Prior Authorization

83 tools

AI tools for prior authorization, medical billing, revenue cycle management, denial prevention, and claims processing automation.

Rising in Prior Authorization

PrescriberPoint

Clinical Decision Support & Reference

PrescriberPoint provides AI-enabled prescribing tools, including medication lookup, comparison, savings, coverage checks, and a prior authorization solution, to help physicians get patients on therapy faster.

Free

Solventum Revenue Integrity System

Solventum

Medical Billing & RCM

Solventum Revenue Integrity System uses AI and automation to optimize revenue cycle management, prevent revenue leakage, and improve billing accuracy for healthcare organizations.

Healthcare Finance.AI

Physician Finance & Tax

Healthcare Finance.AI provides cutting-edge AI solutions to transform healthcare revenue cycles, enhancing efficiency and financial precision.

Optum Digital Auth Complete

Optum

Prior Authorization

Optum Digital Auth Complete is an AI-powered solution that integrates with EHRs to automate and streamline the prior authorization process for providers, aiming to reduce manual tasks and accelerate approvals.

Contact sales

57 companies also tagged with Prior Authorization →

Prior Authorization tools, by specialty

Internal Medicine (62) Family Medicine (59) Hospital Medicine (41) Pediatrics (7) General Surgery (6) Radiology (5) ophthalmology-ai (4) Cardiology (3) dental-ai (3) Gastroenterology (3) mental-health-ai (3) Orthopedics (3) primary-care (3) radiology-imaging-ai (3) Urology (3) Dermatology (2) dermatology-ai (2) endocrinology-metabolic-ai (2) gastroenterology-ai (2) neurology-ai (2) obstetrics-gynecology-ai (2) Oncology (2) oncology-ai (2) allergy (1) allergy-and-immunology (1) cardiology-ai (1) Critical Care (1) ear-nose-throat (1) Emergency Medicine (1) hepatology (1)

AGS AI

AGS Health

Medical Billing & RCM

AGS AI is an AI-based end-to-end revenue cycle management platform integrating AI, automation, and human expertise to enhance accuracy, efficiency, and productivity across the RCM lifecycle, including autonomous coding and intelligent authorization.

Contact for pricing

AI Medical Billing Solution

CureMD

Medical Billing & RCM

CureMD's AI Medical Billing Solution automates and optimizes the revenue cycle for healthcare practices, leveraging artificial intelligence to enhance claims processing, denial management, and overall financial performance.

Apexon Revenue Boost Fast

Apexon

Medical Billing & RCM

Apexon's AI-Powered Claims Denial Management transforms denial management into a predictive system that prevents denials pre-submission and accelerates recovery. It uses predictive analytics and machine learning to prioritize denied claims, identify root causes, and automate tasks, aiming to improve first-pass claim acceptance rates and reduce administrative burden.

Asepha

Pharmacology & Dosing AI

Asepha is an AI assistant for pharmacy that automates manual work, reduces delays in intake and prior authorization, and helps prevent medication errors.

Contact for pricing

Auth Accelerate

Waystar

Medical Billing & RCM

Waystar Auth Accelerate is an AI-powered solution for automating prior authorizations, streamlining financial clearance, and reducing claim denials to simplify healthcare payments for providers.

Contact for pricing

Authorizations

Experian Health

Medical Billing & RCM

Experian Health's Authorizations is an AI-guided online service that automates prior authorization inquiries and submissions, leveraging a real-time payer knowledgebase to reduce manual interventions, prevent denials, and accelerate reimbursement for healthcare providers.

Contact for details

Availity AuthAI

Availity

Prior Authorization

Availity AuthAI is an AI-powered solution that streamlines prior authorizations by providing real-time, policy-aligned recommendations, reducing administrative waste and accelerating patient care.

Enterprise

Banjo Health Platform

Banjo Health

Prior Authorization

Banjo Health offers an AI-powered, end-to-end platform designed by clinicians for health plans and PBMs to streamline prior authorization, appeals, and grievances workflows, reducing administrative burden and improving decision-making.

Contact for details

Bulwark Quality AI

Bulwark Health

Medical Billing & RCM

Bulwark Health provides AI-native Mid-RCM solutions for healthcare, focusing on revenue integrity, patient outcomes, and operational excellence through products like Quality AI, Risk Adjustment AI, CDI & Coding AI, and Appeals AI.

Contact for pricing

CognitiveHealth iCAN™

CognitiveHealth Technologies

Medical Billing & RCM

CognitiveHealth's iCAN™ platform leverages advanced AI technology to revolutionize eligibility verification and denial management processes, addressing some of the most persistent challenges in medical billing.

Contact for pricing

Cohere Health Platform

Cohere Health

Medical Billing & RCM

Cohere Health provides an AI-powered clinical intelligence platform that streamlines prior authorization and payment integrity for health plans and providers, driving efficiency, improving care access, and optimizing financial performance.

Contact for pricing

Collectly

Patient Engagement & Education

Collectly modernizes the patient financial experience through AI-powered automation of billing, payments, and communication.

CombineHealth

Medical Billing & RCM

CombineHealth offers an end-to-end AI revenue cycle automation platform that leverages proprietary agentic and generative AI, trained on billions of medical records, to streamline eligibility checks, medical coding, CDI, billing, denials, and AR workflows for healthcare providers, aiming for zero revenue leakage.

Contact for pricing

CoverMyMeds Prior Authorization

CoverMyMeds

Pharmacology & Dosing AI

CoverMyMeds provides medication access solutions used by prescribers, clinics, pharmacies, payers, and manufacturers to streamline electronic prior authorization (ePA), verify pharmacy benefits, surface formulary alternatives, and coordinate specialty medication enrollments and patient assistance.

Free

CuraQt

Medical Billing & RCM

CuraQt is an AI-powered prior authorization platform that automates preparation, submission, tracking, and denial management for healthcare providers, aiming for 2026 compliance.

Paid