Prior Authorization

84 tools

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

Rising in Prior Authorization

SamaCare

Practice Management & Scheduling

SamaCare is an AI-native platform that streamlines medical benefit prior authorization for specialty practices, improving approval rates and reducing time to resolution.

Silna Health

General Productivity (AI Assistants)

Silna Health is an AI-powered care readiness platform that automates prior authorizations, benefit checks, and insurance monitoring to streamline administrative processes for healthcare providers.

Custom / enterprise

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.

Staffingly Prior Authorization

Staffingly, Inc.

Documentation & Scribing

Staffingly provides AI-assisted automation and virtual assistants for healthcare practices, specializing in prior authorization, insurance verification, and revenue cycle management.

Starting at $399 per week per fte

57 companies also tagged with Prior Authorization →

Prior Authorization tools, by specialty

Internal Medicine (63) Family Medicine (60) Hospital Medicine (42) 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)

Pre-Auth AI

Jade Global

Medical Billing & RCM

Jade Global's Pre-Auth AI solution automates prior authorization processes, aiming for 95% accuracy in claim submissions and a 50-60% reduction in process time, ultimately enhancing patient care and revenue cycle management.

Custom

Premier Inc.

Practice Management & Scheduling

ReviewAssist by Premier Inc. is an AI tool designed to automate and streamline the prior authorization process for healthcare providers.

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

Prior Authorization Automation

Surescripts

Prior Authorization

Surescripts' Prior Authorization Automation streamlines medication prior authorizations by retrieving patient data from EHRs and sending it to PBMs, reducing provider intervention and accelerating patient access to treatment.

Contact sales

Prosper AI

Medical Billing & RCM

Prosper AI provides HIPAA-compliant AI voice agents that automate patient access and revenue cycle management, including scheduling, billing, and prior authorizations, for healthcare practices and systems.

Paid/enterprise

Prosper AI (Automated Prior Authorization Software)

Prosper AI

Prior Authorization

Prosper AI offers automated prior authorization software designed to streamline the submission, tracking, and management of authorizations for healthcare providers.

Usage-based, custom by volume and use case

Protego Health

Medical Billing & RCM

Protego Health is an AI-powered denial prevention and appeals platform that reviews claims pre-submission against payer policies and generates appeal drafts post-denial.

Enterprise

QuickIntell

Documentation & Scribing

QuickIntell provides an AI-powered platform for end-to-end healthcare revenue cycle management, including eligibility, prior authorization, coding, claims, and denial management.

RAAPID

Legal, Compliance & Security

RAAPID provides a Neuro-Symbolic AI-powered risk adjustment platform for health plans and providers, optimizing value-based care through accurate and efficient HCC identification and audit defense.

Revenue Cycle AI

Digital Scientists

Medical Billing & RCM

Digital Scientists' Revenue Cycle AI optimizes healthcare financial operations by automating billing, claims, and denial management, integrating with major EHRs to improve cash flow for providers and hospitals.

Fixed-fee for assessments and mvps

Revenue Stream AI

EMR / EHR Systems

Revenue Stream AI is an AI-native platform that automates the full revenue cycle through modules covering front office, eligibility, prior authorization, medical coding, claims and denials, patient billing, and AI voice outreach. It integrates with Epic, Oracle Health, MEDITECH, and other leading EHR systems.

Transparent public plans

Rytsense AI Denial Management

Rytsense Technologies

Medical Billing & RCM

Rytsense AI Denial Management uses artificial intelligence to automate the identification, analysis, and appeal of denied healthcare claims, helping providers improve their revenue cycle.

SamaCare

Practice Management & Scheduling

SamaCare is an AI-native platform that streamlines medical benefit prior authorization for specialty practices, improving approval rates and reducing time to resolution.

Silna Health

General Productivity (AI Assistants)

Silna Health is an AI-powered care readiness platform that automates prior authorizations, benefit checks, and insurance monitoring to streamline administrative processes for healthcare providers.

Custom / enterprise

SmarterDenials by SmarterDx

SmarterDx

Medical Billing & RCM

SmarterDenials by SmarterDx is an AI-powered tool that helps hospitals efficiently appeal denied insurance claims by analyzing patient records and generating evidence-backed appeal letters.

Contingency-based