Products

Myndshft
Myndshft
General Productivity (AI Assistants)
Myndshft is a unified platform that automates both medical and pharmacy prior authorizations using generative AI and machine learning to speed time to therapy and reduce administrative burden.

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About Myndshft

Myndshft is a healthcare AI company that provides an end-to-end prior authorization (PA) and patient access software-as-a-service (SaaS) platform. It is designed to automate and simplify complex administrative tasks for healthcare providers and payers. The platform is unique in the industry for offering a unified solution for both medical and pharmacy prior authorizations. Myndshft’s technology leverages generative AI, machine learning (ML), and robotic process automation (RPA) to streamline processes, offer real-time insights, and determine the optimal submission route for prior authorizations.

For physicians, Myndshft’s platform aims to significantly reduce the administrative burden associated with prior authorizations, eligibility and benefits verification, and patient financial responsibility. It automates the entire PA workflow, from order to submission, verification, and status monitoring, which can reduce manual effort by over 70% and cut the authorization cycle time by up to 90%. The system provides real-time benefits verification for approximately 94% of insured patients across the U.S. and automatically calculates patient out-of-pocket costs. This allows physicians and their staff to focus more fully on patient care rather than paperwork, expediting patient access to crucial treatments, especially for specialty medications, labs, and imaging procedures.

Focus Areas

prior authorization eligibility and benefits verification patient financial responsibility revenue cycle management medical benefits pharmacy benefits AI in healthcare machine learning robotic process automation

Business Intelligence

TechnologyCognitiveBus (proprietary AI compute engine, accelerator, toolkit, and native enterprise blockchain platform), cloud-native (HIPAA-compliant Google Cloud infrastructure), generative AI, machine learning, robotic process automation (RPA), HL7 FHIR standard API connectivity

What Physicians Need to Know

Automated Prior Authorization (Medical & Pharmacy)
Myndshft offers the industry's only unified platform for automating both medical and pharmacy prior authorizations, streamlining a complex and time-consuming process.
Real-Time Eligibility & Benefits Verification
The platform provides instant verification of patient eligibility and medical benefits for approximately 94% of covered U.S. lives, including co-insurance, copay, and deductible details.
Patient Financial Responsibility & Price Transparency
Myndshft automatically calculates patient financial responsibility at the point of service, offering price transparency and helping patients understand their out-of-pocket costs.
Insurance Discovery & Coordination of Benefits
The system can identify active coverage and determine primary, secondary, and tertiary payers, even if not initially provided, through intelligent algorithms searching over 2,000 payers.
Revenue Cycle Management at Point of Service
Myndshft moves revenue cycle processes associated with prior authorization to the point of service, aiming to capture more revenue faster and with reduced effort.
Physician Tip

Myndshft's solutions are designed to significantly reduce the administrative burden on physicians and their staff by automating tedious tasks like prior authorizations and benefits verification. This allows for more focus on patient care, faster time to therapy, and improved patient experiences. The platform's ability to handle both medical and pharmacy prior authorizations in a unified workflow is a key advantage, especially for complex specialty medications. Physicians can expect reduced claim denials, quicker reimbursements, and real-time insights into patient financial responsibility, leading to more efficient practice operations.

Myndshft is built for seamless integration with existing provider and payer systems, including EHRs, other health information systems, revenue cycle, and claims management solutions. It utilizes HL7u00ae FHIRu00ae APIs for connectivity and can integrate with thousands of EMRs and financial management systems.

Products by Myndshft

1 product in the directory

Myndshft
Myndshft
General Productivity (AI Assistants)
Myndshft is a unified platform that automates both medical and pharmacy prior authorizations using generative AI and machine learning to speed time to therapy and reduce administrative burden.

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Frequently Asked Questions

Myndshft offers an end-to-end prior authorization (PA) and patient access software-as-a-service (SaaS) platform. It automates the entire PA workflow for both medical and pharmacy benefits, real-time eligibility and benefits verification, patient financial responsibility calculation, and insurance discovery. This aims to reduce administrative burden, accelerate time to therapy, and improve revenue cycle management for healthcare providers and administrators.
Myndshft is HITRUST Risk-based, 2-year (r2) Certified, validating its adherence to regulations and industry-defined requirements for information security, including HIPAA. Their CognitiveBusu00ae platform, which underpins their solutions, is deployed within the HIPAA-compliant Google Cloud infrastructure. While the potential for AI bias and data privacy concerns are acknowledged in the broader context of generative AI in healthcare, Myndshft's focus is on leveraging AI to streamline processes and reduce human error, which can contribute to more consistent and accurate outcomes.
Myndshft utilizes a tier-based subscription Software-as-a-Service (SaaS) model, with pricing dependent on monthly patient transaction volume. However, pricing is not publicly disclosed, and interested parties need to contact sales for a quote.
Myndshft offers support via email and phone, and their implementation time is typically less than one week. They also emphasize seamless integration with existing systems like EHRs, LIMS, pharmacy management, and revenue cycle solutions via HL7u00ae FHIRu00ae APIs.
Myndshft has strategic partnerships, notably with Google Cloud and Productive Edge, to enhance prior authorization processes through AI and machine learning, as seen with the NexAuth solution. They also partner with healthcare information systems providers (EHRs, e-prescribing software), revenue cycle management vendors, and other technical partners. These collaborations aim to improve interoperability, transparency, and deliver more comprehensive solutions.
Myndshft was acquired by DrFirst, a healthcare technology pioneer, in April 2024. This acquisition aims to combine Myndshft's AI-driven platform with DrFirst's scale and expertise in medication management to enhance patient experiences and reduce healthcare costs.
Myndshft's platform, built on generative AI, machine learning, and robotic process automation, automates the entire prior authorization workflow for both medical and pharmacy benefits. This includes determining if a PA is required, submitting it via the optimal route, and providing status monitoring, which can reduce manual effort by over 70% and cut authorization cycle time by up to 90%.

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