📋 Prior Authorization Software

Glidian

The simplest way to manage prior authorizations.

A streamlined platform that automates prior authorization submissions across all payers and procedures.

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CoverMyMeds

Helping patients get the medicine they need to live healthier lives.

A leader in electronic prior authorization (ePA) solutions, connecting providers, pharmacies, and payers.

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Waystar

Simplifying Healthcare Payments

A comprehensive revenue cycle management (RCM) platform with automated prior authorization capabilities.

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Availity

Engage. Connect. Collaborate.

A major healthcare clearinghouse offering a multi-payer portal with prior authorization capabilities.

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Experian Health

Powering smarter healthcare.

Provides data-driven solutions for healthcare revenue cycle management, including prior authorization.

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Infinx

AI-driven RCM solutions for healthcare.

Offers an AI and automation-driven platform for revenue cycle management, including prior authorization.

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Change Healthcare (Optum)

Inspiring a Better Healthcare System

A major provider of revenue cycle management, payment management, and health information exchange solutions.

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Surescripts

Advancing Health Intelligence

A health information network offering electronic prior authorization and real-time prescription benefit tools.

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NaviNet

Connecting Providers and Health Plans

A widely used provider portal for communications and transactions between providers and health plans.

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Zelis

Pay for care, with care.

A healthcare payments and pricing company offering solutions for payers, providers, and consumers.

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Veradigm

Powering a Healthier Future

A healthcare technology company providing data, analytics, and connectivity solutions, including prior authorization.

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athenahealth

Healthcare IT for a Healthier Future

A provider of network-enabled services for healthcare, including EHR, RCM, and patient engagement.

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TriZetto (Cognizant)

Digital solutions for healthcare.

Provides core administrative processing systems for health plans, including the QNXT platform.

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Cohere Health

Intelligent Prior Authorization to Improve Patient Access and Experience

An intelligent prior authorization platform that automates and accelerates the process for providers and payers.

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Rhyme

Shared Administration for Health Plans and Providers

A prior authorization platform connecting providers and payers directly to accelerate the pre-service process.

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eviCore healthcare

Empowering the Improvement of Care

A medical benefits management company providing utilization management and prior authorization services.

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Myndshft

Automated Prior Authorization and Real-time Medical Benefit Check

An AI-powered platform that automates prior authorizations and provides real-time benefit checks.

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Humata Health

Automate Prior Authorizations

An AI-driven platform designed to fully automate the prior authorization process for healthcare providers.

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Voluware

Automating Healthcare's Administrative Transactions

An end-to-end automation platform for prior authorizations, referrals, and eligibility.

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Simbie AI

Your AI-Powered Medical Office Assistant

A voice-based AI platform that automates routine administrative tasks for healthcare practices, including prior authorizations.

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EZ-CAP

Your health benefit management solution.

A healthcare benefit management solution for organizations managing delegated risk or fee-for-service relationships.

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Fig.md

Clinical decision support for prior authorization.

An AI-powered clinical decision support tool that integrates into the EHR to streamline prior authorization.

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SamaCare

Prior authorizations, simplified.

A platform that simplifies and centralizes prior authorizations for buy-and-bill drugs, imaging, and procedures.

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