Prior Authorization tools for Hospital Medicine

41 prior authorization tools built for Hospital Medicine physicians.

Patient Access Curator™

Experian Health

Medical Billing & RCM

Patient Access Curator™ is an AI-powered solution from Experian Health that helps prevent claim denials by validating demographics, eligibility, insurance discovery, coordination of benefits (COB), and MBI in seconds, integrating directly into existing workflows and host systems like Epic.

Contact for pricing

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

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

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.

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

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

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

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.

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

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

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.

Myndshft

General Productivity (AI Assistants)

Myndshft is a unified platform that automates both medical and pharmacy prior authorizations using generative AI and machine learning to speed time to therapy and reduce administrative burden.

Tier-based subscription software-as-a-service (saas) model, dependent on monthly patient transaction volume. pricing is not publicly disclosed; contact sales for a quote.

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

EasyPA.ai

Prior Authorization

EasyPA.ai is an AI-powered prior authorization platform that automates the PA process for medical practices. It connects to 900+ payers and integrates with 10+ EHR systems including Epic, Cerner, and athenahealth.

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

LiveAuth™ Network

Rhyme (formerly PriorAuthNow)

Prior Authorization

Rhyme's LiveAuth™ Network is an AI-powered platform that connects providers and payers to streamline prior authorization processes, enabling real-time, automated decision-making and eliminating manual efforts for healthcare providers.

Contact for pricing

EthermedAI

Ethermed

Prior Authorization

EthermedAI is an AI-driven platform that automates prior authorization workflows, enhancing efficiency and reducing manual processes in healthcare settings by integrating seamlessly with existing EHRs.

Contact for pricing

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More for Hospital Medicine:

Clinical Decision Support & Reference (96) Documentation & Scribing (72) Medical Billing & RCM (62) Practice Management & Scheduling (58) Patient Engagement & Education (48) Practice Analytics & BI (45) Population Health Analytics (40) Legal, Compliance & Security (38) Developer Tools & APIs (34) Triage & ER/ICU AI (31) EMR / EHR Systems (30) General Productivity (AI Assistants) (28)