Prior Authorization
Prior Authorization products serve as a bridge between healthcare providers and payers, streamlining the authorization process for treatments and medications. These tools facilitate the submission of clinical documentation by clinicians, making it easier for payers to review and authorize necessary procedures. On the other side, payers benefit from organized systems to manage and respond to treatment requests from healthcare providers efficiently. AI and machine learning, are increasingly employed within these products to assess the relevance and necessity of treatments, as well as to generate the prior authorization submissions themselves.
15 Results
Availity
Availity Essentials
Availity Essentials is a healthcare provider portal offering functionalities like eligibility and benefits checking , claims processing, remittance advice, provider information management, prior authorization and referral management.
Banjo Health
Banjo Health
Banjo Health streamlines the prior authorization process for health plans and pharmacy benefit managers.
Basys.ai
Basys.ai
Basys.ai
uses AI to streamline prior authorization for health plans and systems.
Co:Helm
Co:Helm
Co:Helm is a generative AI platform for payer organizations, providing a co-pilot dashboard to improve UM nurse efficiency.
Cohere Health
Cohere Health
Cohere Health streamlines prior authorization processes using automation and machine learning.
CoverMyMeds
CoverMyMeds
CoverMyMeds helps automate prior authorization for medications, connecting healthcare networks to improve patient medication access.
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.
Fairway Health
Fairway Health
Fairway Health is an AI assistant for health insurers that uses LLMs to analyze medical records and make prior authorization determinations.
FastAuth
FastAuth
FastAuth is a prior authorization platform that helps automate patient insurance eligibility and approval.
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.
Rhyme
Rhyme
Rhyme Health streamlines prior authorization by connecting EHR systems and insurance carriers for faster submission and approval.
SamaCare
SamaCare
SamaCare is prior authorization platform for drugs, automating and streamlining data entry and tracking.
Silna Health
Silna
Silna uses AI to streamline prior authorizations, benefits and eligibility checks for therapists.