Prior Authorization

83 tools

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

Rising in Prior Authorization

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.

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

Inferscience

Documentation & Scribing

Inferscience HCC Assistant is an AI-powered tool designed to help healthcare providers and health plans optimize risk adjustment and HCC coding accuracy.

ModMed Scribe 2.0

ModMed

Documentation & Scribing

ModMed offers a suite of AI assistants, including ModMed Scribe, to automate administrative and clinical workflows, enhance documentation, and streamline practice operations for physicians.

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)

Frictionless Prior Authorization™

Humata Health

Prior Authorization

Humata Health provides an AI-driven platform that automates the prior authorization process, integrating with EHRs to streamline approvals and reduce administrative burden for providers.

Custom

Fuse Insight

Elion Health

Medical Billing & RCM

Fuse Insight is an automation platform for healthcare providers that focuses on patient intake, insurance verification, and price transparency. It integrates with existing EHR systems to automate the collection of insurance and payment details, complete HIPAA-compliant forms, and perform real-time insurance verification at the CPT code level.

Generative AI for Healthcare Revenue Cycle

AKASA

Medical Billing & RCM

AKASA offers generative AI solutions for the healthcare revenue cycle, utilizing AI trained on clinical and financial data to reduce denials, improve margins, and increase revenue for health systems. It provides tools for prebill optimization, coding, CDI, AI-powered assistance, and automated authorization and claim status checks.

Contact for pricing

HealOS Prior Authorization

HealOS

Prior Authorization

HealOS Prior Authorization automates the entire prior authorization workflow for healthcare providers using AI to extract data, submit requests, track approvals, and manage appeals, aiming to speed up approvals, reduce denials, and eliminate administrative bottlenecks.

Healthcare Finance.AI

Physician Finance & Tax

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

Hindsait Clinical NLP Engine

Hindsait

Developer Tools & APIs

Hindsait's Clinical NLP Engine is a healthcare-specific AI tool that extracts clinical entities from unstructured medical records for automation and clinical review, powering decision intelligence for prior authorization, clinical review, and payment integrity.

Contact for pricing

Hubble

Developer Tools & APIs

Hubble is an AI-native platform for comprehensive medical record retrieval, offering patient-mediated access to a more complete patient history across various EHRs and payers.

Hyprtask

Elion Health

Medical Billing & RCM

Hyprtask is an AI-powered automation platform that manages and executes administrative and revenue cycle workflows for healthcare practices, including insurance eligibility verification, prior authorizations, claims submission, and AR follow-up.

Subscription-based, with a predictable monthly fee based on annual collections tier for full suite rcm. ar recovery is offered on a 'pay only when we recover' model.

Hyprtask (by Elion)

Elion

Medical Billing & RCM

Hyprtask is an AI-powered automation platform built to manage and execute administrative and revenue cycle workflows for healthcare practices. It automates tasks such as insurance eligibility verification, prior authorizations, patient registration, claims submission, payment posting, AR follow-up, scheduling, and fax or medical records submissions.

Predictable, fixed monthly fee based on annual collections tier; $0 to start for full suite rcm. for ar recovery, pay only when claims are recovered, with no upfront costs, retainers, or monthly minimums.

Inferscience

Documentation & Scribing

Inferscience HCC Assistant is an AI-powered tool designed to help healthcare providers and health plans optimize risk adjustment and HCC coding accuracy.

Infinx Healthcare

Medical Billing & RCM

Infinx Healthcare provides AI-powered revenue cycle management solutions, including patient access, prior authorization, medical coding, and denials management, to optimize financial clearance and maximize reimbursements for healthcare organizations.

Contact for pricing

Innovaccer Prior Authorization Agent (Flow)

Innovaccer

Prior Authorization

Innovaccer Flow Auth is an AI-powered solution that automates the entire prior authorization workflow for healthcare providers, from detection and submission to appeals. It integrates with EHRs to reduce administrative burden, accelerate care delivery, and optimize revenue capture by streamlining processes and improving approval rates.

Contact for pricing

Insight Health

Documentation & Scribing

Insight Health provides an AI Agentic Platform with AI-powered clinical agents to automate patient-facing workflows and administrative tasks, freeing up clinicians for direct patient care.

Tiered

Jorie AI

General Productivity (AI Assistants)

Jorie AI provides AI-driven solutions to optimize healthcare revenue cycle management, integrating FinTech and HealthTech to enhance financial efficiency and streamline operations.

Keragon

Developer Tools & APIs

Keragon is a HIPAA-compliant AI automation platform that builds and runs workflows across EHRs and 300+ healthcare tools based on plain English descriptions.

Starts at $99/month