Electronic prior authorization vendors market software that brings automation tools to prior authorization determinations, submissions, and status checking.
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Claim your CB Insights ProfileLeaders 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.
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.
NTT Data, Redi Health, Healee Inc, and 2 more
Innovation Institute, TriHealth, Tufts Medical Center, and 1 more
Sean Lane, Jeremy Friese, Ali Byrd, and 2 more
United States / Founded Year: 2016
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.
Matthew Hawkins, Steve Oreskovich, Chris Schremser, and 2 more
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 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.
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.
UiPath, ZOLL, VirtueScript
Ron Wince, Tyler Wince
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.
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.
Andrew Mignatti
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.
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.
Nathan Fornwalt, Kim Farley, Mark Murphy
Electronic prior authorization vendors market software that brings automation tools to prior authorization determinations, submissions, and status checking.
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