Products

Myndshft Prior Authorization
DrFirst (Myndshft)
Practice Management & Scheduling
DrFirst's Electronic Prior Authorization (ePA) solution, powered by Myndshft's AI technology, automates and streamlines medical and pharmacy prior authorizations, integrating with EHRs to reduce manual work, accelerate patient access to therapies, and improve medication adherence.

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About DrFirst (Myndshft)

DrFirst is a pioneering healthcare technology company dedicated to optimizing the medication journey from prescribing to adherence. Founded in 2000, the company develops innovative solutions that break down information silos and address critical challenges in care collaboration, medication management, price transparency, and patient adherence. Their technology seamlessly integrates within electronic health records (EHRs) and other health information systems, or can be utilized as standalone solutions, to provide real-time access to vital patient data.

For physicians, DrFirst’s offerings are designed to streamline workflows, enhance clinical decision-making, and improve patient outcomes. Key solutions include e-prescribing for both controlled and non-controlled substances, comprehensive medication history aggregation (MedHx), electronic prior authorization (ePA), and real-time prescription benefit checks (myBenefitCheck). The company leverages artificial intelligence (AI) and machine learning to improve the accuracy of patient medication history and to automate complex administrative tasks. A significant recent development is the acquisition of Myndshft Technologies in April 2024, which bolsters DrFirst’s capabilities in AI-enabled benefits and prior authorization verification, particularly for specialty medications covered under both pharmacy and medical benefits, thereby reducing administrative burden on healthcare providers. DrFirst’s mission is to “Unite the Healthiverse®,” connecting all stakeholders in the healthcare ecosystem to ensure patients receive the best possible care.

Focus Areas

Medication Management E-prescribing Electronic Prescribing for Controlled Substances (EPCS) Prior Authorization Care Collaboration Price Transparency Medication Adherence AI-Powered Interoperability Secure Messaging Clinical Data Sharing Patient Engagement

Business Intelligence

Key InvestorsSixth Street Partners, Goldman Sachs Growth Equity, Savano Capital Partners
PartnershipsHumana, Beauregard Health System, Tebra, ContinuumCloud, CareCloud, Bizmatics, Greenway Health, PatchRx, VieCure, Emory Healthcare, Health Gorilla, Speed Script, MedConnect Health, AZZLY
AcquisitionsMyndshft Technologies (April 2024), Diagnotes Secure Messaging and Care Coordination Platform (February 2023), VisibilityRx (January 2017), The IN Group (May 2016)
TechnologyAI-driven, Clinical-Grade AI, Natural Language Processing (NLP), Machine Learning (ML), Robotic Process Automation (RPA), Cloud-native SaaS, HL7 FHIR APIs, SmartSuite (including SmartSig and SmartDrug), CognitiveBus (from Myndshft)

What Physicians Need to Know

Medication Management
DrFirst offers a comprehensive suite for medication management, including e-prescribing (Rcopia), medication history aggregation (MedHx), and solutions to enhance adherence. They optimize workflows from the first prescription to ongoing therapy, aiming to reduce errors and improve patient outcomes.
E-prescribing
Their flagship Rcopia platform streamlines the prescribing process by providing real-time access to patient medication histories, formulary information, and clinical decision support tools. It supports mobile prescribing for flexibility and integrates seamlessly with EHRs.
Electronic Prescribing for Controlled Substances (EPCS)
DrFirst's EPCS Gold 2.0 enables the secure electronic transmission of controlled substance prescriptions. It integrates with 51 state and territory Prescription Drug Monitoring Program (PDMP) databases, allowing prescribers to view controlled substance history directly within their workflow, ensuring compliance and reducing overprescribing risks.
Prior Authorization
With the acquisition of Myndshft, DrFirst provides an AI-enabled, unified platform for automated prior authorization (PA) for both medical and pharmacy benefits. This solution offers real-time eligibility and benefits verification, significantly reducing manual effort and cutting authorization cycle times.
Care Collaboration
Backline is DrFirst's HIPAA-compliant secure communication platform, facilitating real-time collaboration among healthcare providers. It offers secure messaging, telehealth capabilities, and document sharing to coordinate care effectively, even allowing secure texting without requiring recipients to download an app.
Price Transparency
DrFirst's myBenefitCheck tool delivers real-time prescription benefit and copay information directly within the EHR's prescribing workflow. It provides patients' exact out-of-pocket costs, potential covered alternatives, and prior authorization requirements, covering 96% of insured patients.
Medication Adherence
Solutions like RxInform and Timely engage patients at critical moments with personalized messages, offering savings, education, and prescription reminders. This helps patients start and stay on therapy, reducing prescription abandonment and improving overall adherence.
AI-Powered Interoperability
DrFirst leverages AI and machine learning (ML) in solutions like SmartProcessor, SmartRenewal, and SmartSig to solve data fidelity issues, normalize drug and allergy information, and bridge interoperability gaps between disparate systems, ensuring clean and consumable clinical data.
Secure Messaging
Backline provides HIPAA-compliant secure messaging for healthcare professionals, enabling instant and protected communication for sharing patient records, discharge summaries, referrals, and other clinical content, improving care team coordination.
Clinical Data Sharing
DrFirst's platforms, including MedHx and Backline, facilitate the secure and compliant sharing of comprehensive medication history and other vital clinical data across various care settings and with Health Information Exchanges (HIEs), providing a more holistic patient view.
Patient Engagement
Through platforms like Timely and RxInform, DrFirst offers end-to-end patient engagement, delivering personalized support, education, and resources to patients directly on their mobile devices to improve access, adherence, and overall health outcomes.
Physician Tip

For physicians, DrFirst's solutions are designed to significantly reduce administrative burden and enhance patient safety. The AI-powered automation in prior authorizations and medication reconciliation (SmartSig, SmartRenewal) can save substantial time, allowing more focus on direct patient care. Real-time access to comprehensive medication history (MedHx), price transparency (myBenefitCheck), and integrated PDMP data within the e-prescribing workflow (EPCS Gold 2.0) empowers more informed and safer prescribing decisions. The secure communication platform (Backline) streamlines care coordination with other providers and pharmacies, improving efficiency and reducing delays. Ultimately, these tools aim to create a more efficient, safer, and patient-centric practice by minimizing manual tasks, preventing errors, and fostering better patient adherence.

DrFirst boasts extensive integration capabilities, supporting over 330 EHR platforms, including major systems like Epic, athenahealth, and Greenway. Their solutions are designed for seamless integration within existing clinical workflows, often utilizing HL7 FHIR standard API connectivity for robust interoperability. They also partner with health information exchanges (HIEs), pharmacies, and pharmacy benefit managers (PBMs) to ensure comprehensive data flow and collaboration across the healthcare ecosystem.

Products by DrFirst (Myndshft)

1 product in the directory

Myndshft Prior Authorization
DrFirst (Myndshft)
Practice Management & Scheduling
DrFirst's Electronic Prior Authorization (ePA) solution, powered by Myndshft's AI technology, automates and streamlines medical and pharmacy prior authorizations, integrating with EHRs to reduce manual work, accelerate patient access to therapies, and improve medication adherence.

What the Web Says

DrFirst (which includes Myndshft) receives mixed reviews, with strong opinions on both its products and its workplace culture. Myndshft, an AI-powered prior authorization platform, is praised for its automation capabilities and potential to reduce administrative burden, though some users experienced initial integration difficulties and staff turnover. DrFirst's e-prescribing software is generally considered easy to use for writing and refilling prescriptions and checking controlled substance databases. However, a significant recurring complaint across various platforms for DrFirst products is poor customer service and lack of timely support. As an employer, DrFirst has a generally positive environment and team culture, but some employees express concerns about management, job security, and communication.

Overall: Mixed

Strengths

  • Myndshft offers high levels of automation for prior authorizations, eligibility, and benefits verification, potentially reducing manual effort and cycle time.
  • DrFirst's e-prescribing software is easy to use for writing and refilling prescriptions and checking controlled substance databases.
  • Myndshft is the only unified platform for both medical and pharmacy prior authorizations.
  • DrFirst employees generally report a positive work environment and good team camaraderie.
  • DrFirst's mission and values are often highlighted as being at the forefront of their operations, with employees feeling respected and given autonomy.
  • Myndshft integrates with existing systems like EHRs and revenue cycle solutions.

Limitations

  • DrFirst's customer service and technical support are frequently criticized for being slow, unresponsive, and difficult to reach, with some users reporting no phone support.
  • Some users experienced significant difficulties and delays in integrating Myndshft, attributing issues to miscommunication and staff turnover.
  • DrFirst products can be cumbersome and redundant, and some users reported issues with promised features not being delivered, especially for DEA-required functionalities.
  • There are concerns about management consistency, job security (layoffs), and lack of communication within DrFirst as an employer.
  • Some DrFirst employees feel there is a lack of employee development plans and an opaque corporate culture.
  • Reddit users specifically mention issues with DrFirst's e-prescribing system breaking access, not syncing DEA updates, and sending non-consensual coupon codes to pharmacists.

Based on reviews from: Comparably, Indeed.com, SimplyHired, G2, IntuitionLabs.ai, Capterra, Software Advice, Reddit, Software Finder

Last updated: 2026-07-21

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Press & Coverage

DrFirst.com
DrFirst Acquires Myndshft Technologies to Revolutionize Medication Management by Addressing Both Pharmacy and Medical Benefits
DrFirst announced its acquisition of Myndshft Technologies, a leader in real-time medical benefits and automated prior authorization software, to enhance medication management and streamline access to specialty medications.
2024-04
Maryland Daily Record
Rockville-based DrFirst acquires Myndshft Technologies to streamline medication management
Rockville-based DrFirst acquired Myndshft Technologies, a company specializing in real-time medical benefits and automated prior authorization, to improve patient experience and expedite access to specialty medications.
2024-04
Fierce Healthcare
DrFirst acquires Myndshft to build out prior authorization tech for specialty medications
DrFirst's acquisition of Myndshft Technologies will expand its prior authorization capabilities, particularly for specialty medications covered by medical benefits, which are often complex for healthcare providers to navigate.
2024-04
Myndshft
Democratizing Healthcare: Collaboration Automates Prior Authorization & Patient Financial Assistance to Boost Health Equity
This news article discusses a collaboration aimed at automating prior authorization and patient financial assistance to improve health equity, addressing challenges posed by sophisticated and costly medications.
2023-09
Myndshft
News Flash: Myndshft Prior Authorization Software Part of Newly Launched Google Cloud Claims Acceleration Suite
Myndshft announced its prior authorization software is now part of the Google Cloud Claims Acceleration Suite, a collaborative solution to streamline prior authorization submissions.
2023-04
Myndshft
Myndshft Embarks on Collaboration with Google Cloud and is now available on Google Cloud Marketplace
Myndshft has partnered with Google Cloud, making its solutions available on the Google Cloud Marketplace to advance value-based care through intelligent automation and secure data exchange.
2022-11
Exploratory Research in Clinical and Social Pharmacy (via PMC)
Impact of a mobile integrated healthcare and community paramedicine program on improving medication adherence in patients with heart failure and chronic obstructive pulmonary disease after hospital discharge: A pilot study
This pilot study utilized pharmacy data from DrFirst to assess the impact of a mobile integrated healthcare program on medication adherence in patients with heart failure and COPD post-discharge.
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Myndshft Blog
Generative AI for Healthcare: Helper or Hindrance in Automated Prior Authorizations?
This blog post explores the potential of generative AI in healthcare, particularly its role in automating prior authorizations to reduce administrative burdens, a topic of increasing interest in the industry.
2024-01

Frequently Asked Questions

DrFirst offers comprehensive medication management solutions, including e-prescribing platforms like Rcopia and iPrescribe, which streamline workflows and provide critical clinical data. For controlled substances, their EPCS Gold solution enables secure electronic transmission of prescriptions and integrates with 51 state and territory Prescription Drug Monitoring Program (PDMP) databases to enhance patient safety and compliance.
With the acquisition of Myndshft, DrFirst now provides a unified, AI-powered platform that automates prior authorizations for both medical and pharmacy benefits, significantly reducing administrative burden and delays. Additionally, DrFirst integrates real-time price transparency tools into e-prescribing workflows, allowing providers to identify lower-cost alternatives and patient support programs at the point of care.
DrFirst's Backline platform provides HIPAA-compliant secure messaging, enabling healthcare teams to communicate efficiently and share clinical data, documents, and patient updates. It also supports telehealth functionalities, connecting patients with their care teams and fostering better continuity of care.
DrFirst leverages clinical-grade AI, particularly through its Fuzion platform and the Myndshft acquisition, to enhance interoperability by translating unstructured clinical text and inferring missing data to streamline workflows. This AI also powers the automation of complex processes like prior authorizations and benefits verification, improving efficiency and accuracy.
DrFirst's prescription engagement solutions aim to improve medication adherence by sending personalized, HIPAA-compliant text messages to patients with prescription details, discounts, and educational resources. These tools help patients overcome barriers like cost concerns or forgetfulness, encouraging them to fill and stay on their prescribed therapies.
DrFirst is a recognized leader in regulatory compliance, particularly pioneering Electronic Prescribing for Controlled Substances (EPCS) and assisting providers in meeting state and federal mandates, including PDMP integration. The Myndshft platform is HITRUST Risk-based, 2-year (r2) Certified, validating adherence to stringent information security and regulatory requirements like HIPAA.
DrFirst has been a healthcare IT pioneer since 2000, demonstrating long-term stability and growth through strategic acquisitions like Myndshft Technologies in 2024. They have an extensive network, integrating with 270 EHRs and partnering with various healthcare entities, including recent collaborations to enhance medication adherence and prescribing workflows.

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