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)

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.

Staffingly (AI Automation Services for Healthcare)

Staffingly

Documentation & Scribing

Staffingly offers AI-assisted healthcare automation services, including prior authorization, revenue cycle management, and virtual medical assistants, supported by a global team of medical professionals.

Ai voice from $0.25 per minute, dedicated fte from $399 per week.

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

UiPath Denial Management Solutions

UiPath

Medical Billing & RCM

UiPath Denial Management Solutions automate the identification, analysis, and appeal of denied claims to optimize healthcare revenue cycles.

Varies by usage tier and features, with smb plans averaging around $29,168/year and enterprise plans averaging around $512,634/year.

Valer

Prior Authorization

Valer offers an AI-powered platform to automate and streamline the prior authorization process for healthcare providers, aiming to reduce administrative burden and accelerate approvals.

Custom quote

Ventus AI

EMR / EHR Systems

Ventus AI automates medical revenue cycle management, including prior authorization, claims processing, and denial management, by deploying AI agents within existing EHR systems.

Subscription tied to automated throughput and workflow scope.

Voicecare AI

VoiceCare AI

Medical Billing & RCM

Voicecare AI is an agentic AI platform that automates patient access, benefits verification, and prior authorization to streamline revenue cycle management for healthcare providers.

Output-based pricing, driven by task capacity and clinical complexity.

Waystar (Auth Accelerate)

Waystar

Medical Billing & RCM

Waystar provides AI-powered revenue cycle management solutions, including Auth Accelerate for prior authorization, to simplify healthcare payments and improve operational efficiency for providers.

Waystar Enterprise Solution

Waystar

Medical Billing & RCM

Waystar's Enterprise Solution provides AI-powered revenue cycle management for hospitals and health systems to simplify healthcare payments and improve financial performance.

Custom pricing