and clinics.
Myndshft
Myndshft
Myndshft offers medical and pharmacy prior authorizations, leveraging AI and machine learning to automate and expedite the process.
Silna Health
Silna
Silna uses AI to streamline prior authorizations, benefits and eligibility checks for therapists.
Tandem
Tandem
Tandem is a prescription concierge service that uses AI to get patients their medications as quickly and cheaply as possible. It checks prescriptions against insurance and cash prices, along with coupons and financial assistance programs, to find the best price for the patient. If prior authorization is required, Tandem will work with the patient's doctor to handle it.
