# Which prior authorization platforms are highest-rated for reducing insurance claim denial rates at enterprise health systems based on user reviews?

Looking for input from G2 reviewers who are revenue cycle directors, VP of Revenue Cycle, and prior authorisation programme leaders at enterprise health systems, large medical groups, and health plans in the Prior Authorization Software category, specifically from those who are accountable to executive leadership.

The platforms with the strongest enterprise denial rate reduction evidence:

Cohere Health: Revenue cycle directors credit the case-specific documentation guidance that surfaces what the payer is looking for on each procedure-payer combination as the denial prevention capability that blanket documentation reminders cannot provide.
Waystar: The automated authorisation requirement check that identifies whether a prior authorisation is required for each service before scheduling prevents the clean claim denial that occurs when a covered service is provided without obtaining required authorisation.
Rhyme: Enterprise health systems credit the real-time decision for reducing the procedural delays and last-minute cancellations that occur when surgery or procedure authorisation is pending at the time of the scheduled service, which in turn reduces the emergency non-authorised service provision that produces denials.
XSOLIS: Revenue cycle directors at acute care health systems credit the DRACO AI that assesses clinical documentation quality and flags cases at high denial risk for clinical documentation improvement before submission as the denial prevention step that retrospective appeal cannot replace.
Olive (Verata Health): The robotic process automation that handles payer portal interactions without staff involvement is credited for eliminating the human error in the submission workflow that produces preventable authorisation failures.

For revenue cycle directors and prior authorisation programme leaders at enterprise health systems: what is your current authorisation-related denial rate as a percentage of total denials, and which denial subcategory — authorisation not obtained, authorisation not valid, or medical necessity not established — represents the largest share of that total in your organisation?

##### Post Metadata - Posted at: 10 days ago - Author title: Marketing Executive - Net upvotes: 1 ## Comments ### Comment 1 <p>I’d break authorization-related denials into subcategories before judging whether a platform is working. “Authorization not obtained” points to workflow or requirement-checking gaps, while invalid authorization and medical-necessity denials need different fixes. I’d baseline each category before implementation and track the change separately so the team can see exactly which part of the denial problem the platform actually reduced.</p> ##### Comment Metadata - Posted at: 9 days ago ## Related discussions - [How well does Trello scale into a larger team?](https://www.g2.com/discussions/1-how-well-does-trello-scale-into-a-larger-team) - Posted at: over 13 years ago - Comments: 6 - [Can we please add a new section](https://www.g2.com/discussions/2-can-we-please-add-a-new-section) - Posted at: over 13 years ago - Comments: 0 - [Quantifiable benefits from implementing your CRM](https://www.g2.com/discussions/quantifiable-benefits-from-implementing-your-crm) - Posted at: over 13 years ago - Comments: 4