Prior Authorization tools for Internal Medicine

62 prior authorization tools built for Internal Medicine physicians.

Ember (by Elion)

Elion

Medical Billing & RCM

Ember is an AI-powered revenue cycle management (RCM) platform for healthcare providers that automates medical coding, claims scrubbing, eligibility checks, prior authorization, and denial prevention/appeals. It integrates with EHRs/PMS systems to reduce denials, accelerate payments, and lessen administrative burden.

Tailored based on volume, scope, and use case.

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.

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

e4health

General Productivity (AI Assistants)

e4health utilizes AI-powered technology to enhance cost efficiency and accuracy in medical record custodian (MRC) management for healthcare finance.

PayZen

Patient Engagement & Education

PayZen provides AI-powered patient financing solutions that offer personalized, interest-free payment plans to increase patient payments and satisfaction for healthcare 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

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

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.

Flexbone AI Denials Management

Flexbone AI

Medical Billing & RCM

Flexbone AI offers an AI-powered administrative automation platform designed to streamline healthcare contact center operations and revenue cycle management. Their AI agents automate tasks like prior authorization, insurance eligibility verification, referral coordination, patient intake, call routing, and denials management.

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

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.

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

Forus

Patient Engagement & Education

Forus automates prior authorizations and medication access support for physicians, helping patients get prescribed medications quickly and seamlessly.

Free

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

Collectly

Patient Engagement & Education

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

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.

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More for Internal Medicine:

Patient Engagement & Education (198) Clinical Decision Support & Reference (174) Practice Management & Scheduling (167) Medical Billing & RCM (111) Documentation & Scribing (109) Wearables & Remote Monitoring (RPM) (80) Medical Education & Training (71) Population Health Analytics (66) Cardiology AI (63) Medical Phone & Communication (63) General Productivity (AI Assistants) (62) Legal, Compliance & Security (58)