Healthcare / Healthcare Providers

Electronic Prior Authorization

EXECUTION STRENGTHMARKET STRENGTHLEADERHIGHFLIEROUTPERFORMERCHALLENGER

What is Electronic Prior Authorization?

Electronic prior authorization vendors market software that brings automation tools to prior authorization determinations, submissions, and status checking.

Selling a product or service?
Reach more buyers.

Your future customers are researching their next tech solution on CB Insights. Make sure they can find you.

Claim your CB Insights Profile

Leaders

Leaders are the most established service providers in the market and possess the breadth to address various customer needs.

See why these companies made it as leaders for Electronic Prior Authorization. These companies include Olive and PriorAuthNow.

Olive logo
Olive

United States / Founded Year: 2012

Olive is a healthcare-specific artificial intelligence and process automation company that empowers healthcare organizations to improve efficiency and patient care while reducing costly administrative errors. Its eponymous AI solution, Olive, acts as the intelligent router between systems and data by automating repetitive, high-volume tasks and workflows, providing true interoperability. Olive has helped healthcare organizations reduce data and billing errors, eliminate denials for no coverage, improve cash collections by reducing days in A/R, and more.

Known Partners

NTT Data, Redi Health, Healee Inc, and 2 more

Key People

Sean Lane, Jeremy Friese, Ali Byrd, and 2 more

PriorAuthNow logo
PriorAuthNow

United States / Founded Year: 2016

PriorAuthNow is a platform for connecting the healthcare landscape using prior authorization (PA) automation.

Known Partners

Availity, XIFIN

Key People

Amol Arora, Joe Anstine, Jay Sandhaus, and 2 more

Waystar logo
Waystar

United States / Founded Year: 2017

Waystar simplifies and unifies the healthcare revenue cycle with technology that empowers clients to collect more with less cost and less stress, so they can focus on their goals, patients, and communities.

Known Partners

Inroads, HST Pathways, Cedar

Key People

Matthew Hawkins, Steve Oreskovich, Chris Schremser, and 2 more

Highfliers

Highfliers are the most innovative service providers in the market and possess the resources to address evolving customer needs.

See why these companies made it as highfliers for Electronic Prior Authorization. These companies include .

Outperformers

Outperformers are the most specialized service providers in the market and possess the expertise to address unique customer needs.

See why these companies made it as outperformers for Electronic Prior Authorization. These companies include Myndshft.

Myndshft logo
Myndshft

United States / Founded Year: 2015

Myndshft is a health IT software-as-a-service provider that automates and simplifies time-consuming healthcare administrative tasks associated with prior authorization, eligibility and benefits verification, and patient financial responsibility, freeing providers and payers to concentrate more fully on patient care. Myndshft works with providers, payers, and health information exchanges.

Known Partners

UiPath, ZOLL, VirtueScript

Key People

Ron Wince, Tyler Wince

Challengers

Challengers are the most promising service providers in the market and possess the agility to address emerging customer needs.

See why these companies made it as challengers for Electronic Prior Authorization. These companies include CMT Solutions and Database Solutions.

CMT Solutions logo
CMT Solutions

United States / Founded Year: 2017

CMT Solutions partners with labs to optimize and automate prior authorization workflows. The CMT Solutions web-based platform provides a hub-service model that determines when a PA is required, conducts patient eligibility checks and delivers electronic PAs for physicians. The platform also provides insurance verification, documentation gathering, PA submission, and deductible management functions.

Known Partners

XIFIN

Key People

Andrew Mignatti

D
Database Solutions

United States / Founded Year: 2005

Database Solutions, dba AccuReg, provides a front-end revenue cycle solution that automates all major registration tasks, applies business rules, interprets data, and presents back to the appropriate patient access staff member any actionable issues with guidance on how to resolve them. This not only simplifies the job of patient access, which reduces cost and shortens registration time, but it also drives the behaviors and actions in patient access that lead to higher pre-service collections, lower bad debt, and fewer denials. All AccuReg modules are part of a single, intuitive AccuReg user interface with integrated work queue, educational tools, reports, dashboards, and more.

Known Partners

MDsave

Key People

Paul Shorrosh, Ian Whelan, Blair Baker, and 1 more

e
eBlu Solutions

United States / Founded Year: 2012

eBlu Solutions offers a provider facing software as a service solution enabling efficient workflows and mitigating risks for independent group practices in performing benefit investigations, prior authorizations and manufacturer co-pay assistance programs.

Key People

Nathan Fornwalt, Kim Farley, Mark Murphy

What is Electronic Prior Authorization?

Electronic prior authorization vendors market software that brings automation tools to prior authorization determinations, submissions, and status checking.

Selling a product or service?
Reach more buyers.

Your future customers are researching their next tech solution on CB Insights. Make sure they can find you.

Claim your CB Insights Profile