# Best Prior Authorization Software *By [Emma Stein](https://research.g2.com/insights/author/emma-stein)* Prior authorization software assists healthcare providers and health insurance companies in the medical care authorization process. These insurance companies require healthcare clinicians and providers to receive preapproval for certain procedures, tests, or medications. The care plan must be evaluated to assess the medical necessity and cost-of-care ramifications before authorization. If the provider fails to get prior authorization, the insurer will not cover the cost of treatment, and the patient may have to bear the cost. The healthcare provider is usually responsible for initiating prior authorization by submitting a request form to a patient’s insurance provider. This helps determine if prior approval is required for a given procedure and to submit the actual prior authorization paperwork to the insurance company for review and approval. Obtaining prior authorization is an administrative burden for any medical practice, and this software helps streamline the process. Prior authorization software enables [EHR software](https://www.g2.com/categories/ehr) or [patient relationship management (PRM) software](https://www.g2.com/categories/patient-relationship-management-prm) to automatically determine if prior approval is required, electronically submit the prior authorization directly to the insurance company, and actively monitor the status of the submission. Prior authorization software can be paired with [patient intake software](https://www.g2.com/categories/patient-intake) and [revenue cycle management software](https://www.g2.com/categories/revenue-cycle-management). To qualify for inclusion in the Prior Authorization category, a product must: - Utilize some form of artificial intelligence or rules-based automation to assess the patient’s insurance and its associated services - Integrate with the insurance company portals, eFax, or other hybrid methodology that relieves the healthcare provider of the burden - Handle the submission and approval process, including form submission and communication between healthcare providers and insurance companies ## How Many Prior Authorization Software Products Does G2 Track? **Total Products under this Category:** 43 ### Category Stats (May 2026) - **Average Rating**: 4.24/5 - **New Reviews This Quarter**: 2 - **Buyer Segments**: Small-Business 50% │ Mid-Market 50% - **Top Trending Product**: Silna Health (+0.003) *Last updated: May 25, 2026* ## How Does G2 Rank Prior Authorization Software Products? **Why You Can Trust G2's Software Rankings:** - 30 Analysts and Data Experts - 400+ Authentic Reviews - 43+ Products - Unbiased Rankings G2's software rankings are built on verified user reviews, rigorous moderation, and a consistent research methodology maintained by a team of analysts and data experts. Each product is measured using the same transparent criteria, with no paid placement or vendor influence. While reviews reflect real user experiences, which can be subjective, they offer valuable insight into how software performs in the hands of professionals. Together, these inputs power the G2 Score, a standardized way to compare tools within every category. ## Which Prior Authorization Software Is Best for Your Use Case? - **Easiest to Use:** [Silna Health](https://www.g2.com/products/silna-health/reviews) - **Best Free Software:** [Silna Health](https://www.g2.com/products/silna-health/reviews) --- **Sponsored** ### Thrivable Thrivable is the strategic patient insights partner for life sciences and healthcare organizations in the cardiometabolic space. We uncover what truly drives patient behavior, so teams can increase adoption, improve retention, and make decisions with confidence. By delivering trustworthy, data-backed insights grounded in the voice of the patient, we bring lived experience directly into healthcare decision-making, helping organizations move beyond assumptions and act with clarity. Thrivable provides the following products: Strategic Research Studies - Incorporate the voice of your target patient into your annual learning plan using a mix of planned and on-demand pulse, quantitative, and qualitative research projects Market Monitoring - Truly understand how patients are impacted by receiving continuous insights about your target patient behaviors as market dynamics change, all with little effort on your end. Patient Communities - Get richer feedback than traditional research by conducting async interviews and focus groups with your target patient audience. [Visit website](https://www.g2.com/external_clickthroughs/record?secure%5Bad_program%5D=ppc&secure%5Bad_slot%5D=category_product_list&secure%5Bcategory_id%5D=2872&secure%5Bdisplayable_resource_id%5D=2872&secure%5Bdisplayable_resource_type%5D=Category&secure%5Bmedium%5D=sponsored&secure%5Bplacement_reason%5D=page_category&secure%5Bplacement_resource_ids%5D%5B%5D=2872&secure%5Bprioritized%5D=false&secure%5Bproduct_id%5D=157096&secure%5Bresource_id%5D=2872&secure%5Bresource_type%5D=Category&secure%5Bsource_type%5D=category_page&secure%5Bsource_url%5D=https%3A%2F%2Fwww.g2.com%2Fcategories%2Fprior-authorization%3Fpage%3D2&secure%5Btoken%5D=6d47a44c45e11d58cb9d1b6c541a591e4ffe453839da8f2d9c96aff86f08e649&secure%5Burl%5D=https%3A%2F%2Fthrivable.app&secure%5Burl_type%5D=company_website) --- ## What Are the Top-Rated Prior Authorization Software Products in 2026? ### 1. [Silna Health](https://www.g2.com/products/silna-health/reviews) Silna Health automates front-end RCM for healthcare providers, so care can start in hours, not weeks. From prior authorizations to benefit checks, insurance monitoring, and discovery, our AI-powered Care Readiness Platform streamlines all front-end insurance workflows across every payor in the country. By combining automation with built-in payor communication, Silna cuts pre-visit administration by 95% and has accelerated care for over 50,000 patients. With Silna, your patients get faster treatment, staff reclaim time, and revenue flows without friction. We manage the full authorization process for your specialty, deliver real-time patient cost estimates, send proactive expiration alerts, and integrate with any EHR. **Average Rating:** 4.8/5.0 **Total Reviews:** 66 **Who Is the Company Behind Silna Health?** - **Seller:** [Silna Health](https://www.g2.com/sellers/silna-health) - **Company Website:** https://www.silnahealth.com/ - **Year Founded:** 2023 - **HQ Location:** New York, US - **LinkedIn® Page:** https://www.linkedin.com/company/silna-health/ (43 employees on LinkedIn®) **Who Uses This Product?** - **Top Industries:** Medical Practice, Mental Health Care - **Company Size:** 70% Small-Business, 24% Mid-Market ### 2. [Valer](https://www.g2.com/products/valer/reviews) Valer’s technology speeds and simplifies prior authorization and referral management by automating submissions, status checking, verification, reporting, and EHR synchronization across all your healthcare settings, specialties, and payers from one platform and portal. All built just for you. **Average Rating:** 5.0/5.0 **Total Reviews:** 12 **Who Is the Company Behind Valer?** - **Seller:** [Valer](https://www.g2.com/sellers/valer) - **Year Founded:** 2011 - **HQ Location:** Huntington Beach, CA - **Twitter:** @valerhealth (122 Twitter followers) - **LinkedIn® Page:** https://www.linkedin.com/company/valer-health/ (23 employees on LinkedIn®) **Who Uses This Product?** - **Top Industries:** Hospital & Health Care - **Company Size:** 67% Enterprise, 25% Mid-Market ### 3. [RXNT](https://www.g2.com/products/rxnt/reviews) Integrated, customizable, ONC-certified clinical management and practice management software for healthcare providers and care organizations. Founded in 1999 and headquartered in Maryland, RXNT's suite of practice software tools will drive efficiency and accuracy, and better patient outcomes. Our software is tailored for many practice types and specialties, including ambulatory physicians, healthcare providers, medical billers, and other health organizations throughout the United States. RXNT's software offer a wide range of functionality, such as E-Prescribing, Electronic Health Records, Patient Engagement, Medical Billing, Patient Scheduling, and more. Additionally, RXNT provides an all-in-one Full Suite system, which integrates all products for an seamless user experience. Over 100 million prescriptions have been transmitted and 5 billion claims processed using RXNT's software. Simple, transparent pricing includes a free onboarding and training period, free data transfer, forever free in-house support, free mobile applications, and no "hidden fees." Our mobile applications for iOS and Android phones and tablets allow providers to e-prescribe, manage patient information, charge capture, schedule providers and practice resources, and check in patients from anywhere. Key features of RXNT include its HIPAA-compliant and ONC-ACB-certified status, ensuring that user data is secure and meets regulatory standards. The software is also Surescripts-certified, EPCS-certified, and PDMP-connected, which enhances its functionality in e-prescribing and medication management. RXNT's commitment to transparency is reflected in its straightforward pricing model, which includes free onboarding and training, free data transfer, and ongoing in-house support without hidden fees. The availability of mobile applications for iOS and Android devices further empowers healthcare providers to manage patient information, schedule appointments, and e-prescribe from virtually anywhere. RXNT has received recognition for its contributions to the healthcare technology landscape. It was named the Best Overall E-Prescribing Software in 2024 by Forbes Advisor and was ranked on the Inc. 5000 list of The Most Successful Companies in America for four consecutive years. Additionally, RXNT has been acknowledged as a "true trailblazer" and ranked among the Top 100 Healthtech Companies by the Healthcare Technology Report, further solidifying its reputation in the industry. With hundreds of Gartner Research Report Badges awarded for Top Software, RXNT continues to demonstrate its commitment to innovation and excellence in healthIT. **Average Rating:** 4.2/5.0 **Total Reviews:** 49 **Who Is the Company Behind RXNT?** - **Seller:** [RXNT](https://www.g2.com/sellers/rxnt) - **Company Website:** https://www.rxnt.com - **Year Founded:** 1999 - **HQ Location:** Annapolis, Maryland - **LinkedIn® Page:** https://www.linkedin.com/company/rxnt/ (139 employees on LinkedIn®) **Who Uses This Product?** - **Top Industries:** Hospital & Health Care, Medical Practice - **Company Size:** 62% Small-Business, 32% Mid-Market ### 4. [Myndshft](https://www.g2.com/products/myndshft/reviews) Myndshft is the only fully automated end-to-end prior authorization platform, designed to address the needs of providers and payers by delivering Collective Healthcare Intelligence™: real-time benefits and prior authorization insights in any system of record.   With Myndshft you can: -Verify real-time medical benefits for 93% of U.S. covered patients -Automatically calculate the patient’s financial responsibility -Identify primary, secondary, and tertiary payers (if they exist) -Determine if a prior authorization is required, electronically submit prior authorization directly to the payer, then actively monitor the status of the submission. -Discover active insurance coverage even if not provided by the patient initially Easily integrated directly with any EHR or system of record, or used as a standalone web portal, healthcare providers can use Myndshft to improve patient care, get paid faster, boost productivity, and enhance data accuracy across their revenue cycle. **Average Rating:** 3.5/5.0 **Total Reviews:** 5 **Who Is the Company Behind Myndshft?** - **Seller:** [Myndshft](https://www.g2.com/sellers/myndshft) - **Year Founded:** 2015 - **HQ Location:** Mesa, US - **Twitter:** @myndshft (374 Twitter followers) - **LinkedIn® Page:** https://www.linkedin.com/company/myndshft/ (12 employees on LinkedIn®) **Who Uses This Product?** - **Company Size:** 60% Small-Business, 40% Mid-Market ### 5. [SPRY](https://www.g2.com/products/spry-spry/reviews) SPRY: The Fastest-Growing AI-Powered EMR & Billing Platform for Rehab Therapy SPRY isn’t just an EMR—it’s your practice partner. Built specifically for physical therapy clinics, SPRY helps reduce admin costs, increase patient visits, and maximize reimbursements. Its AI-powered, fully integrated platform is designed to enhance efficiency, minimize administrative burdens, improve patient care, and support future-proofing your practice. Why SPRY? Whether you're a clinic owner, physical therapist, clinic manager, billing specialist, or front desk staff, SPRY provides an end-to-end solution that simplifies everything from patient scheduling to automated billing. Our customizable workflows, intuitive interface, and real-time automation empower clinics to operate with confidence and efficiency. Most PT platforms claim to be end-to-end but lack seamless module integration, leaving clinics to deal with inefficiencies and workarounds. With the vision to eliminate these gaps, SPRY provides a truly all-in-one solution that streamlines workflows and ensures everything works effortlessly together. Key Features ✔ AI-Powered Documentation – AI Scribe enables real-time note-taking and seamlessly converts notes into structured SOAP templates. ✔ Automated Billing & Claim Management – Pre-authorization, eligibility verification, claim scrubbing, & Medicare compliance ✔ Real-Time Business Intelligence (BI) Dashboard – Data-driven insights for revenue and performance tracking, with the ability to ask queries in simple language ✔ Seamless Patient Engagement – Online scheduling, digital onboarding, Kiosk check-in & HIPAA-compliant patient portal ✔ Operational Efficiency – AI Fax, automated alerts & co-sign functionality for compliance Powering the Future of Physical Therapy SPRY is backed by industry experts, innovative technology, and deep clinical insights, making it the go-to platform for rehab therapy clinics looking to grow, optimize operations, and improve patient outcomes. **Average Rating:** 4.6/5.0 **Total Reviews:** 76 **Who Is the Company Behind SPRY?** - **Seller:** [SPRY](https://www.g2.com/sellers/spry) - **Year Founded:** 2021 - **HQ Location:** Wilmington, US - **LinkedIn® Page:** https://www.linkedin.com/company/sprypt/ (221 employees on LinkedIn®) **Who Uses This Product?** - **Who Uses This:** Physical Therapist, Owner - **Top Industries:** Health, Wellness and Fitness, Medical Practice - **Company Size:** 83% Small-Business, 17% Mid-Market #### What Are SPRY's Pros and Cons? **Pros:** - Ease of Use (47 reviews) - Customer Support (28 reviews) - Efficiency (28 reviews) - Helpful (25 reviews) - Customizability (20 reviews) **Cons:** - Technical Issues (12 reviews) - Slow Performance (9 reviews) - Software Bugs (8 reviews) - Data Management Issues (7 reviews) - Limited Features (7 reviews) ### 6. [Infinitus AI Agents](https://www.g2.com/products/infinitus-ai-agents/reviews) Infinitus is healthcare's leading agentic communications platform. The company deploys autonomous AI agents that engage patients, providers, and payors, automating complex workflows across the entire patient journey. Infinitus empowers organizations across the healthcare ecosystem to grow market share, scale their teams, and improve patient outcomes through guardrailed, end-to-end AI automation. **Average Rating:** 3.9/5.0 **Total Reviews:** 4 **Who Is the Company Behind Infinitus AI Agents?** - **Seller:** [Infinitus Systems](https://www.g2.com/sellers/infinitus-systems) - **Year Founded:** 2019 - **HQ Location:** San Francisco, US - **Twitter:** @InfinitusAI (747 Twitter followers) - **LinkedIn® Page:** https://www.linkedin.com/company/infinitusai/ (202 employees on LinkedIn®) **Who Uses This Product?** - **Company Size:** 75% Mid-Market, 25% Small-Business ### 7. [CoverMyMeds Platform](https://www.g2.com/products/covermymeds-platform/reviews) CoverMyMeds is a healthcare technology platform dedicated to improving medication access by streamlining the prior authorization (PA) process. By automating and integrating PA workflows, CoverMyMeds connects healthcare providers, pharmacies, and health plans, reducing administrative burdens and accelerating patient access to necessary medications. The platform's extensive network includes over 950,000 providers, 50,000 pharmacies, and most health plans, representing 96% of prescription volume. Key Features and Functionality: - Electronic Prior Authorization (ePA): Automates the PA process, enabling providers to submit requests up to three times faster than traditional methods, thereby reducing approval times from days to minutes. - Real-Time Benefit Check (RxBC): Provides prescribers with patient-specific prescription cost and coverage information at the point of prescribing, helping to reduce prescription abandonment. - Extensive Integration: Seamlessly integrates with over 350 electronic health records (EHRs) and numerous pharmacy management systems, allowing for in-workflow submission, automatic form population, and real-time status updates. - Comprehensive Network Connectivity: Maintains connections with a broad network of health plans and pharmacy benefit managers, enabling electronic prior authorization submissions across most major payers. Primary Value and User Solutions: CoverMyMeds addresses critical challenges in the healthcare system by reducing the time and complexity associated with prior authorizations. By automating these processes, the platform minimizes administrative burdens for healthcare providers and pharmacists, leading to faster medication access for patients. This efficiency helps decrease prescription abandonment rates and improves patient adherence to prescribed therapies. Additionally, the platform's real-time benefit information empowers prescribers to make informed decisions, enhancing the overall quality of care. **Average Rating:** 3.7/5.0 **Total Reviews:** 16 **Who Is the Company Behind CoverMyMeds Platform?** - **Seller:** [CoverMyMeds](https://www.g2.com/sellers/covermymeds) - **Year Founded:** 2008 - **HQ Location:** Columbus, OH - **Twitter:** @CoverMyMeds (2,672 Twitter followers) - **LinkedIn® Page:** https://www.linkedin.com/company/1741261/ (1,738 employees on LinkedIn®) **Who Uses This Product?** - **Top Industries:** Hospital & Health Care, Pharmaceuticals - **Company Size:** 50% Small-Business, 25% Mid-Market ### 8. [eClaimStatus Health](https://www.g2.com/products/eclaimstatus-health/reviews) eClaimStatus is a Health insurance eligibility verification software that is easy to Use, comes with zero setup or maintenance hassles ,assures real-time , eligibility verification from 700+ payers, fetches benefits data for 1 or 1000 patients in seconds , HIPAA compliant. **Average Rating:** 4.5/5.0 **Total Reviews:** 9 **Who Is the Company Behind eClaimStatus Health?** - **Seller:** [eClaimStatus](https://www.g2.com/sellers/eclaimstatus) - **Year Founded:** 2015 - **HQ Location:** Austin, Texas - **Twitter:** @ClaimStatus (6 Twitter followers) - **LinkedIn® Page:** https://www.linkedin.com/company/11039791 (9 employees on LinkedIn®) **Who Uses This Product?** - **Company Size:** 78% Small-Business, 22% Mid-Market ### 9. [EHR 24/7® by Office Ally](https://www.g2.com/products/ehr-24-7-by-office-ally/reviews) EHR 24/7 by Office Ally is a trusted electronic health record system used by more than 20,000 users. Its comprehensive patient charting and document management, real-time patient information, and customizable forms provide healthcare providers with an intuitive interface to manage patient care. By using EHR 24/7, providers can improve communication and collaboration between providers, leading to more accurate diagnoses and fewer errors. Its seamless integration with other Office Ally solutions also provides additional functionality such as patient intake, electronic prescription and more. With no needed implementation, healthcare providers can use EHR 24/7 to treat and document patients today. **Average Rating:** 3.9/5.0 **Total Reviews:** 10 **Who Is the Company Behind EHR 24/7® by Office Ally?** - **Seller:** [Office Ally](https://www.g2.com/sellers/office-ally) - **Year Founded:** 2000 - **HQ Location:** Vancouver, WA - **Twitter:** @Office_Ally (653 Twitter followers) - **LinkedIn® Page:** https://www.linkedin.com/company/1464667/ (316 employees on LinkedIn®) **Who Uses This Product?** - **Company Size:** 80% Small-Business, 60% Mid-Market ### 10. [Waystar](https://www.g2.com/products/waystar/reviews) Waystar provides market-leading technology that simplifies and unifies the revenue cycle. Their cloud-based platform streamlines workflows and improves financials for healthcare providers of all kinds and brings more transparency to the patient financial experience. Waystar has been ranked Best in KLAS for the Claims & Clearinghouse segment every year since 2010, earned #1 rankings in Black Book™ surveys since 2012 and received the Frost & Sullivan North America Customer Value Leadership Award for ambulatory RCM services in 2019. The Waystar platform is used by more than 500,000 providers, 1,000 health systems and hospitals and 5,000 health plans and integrates with all major HIS and PM systems. For more information, visit waystar.com or follow @waystar on Twitter. **Average Rating:** 4.4/5.0 **Total Reviews:** 116 **Who Is the Company Behind Waystar?** - **Seller:** [Waystar](https://www.g2.com/sellers/waystar) - **HQ Location:** Louisville, Kentucky - **Twitter:** @Waystar (2,037 Twitter followers) - **LinkedIn® Page:** https://www.linkedin.com/company/11444741/ (1,684 employees on LinkedIn®) **Who Uses This Product?** - **Who Uses This:** Billing Manager, Office Manager - **Top Industries:** Hospital & Health Care, Medical Practice - **Company Size:** 61% Small-Business, 32% Mid-Market ### 11. [AccuReg](https://www.g2.com/products/accureg/reviews) AccuReg offers a full suite of all critical front-end RCM process solutions that hospital Patient Access departments need. **Who Is the Company Behind AccuReg?** - **Seller:** [AccuReg Software](https://www.g2.com/sellers/accureg-software) - **HQ Location:** Eden Prairie, Minnesota, United States - **Twitter:** @AccuRegSoftware (396 Twitter followers) - **LinkedIn® Page:** https://www.linkedin.com/company/optum/ (95,430 employees on LinkedIn®) ### 12. [Anterior](https://www.g2.com/products/anterior/reviews) Anterior is an AI-driven platform designed to streamline health plan operations by automating complex clinical tasks such as prior authorization, case management, and payment integrity. Developed by clinicians with extensive healthcare and health plan experience, Anterior's AI assistant, Florence, ensures faster, more efficient, and consistent decision-making processes, ultimately enhancing member care experiences. **Who Is the Company Behind Anterior?** - **Seller:** [Anterior](https://www.g2.com/sellers/anterior) - **Year Founded:** 2023 - **HQ Location:** New York City, US - **LinkedIn® Page:** https://www.linkedin.com/company/anteriorai (48 employees on LinkedIn®) ### 13. [Authorization Manager](https://www.g2.com/products/authorization-manager/reviews) Authorization Manager by AccuReg is a comprehensive solution designed to streamline the prior authorization process for healthcare providers. By automating traditionally manual tasks, it reduces administrative burdens, minimizes costs, and enhances patient satisfaction. The system employs intelligent automation, an adaptive rules engine, and sophisticated pattern analysis to efficiently manage and obtain authorizations, ensuring compliance with ever-changing payer requirements. Key Features and Functionality: - Automated Authorization Determination: Utilizes real-time Electronic Data Interchange transactions to instantly determine and retrieve authorizations for common procedures. - Payer Rules Management: Maintains and updates authorization determination rules for all payers, ensuring accuracy and compliance. - Real-Time Alerts and Instructions: Provides staff with immediate notifications and guidance through a centralized interface on obtaining authorizations and required documentation. - Intelligent Monitoring: Automates the monitoring of response statuses, retrieving authorization or denial numbers along with any additional documentation requests, thereby reducing manual checks. Primary Value and Problem Solved: Authorization Manager addresses the inefficiencies and high costs associated with manual prior authorization processes. By automating these tasks, it significantly reduces no-authorization denials, lowers labor costs, and improves staff efficiency. This leads to expedited patient care, increased patient satisfaction, and enhanced physician contentment. Ultimately, the solution empowers healthcare providers to focus more on patient care rather than administrative tasks, ensuring a smoother and more efficient authorization process. **Who Is the Company Behind Authorization Manager?** - **Seller:** [AccuReg Software](https://www.g2.com/sellers/accureg-software) - **HQ Location:** Eden Prairie, Minnesota, United States - **Twitter:** @AccuRegSoftware (396 Twitter followers) - **LinkedIn® Page:** https://www.linkedin.com/company/optum/ (95,430 employees on LinkedIn®) ### 14. [Azalea Health](https://www.g2.com/products/azalea-health-azalea-health/reviews) Azalea Health is a cloud-based EHR platform designed for smaller hospitals and healthcare practices that want integrated clinical, billing, and operational workflows without managing on-site infrastructure or dedicated IT resources. Azalea also provides full outsourced revenue cycle management (RCM) and billing services to help organizations streamline financial operations and improve reimbursement outcomes. Azalea is committed to strengthening rural hospitals and clinics, as well as smaller practices, and to supporting providers as they navigate the unique challenges of delivering care in underserved and resource-limited settings. **Average Rating:** 3.9/5.0 **Total Reviews:** 15 **Who Is the Company Behind Azalea Health?** - **Seller:** [Azalea Health](https://www.g2.com/sellers/azalea-health) - **Year Founded:** 2008 - **HQ Location:** Atlanta, GA - **Twitter:** @AzaleaHealth (512 Twitter followers) - **LinkedIn® Page:** https://www.linkedin.com/company/azalea-health (316 employees on LinkedIn®) **Who Uses This Product?** - **Top Industries:** Hospital & Health Care, Medical Practice - **Company Size:** 75% Small-Business, 25% Mid-Market ### 15. [basys.ai](https://www.g2.com/products/basys-ai/reviews) basys.ai is Harvard-based company using generative AI to streamline prior authorization and utilization management for health plans. **Who Is the Company Behind basys.ai?** - **Seller:** [basys.ai](https://www.g2.com/sellers/basys-ai) - **HQ Location:** Cambridge, US - **LinkedIn® Page:** https://www.linkedin.com/company/basysai/ (24 employees on LinkedIn®) ### 16. [Change Healthcare Prior Authorization](https://www.g2.com/products/change-healthcare-prior-authorization/reviews) Change Healthcare (Nasdaq: CHNG) is a leading healthcare technology company, focused on insights, innovation and accelerating the transformation of the U.S. healthcare system through the power of the Change Healthcare Platform. **Who Is the Company Behind Change Healthcare Prior Authorization?** - **Seller:** [Change Healthcare](https://www.g2.com/sellers/change-healthcare) - **Year Founded:** 2007 - **HQ Location:** Nashville, US - **Twitter:** @Change_HC (35,817 Twitter followers) - **LinkedIn® Page:** https://www.linkedin.com/company/change-healthcare/ (4,773 employees on LinkedIn®) - **Ownership:** NASDAQ: CHNG ### 17. [Cohere PaaS Intelligent Prior Authorization](https://www.g2.com/products/cohere-paas-intelligent-prior-authorization/reviews) Cohere helps health plans digitize the process and apply clinical intelligence to enable in-house, end-to-end automation of prior authorization. Health plans can directly license Cohere’s PaaS intelligent prior authorization for use by the plan’s internal utilization management staff. ‍ As a result, our client health plans achieve both significant administrative efficiencies and faster, better patient outcomes. **Who Is the Company Behind Cohere PaaS Intelligent Prior Authorization?** - **Seller:** [Cohere Health](https://www.g2.com/sellers/cohere-health) - **Year Founded:** 2019 - **HQ Location:** Boston, Massachusetts - **Twitter:** @CohereHealth (309 Twitter followers) - **LinkedIn® Page:** https://www.linkedin.com/company/coherehealth (594 employees on LinkedIn®) ### 18. [DART Chart](https://www.g2.com/products/dart-chart/reviews) DART Chart provides payment integrity and managed care compliance solutions focused on the long term care industry. It provides service to long term care post acute providers, state government agencies and vendors. **Who Is the Company Behind DART Chart?** - **Seller:** [Dart Chart Systems](https://www.g2.com/sellers/dart-chart-systems) - **Year Founded:** 1997 - **HQ Location:** Milwaukee, US - **LinkedIn® Page:** http://www.linkedin.com/company/dart-chart-systems (25 employees on LinkedIn®) ### 19. [eBlu Solutions](https://www.g2.com/products/eblu-solutions/reviews) \*\*eBlu Solutions\*\* offers a software platform that simplifies and accelerates the patient access process for high-cost infusion and injection therapies. Designed for specialty healthcare practices, it centralizes benefit verification, prior authorization, and patient support services into a single portal, reducing administrative burden and portal fatigue. The system connects providers with payers and manufacturer programs to streamline approvals and shorten time to treatment. Practices benefit from increased workflow efficiency, fewer errors, and faster patient onboarding. **Who Is the Company Behind eBlu Solutions?** - **Seller:** [eBlu Solutions](https://www.g2.com/sellers/eblu-solutions) - **Year Founded:** 2013 - **HQ Location:** Louisville, US - **LinkedIn® Page:** https://www.linkedin.com/company/eblu-solutions-llc (99 employees on LinkedIn®) ### 20. [Electronic Prior Authorization](https://www.g2.com/products/electronic-prior-authorization/reviews) 1st Providers Choice's Electronic Prior Authorization (ePA software streamlines the traditionally cumbersome prior authorization process, enabling healthcare providers to obtain approvals for prescriptions and services more efficiently. By automating requests and integrating seamlessly with electronic health records (EHR, the ePA system reduces administrative burdens, minimizes delays, and enhances patient satisfaction. Key Features and Functionality: - Automatic Prior Authorization Notifications: Alerts providers of prior authorization requirements before prescription submission, ensuring compliance and reducing rejections. - Integrated Questionnaires: Delivers specific prior authorization questions directly to the EHR, tailored to the patient's information, eliminating the need for manual forms. - Electronic Signature Capability: Allows providers to sign authorization requests digitally, expediting the approval process. - Real-Time Communication: Facilitates instant interactions with pharmacy benefit managers, accelerating decision-making. - Pre-Populated Forms: Offers forms pre-filled with patient data for various insurance plans, reducing manual entry and errors. - Prior Authorization Notes Access: Provides easy access to prior authorization notes within the EHR for reference and follow-up. Primary Value and User Benefits: The ePA software addresses the inefficiencies of manual prior authorization by automating and integrating the process within the EHR system. This leads to faster approvals, allowing patients to receive their medications promptly, often before leaving the provider's office. Healthcare practices benefit from reduced administrative workload, fewer errors, and improved operational efficiency. Overall, the system enhances the quality of patient care and satisfaction by ensuring timely access to necessary treatments. **Who Is the Company Behind Electronic Prior Authorization?** - **Seller:** [1st Providers Choice](https://www.g2.com/sellers/1st-providers-choice) - **Year Founded:** 1983 - **HQ Location:** N/A - **Twitter:** @1stProviders (278 Twitter followers) - **LinkedIn® Page:** https://www.linkedin.com/company/1st-providers-choice (13 employees on LinkedIn®) ### 21. [Exchange EDI Authorization](https://www.g2.com/products/exchange-edi-authorization/reviews) Empowered by Innovation Exchange EDI offers a cloud based solution in the revenue cycle management space with products like Prior Authorizations, Patient Estimation and Healthcare Payments. **Who Is the Company Behind Exchange EDI Authorization?** - **Seller:** [Exchange EDI](https://www.g2.com/sellers/exchange-edi) - **HQ Location:** Tallahassee, US - **LinkedIn® Page:** https://www.linkedin.com/company/exchange-edi-llc/ (7 employees on LinkedIn®) ### 22. [Exela Healthcare Payer Solutions](https://www.g2.com/products/exela-healthcare-payer-solutions/reviews) From coding and billing support to claims management systems, medical lockbox solutions, and integrated data management, Exela offers full claim lifecycle tools that improve patient financial services operations. **Who Is the Company Behind Exela Healthcare Payer Solutions?** - **Seller:** [Exela Technologies](https://www.g2.com/sellers/exela-technologies) - **HQ Location:** Irving, US - **LinkedIn® Page:** https://www.linkedin.com/company/xbpglobal/ (6,065 employees on LinkedIn®) - **Ownership:** NASDAQ: XELA - **Total Revenue (USD mm):** $1,562 ### 23. [Experian Prior Authorization](https://www.g2.com/products/experian-prior-authorization/reviews) Experian Health's Prior Authorization software is an integrated online service designed to automate and streamline the prior authorization process for healthcare providers. By reducing manual paperwork and minimizing administrative burdens, this solution enhances operational efficiency and improves patient care. Key Features and Functionality: - Automated Inquiries and Submissions: The software automates prior authorization inquiries and submissions, operating behind the scenes without user intervention. It guides users through the workflow, auto-filling payer data and prompting manual input only when necessary. - Dynamic Knowledgebase: It accesses a comprehensive, real-time updated knowledgebase of national payer prior authorization requirements. Users can also incorporate local rules and updates, ensuring the most current information is always available. - Exception-Based Workflow: The system employs an exception-based workflow, alerting users to pending, denied, or authorized submissions and indicating when manual intervention is required. - Integration Capabilities: Experian's solution seamlessly integrates with existing Electronic Health Record and billing systems, minimizing workflow disruptions and enhancing efficiency. Primary Value and Problem Solved: By automating the prior authorization process, Experian Health's software addresses several critical challenges faced by healthcare providers: - Increased Operational Efficiency: Automating inquiries and status monitoring reduces manual tasks, allowing staff to focus more on patient care. - Reduction in Claim Denials: Ensuring accurate and complete submissions decreases the likelihood of costly claim denials and rework. - Enhanced Patient Experience: Faster authorization processes prevent delays in patient care, leading to improved satisfaction and outcomes. Overall, Experian Health's Prior Authorization software streamlines administrative processes, reduces errors, and accelerates patient access to necessary treatments, benefiting both healthcare providers and patients. **Who Is the Company Behind Experian Prior Authorization?** - **Seller:** [Experian](https://www.g2.com/sellers/experian) - **Year Founded:** 1826 - **HQ Location:** Dublin, Ireland - **Twitter:** @Experian_US (38,739 Twitter followers) - **LinkedIn® Page:** https://www.linkedin.com/company/experian (25,265 employees on LinkedIn®) - **Ownership:** LSE: EXPNL ### 24. [Flow Auth](https://www.g2.com/products/flow-auth/reviews) Flow's AI agents automate everything from detection to appeals using the medical necessity guidelines, so your team focuses on exceptions, and submissions meet requirements the first time. **Who Is the Company Behind Flow Auth?** - **Seller:** [Innovaccer](https://www.g2.com/sellers/innovaccer) - **Year Founded:** 2014 - **HQ Location:** San Francisco, California, United States - **Twitter:** @innovaccer (3,301 Twitter followers) - **LinkedIn® Page:** https://www.linkedin.com/company/innovaccer/ (1,610 employees on LinkedIn®) ### 25. [Glidian](https://www.g2.com/products/glidian/reviews) Glidian is a comprehensive prior authorization platform designed to streamline the authorization process between healthcare providers and payors. By integrating directly with a vast network of insurance companies, Glidian simplifies one of the most cumbersome aspects of healthcare administration, reducing delays in patient care and alleviating the administrative burden on healthcare professionals. The platform supports various integration methods, including manual entry, X12 278, HL7, CSV, and API, allowing for seamless submission and tracking of prior authorizations. With a unified dashboard, users can monitor real-time status updates, ensuring efficient management of authorizations across all payors. , [glidian.com] Key Features and Functionality: - Direct Payor Integration: Glidian connects with thousands of payors, facilitating a seamless prior authorization experience. - Multiple Integration Methods: Supports manual entry, X12 278, HL7, CSV, and API integrations, accommodating various provider systems. - Unified Dashboard: Consolidates all authorizations into a single interface, providing real-time status updates and detailed reporting. - Intelligent Submission and Tracking: Alerts users to cases at risk of denial or requiring additional information, enhancing the likelihood of successful outcomes. - Efficiency Enhancement: Enables prior authorization specialists to submit over 100 authorizations per day, significantly increasing productivity. Primary Value and Problem Solved: Glidian addresses the inefficiencies and delays inherent in the traditional prior authorization process. By automating and integrating this workflow, the platform reduces administrative burdens, prevents revenue loss due to denials and cancellations, and accelerates patient care delivery. Healthcare providers can focus more on patient care, confident that authorizations are processed swiftly and accurately. **Who Is the Company Behind Glidian?** - **Seller:** [Glidian](https://www.g2.com/sellers/glidian) - **Year Founded:** 2016 - **HQ Location:** Redwood City, US - **LinkedIn® Page:** http://www.linkedin.com/company/glidian (22 employees on LinkedIn®) ## What Is Prior Authorization Software? [Health Care Operations Software](https://www.g2.com/categories/health-care-operations) ## What Software Categories Are Similar to Prior Authorization Software? - [Medical Billing Software](https://www.g2.com/categories/medical-billing) - [Revenue Cycle Management Software](https://www.g2.com/categories/revenue-cycle-management)