Alternatives to Cohere PaaS Intelligent Prior Authorization
Compare Cohere PaaS Intelligent Prior Authorization alternatives for your business or organization using the curated list below. SourceForge ranks the best alternatives to Cohere PaaS Intelligent Prior Authorization in 2026. Compare features, ratings, user reviews, pricing, and more from Cohere PaaS Intelligent Prior Authorization competitors and alternatives in order to make an informed decision for your business.
-
1
RXNT
RXNT
RXNT is an ambulatory healthcare technology pioneer that empowers medical practices and healthcare organizations to succeed and scale through innovative, data-backed, AI-powered software. Our fully-integrated, ONC-certified suite of medical software—like Clinical EHRs, Practice Management, Medical Billing and RCM, E-Prescribing, Practice Scheduling, Patient Portal, and more—optimizes clinical outcomes and RCM for your practice. Used by tens of thousands of medical professionals—from large physician practices to medical billing companies—to drive growth, streamline business operations, and improve patient care across all 50 U.S. states. Our unified “Full Suite” system employs a secure, central database so your data passes through every product in real-time from anywhere, and more than 125 million prescriptions have been transmitted and over $7 billion in claims have been processed using RXNT. -
2
Azalea EHR
Azalea Health
Azalea Health Innovations (Azalea) is changing the way health IT platforms connect community-based healthcare providers and patients across the care continuum. Offering a 100% cloud-based, interoperable solution, Azalea delivers an electronic health record that is fully integrated with telehealth, revenue cycle management, and analytic solutions designed for rural, community, and urban practices and hospitals. Quick to deploy and intuitive to use, Azalea's EHR ensures better care coordination and communication, and the “one patient, one record” approach provides care teams the agility to achieve better outcomes. The Azalea platform also delivers tools and resources to help providers meet their Meaningful Use requirements, and informs their strategies to navigate accountable care and alternative payment models. -
3
Cohere Unify
Cohere Health
The Cohere Unify platform supports all of our intelligent prior authorization solutions with touchless and predictive technologies, evidence-based clinical content, and other advanced capabilities. Our technologies reduce or eliminate manual steps toward creating an end-to-end fully automated prior authorization process. This predictive capability enables health plans to virtually eliminate prior authorization workflow steps. Instead, the system can automatically craft specific care plans based on patient and population auth and claims data, including multiple services that can all be pre-approved upfront before they are even requested. Evidence-based clinical criteria for select specialties that inform our touchless and predictive technologies. Proven single sign-on capabilities with Availity, NaviNet, and other common portal technologies. Rules configuration and deployment proven to scale over multi-million+ transactions. -
4
PAHub
Agadia Systems
As Prior Authorization volumes continue to rise, and as specialty drugs create additional clinical complexities, Health Plans, Pharmacy Benefit Managers (PBMs) and Third-Party Administrators (TPAs) are challenged to adapt while maintaining or improving operational and clinical efficiencies. PAHub, is a HITRUST certified solution that puts the tools at your fingertips to streamline and control all clinical, compliance and administrative aspects of Prior Authorization at the point-of-care to improve compliance, reduce turn-around times and costs. By leveraging the latest technologies for data mining, data analytics, content management and advanced decision support trees, PAHub, enables customers to automate the end-to-end prior authorization process. -
5
Silna Health
Silna Health
Silna Health’s Care Readiness Platform handles all prior authorizations, benefit checks, and insurance monitoring upfront to make sure patients are clear to receive care while providers gain capacity to focus on treatment. Its AI‑powered engine manages the entire prior authorization workflow, from tracking upcoming authorizations and sending weekly reminders to submissions and follow‑ups, automatically applying industry‑proven rules and escalating exceptions for human review. Specialty‑specific benefit checks verify coverage, accumulations, authorization requirements, and visit limits in real time, delivering accurate quotes at intake. Continuous insurance monitoring flags lost coverage, detects new plans, and safeguards against eligibility lapses. Designed for zero extra headcount, Silna ingests data directly from EMRs and practice management systems, offers configurable rule sets and strategic guidelines, and presents clear dashboards with incremental revenue insights. -
6
AuthParency
Oncospark
Prior Authorization with AuthParency Prior authorization is a growing administrative burden for healthcare providers. Our automated prior authorization solution, AuthParency™, is powered by AI and machine learning (ML). This advanced system can cut your team’s prior authorization time in half. It is also compatible with all EHR and practice management systems AuthParency helps: Analyze payers’ tendencies Reduce patients’ days to care Improve patient outcomes Stop losses from non-reimbursable services Identify financial toxicity burdens Analyze population health data Track disparities Pharmaceutical companies -
7
GenHealth.ai
GenHealth.ai
GenHealth.ai is a healthcare-focused generative AI platform built on a proprietary Large Medical Model (LMM) trained using data from over 100 million patient histories rather than natural language. The LMM processes medical codes and events to predict future patient trajectories, forecast costs, and simulate clinical pathways with higher accuracy and fewer hallucinations than traditional large language models. It supports a suite of purpose-built applications, including Intake Automation (PDF routing, data extraction, medical necessity), Prior Authorization Agent for automated adjudication, and G‑Mode analytics, which enables users to “chat” with historical and projected population‐health data via natural language, all without coding. This AI‑powered co‑pilot has shown 94 % accuracy in prior‑auth cases, a 120× improvement in medical loss ratio forecasting, and 110 % better cost prediction versus standard HCC scoring. -
8
Veradigm AccelRx
Veradigm
Veradigm AccelRx delivers a free, automated, comprehensive solution to help you streamline specialty medication fulfillment for your patients. With faster time to therapy comes better odds for medication adherence and positive outcomes, as well as fewer phone calls and faxes for your staff. Combining electronic enrollment, consent, prior authorization, and script into an all-in-one system, AccelRx can help your practice significantly cut time-to-fulfillment for all specialty drugs, with any payer. Automatically populate patient data on enrollment and other forms with the click of a button. A single user-friendly platform to help you transform specialty medication management. Enhance your management of most specialty drugs all in one place, including electronic prior authorization (ePA). Access your enhanced specialty medication management as part of your existing electronic health record (EHR) workflow. -
9
CoverMyMeds
McKesson
We’re accelerating innovative solutions created to benefit all stakeholders in healthcare, to help increase speed to therapy, reduce prescription abandonment and support improved health outcomes for the patient. We’re committed to removing access barriers to healthcare — whether it’s resolving prior authorization requests or raising awareness around support services. Healthcare is seemingly more expensive than ever. Assist your patients in getting their prescribed therapy with affordability solutions that help with high-deductible health plans, increasing copays and a lack of visibility. For some, staying on therapy can be the hardest part of their healthcare journey — whether it’s learning how to take their medications or simply remembering to do it at the prescribed time. Which is why these adherence challenges must be met with people-first solutions. -
10
Rhyme
Rhyme
Rhyme connects payers and providers intelligently inside the prior authorization workflow, reclaiming the time lost on back-and-forth efforts and returning it to the patient. Automating manual tasks is critical (that’s why we do it), but it isn’t enough. When the nuances of clinical decision-making require collaboration between payers and providers, Rhyme keeps your workflow clear, agile, and fluid. We created the largest integrated prior authorization network, to leave a disjointed system behind and replace it with intelligent collaboration. Deep relationships and connections to EHRs, payers, and benefits managers, all on one platform. No scrambling, no screen-scraping, no secondhand info. We meet providers and payers right where you are, in your existing systems and workflows. Connections are easy so we can adjust to you, not the other way around. Prior authorizations aren’t an add-on to our platform, they’re all we do. -
11
Southern Scripts
Southern Scripts
Southern Scripts simplifies the complexities of navigating through the Pharmacy Benefit Manager world by giving the employer group complete freedom, control, and choice as to how they structure their plan. Southern Scripts is a leading pharmacy benefits manager (PBM) founded by pharmacists to reinvent the traditional PBM approach. Our innovative pass-through PBM model and flexible solutions empower plan sponsors to achieve maximum cost savings, decreased risk, and optimum versatility in plan design to achieve true patient-centered clinical care at the lowest net cost. Plan sponsor is charged the exact price the pharmacy is paid. We pass all discounts and rebates that we secure at 100% to the plan sponsor. No additional fees for standard PBM services, such as prior authorizations, step therapy, and data reporting. Our robust clinical management program and high-performance drug formularies deliver the lowest net cost to protect plans from unnecessary expenses. -
12
Infinx
Infinx Healthcare
Leverage automation and intelligence to overcome patient access and revenue cycle challenges and increase reimbursements for patient care delivered. Despite the progress AI and automation is making in automating patient access and revenue cycle processes, there still remains a need for staff with RCM, clinical and compliance expertise to ensure patients seen were financially cleared and services rendered are accurately billed and reimbursed. We provide our clients with complete technology plus team coverage with deep knowledge of the complicated reimbursement landscape. Our technology and team learn from billions of transactions processed for leading healthcare providers and 1400 payers across the United States. Get quicker financial clearance for patients before care with our patient access plus a platform that provides complete coverage for obtaining eligibility verifications, benefit checks, patient pay estimates, and prior authorization approvals, all in one system. -
13
Latent Health
Latent Health
Latent Health is an AI-powered medication access platform built to streamline and accelerate the administrative processes that delay patient access to specialty and life-saving therapies, especially prior authorizations, appeals, and 340B eligibility workflows. Its clinical-AI system indexes and reasons over electronic health records and external evidence such as clinical guidelines and literature to surface relevant patient data, answer specific authorization questions, evaluate medical benefit criteria, and even draft appeal letters, reducing review and turnaround times from hours or days to minutes while improving accuracy and compliance. It integrates seamlessly with major EHR systems using healthcare standards like SMART on FHIR, supports centralized pharmacy operations, and provides workflow orchestration that decreases administrative burden, increases throughput, and frees clinical staff to focus on patient care. -
14
ABN Assistant
Vālenz
For providers, medical necessity denials cost thousands to millions of dollars every year in write-offs, plus costly staff time researching and appealing denials and responding to patient concerns. For payers, the same is true on the other end of the claim management spectrum: Paying for medically unnecessary procedures and treatments – and time spent working on denial appeals – raises costs without improving outcomes. And of course, for the patient, there can be unnecessary copays and other out-of-pocket costs, not to mention a poor patient experience involving costs and moments of care they did not need. ABN Assistant™ from Vālenz® Assurance delivers the prior authorization tools providers need to validate medical necessity, print Medicare-compliant ABNs with estimated cost, and stop over 90 percent of medical necessity denials by verifying necessity before care is delivered to the patient.Starting Price: $1039.00/one-time/user -
15
Clarafi
Clarafi
Clarafi is an AI-native Electronic Health Record (EHR) and medical scribe platform that transforms clinical documentation and chart management by leveraging advanced artificial intelligence to read handwriting, interpret clinical content, and automatically generate structured patient notes, such as SOAP (Subjective, Objective, Assessment, Plan), in as little as 90 seconds, significantly reducing manual charting work and administrative burden. It captures and organizes problem lists, complete medication histories, review of systems, and other clinical data from existing documentation or clinician input, creating a coherent, EHR-ready medical record that supports e-prescribing, coding, and clinical workflows without extensive typing or manual formatting. Clarafi’s AI automates repetitive tasks, accelerates chart completion, and helps clinicians spend more time with patients rather than on paperwork, and it integrates seamlessly into practice workflows.Starting Price: $99 per month -
16
PracticeAdmin
PracticeAdmin
PracticeAdmin Scheduling reduces no-shows and improves your patient interactions by providing the data you need on demand. Using our proprietary rules-based architecture, you can set up your own preferences — whether you’re a solo provider, small to medium sized organization or a provider with multiple locations. Create your own scheduling templates for an unlimited number of locations and set up automated patient reminders. Billing is your one stop tool to manage patient registration, claims and payment. You can track all of your patient information and prior authorizations. It integrates easily with your EHR and helps keep track of your Meaningful Use certification. Billing lets you know if your claim has an error before it’s sent. Quickly re-submit your claim with no penalty, and monitor all of your EDI rejections. -
17
Valer
Valer
Valer’s technology speeds and simplifies prior authorization and referral management by automating submissions, status checking, verification, reporting, and EHR synchronization across all mid-to-large-sized healthcare settings, specialties, and payers from one platform and portal. Valer is the all-specialty, all-payer technology solution designed around your needs, not ours. Unlike off-the-shelf products that limit specialties, service lines, and payer mix (that don’t even automate submissions), Valer is explicitly customized to fit your needs. Because Valer is so easy to use, the dashboard increases staff productivity, simplifies staff training, and measures staff and payer performance across all service lines to enable continuous improvement. Valer doesn’t just connect to some of your payers for some of what you need. We link to all payers for all specialties, service lines, and care settings with real-time payer rule updates. -
18
Consensus Harmony
Consensus Cloud Solutions
Access numerous endpoints, securely and simply with one API connectivity and avoid developing one-offs to disparate healthcare systems. Bridge the gap between multiple systems, standards, and data sets, using a single point of access for developing interoperability. Consensus Harmony includes universal healthcare APIs, cloud fax APIs, electronic signature APIs, and connectivity to multiple participating EHR partners and other leading industry cloud marketplaces. Flexible interoperability options to programmatically integrate digital faxing, secure messaging, patient record requests, e-signatures, and more into key workflows like payments, prior authorizations, and referrals. Extend your capabilities and access new information networks by partnering and leveraging community providers already integrated. Don’t limit the network you communicate with, leave the modality of communication up to our technology. -
19
Integra Logix
Integra
Logix works in the background to complete tedious yet important workflow tasks like refill requests, prior authorizations, refill too soons, fax escalations, and phone call documentation. Other tasks, like fax and email, can be automated too. And you can alleviate human error on repetitive tasks as well. Plus, create notifications so you don’t forget what’s needed and can redirect time to focus even more on patients. Every keystroke and click counts! With Logix processes in place, you can reduce document handling & processing times by an average of 1-4 minutes per document. Logix is designed to work with DocuTrack to reduce keystrokes for your pharmacy workforce and make them more efficient. Reduce keystrokes needed to complete a process by up to 80 for some processes. How much can Logix save you? Use the calculator and see for yourself. -
20
Practice Fusion
Practice Fusion
Save time with templates and patient charts in the cloud-based EHR that adapt to your needs. Browse from a library of medical charting templates built by practices like yours. Efficiently manage prescriptions including controlled substances and those requiring prior authorization. Seamlessly exchange information with local pharmacies, laboratories, imaging centers and other tools integrated into the EHR platform. Choose from over 500 lab and imaging centers to order tests and share results with patient. Flexible billing options with industry-leading partners who help you get paid faster. Monitor your progress with insightful dashboards and submit reporting data to CMS directly through your EHR. Access customizable dashboards to track your progress on quality initiatives like MIPS. Explore extensive education and training materials to navigate the complexities of quality measures. -
21
MDToolbox e-Prescribing
MDToolbox
MDToolbox-Rx is a Certified, Award-Winning, complete electronic prescription writer that can run stand-alone or synced with your other office software. The e-Prescribing Software is a highly customizable, simple to use e-prescribing system that allows you to easily select drugs, find drug information, and create and electronically send a prescription quickly and efficiently. MDToolbox-Rx is Certified for e-Prescribing, Eligibility, Formulary, EPCS (e-Prescribing of Controlled Substances), and Electronic Prior Authorization. Search for drugs by name, nickname, generic, brand, rx, OTC, class or indication in the most comprehensive drug database available. Higher productivity due to less pharmacy calls and time spent for renewal requests. -
22
iMed e-Rx
iMedWare
iMed e-Rx electronic prescription system starts from $43/month and can be used for writing both legend and EPCS compliant prescriptions. Which is Certified for e-Prescribing in all States. Our software has Electronic prior authorization and it has Formulary support. Our key highlights are Drug-Drug, Allergy, and Disease interaction checking, Database of drug stores with frequent updates, Drug therapy monitoring, 24/7 monitoring of script delivery and so on.Starting Price: $43 per month -
23
Trovo Health
Trovo Health
Trovo assistants are trained with specialty-specific models and workflows to hit the ground running for your practice. We’re on a mission to help physicians improve patient outcomes and operational efficiency. Expand your practice with AI-powered assistants backed by a multidisciplinary care team. Trovo Health uses an AI-powered platform backed by a multidisciplinary care team to allow healthcare providers to extend their capabilities seamlessly. Using specialty-specific workflow technology alongside expert care team members, providers can deliver new capabilities for patients, improve outcomes, and operate more efficiently. The company has built a team of clinicians and technologists to deliver on its vision. It plans to use the funding to further build out its technology platform, clinical operations, and leadership team. Trovo’s platform introduces an innovative solution for the most challenging problems in care delivery and operations. -
24
Claude for Healthcare
Anthropic
Claude for Healthcare is a HIPAA-ready AI platform built on Anthropic’s advanced Claude models that helps healthcare organizations move faster without sacrificing safety, accuracy, or compliance by connecting to trusted medical, payer, and clinical data sources. It enables use cases such as prior authorization review, insurance claims appeals, clinical documentation generation, patient message triage, care coordination, and other administrative workflows by validating provider credentials, medical codes, coverage requirements, and drafting recommendations or summaries with traceable sources for verification. Claude can integrate with industry standards and databases, including CMS coverage policies, ICD-10 codes, provider registries, and PubMed, and supports secure connection to personal health records (e.g., lab results and medical histories) with user consent so patients or clinicians can get plain-language summaries and insights.Starting Price: $17 per month -
25
CareManager
Netsmart Technologies
CareManager is an electronic health record (EHR) agnostic population health management platform that provides care coordination, interoperability, analytics, outcomes and risk stratification. By utilizing cloud-based technology, the solution assists with lowering risk of readmission without compromising quality. Participating providers can follow a shared care plan, transfer consumer data, track clinical quality measures and manage authorizations and claims across their network. CareManager aggregates data to identify trends and presents health and treatment outcomes for analytics-driven decision making. With immediate access to current data, CareManager generates a comprehensive view of an individual’s health record. This provides broader insight and visibility surrounding the activity transpiring across the care continuum. Manages consumer assignments across agencies and teams, -
26
MediFusion
MediFusion
MediFusion is a fully integrated suite of software designed to offer innovative EHR and medical billing solutions to healthcare practices and enhance clinical, administrative and financial operations. Our team is just a phone call away to provide ongoing EHR training and be there for you whenever you need help and support. Speed-up your clinical processes and automate your workflow with our all-in-one integrated solution. A system that manages the entire revenue cycle from Eligibility Verification to Claim Processing and getting paid. Our cloud-based Electronic Health Record (EHR) software is an integrated and scalable solution to enable your practice to improve the quality of care provided to patients. This easy to use web-based EHR platform allows you to document, access and track your Clinical and Financial information on any internet-ready device no matter where you are. -
27
Bookend Healthcare AI Agent
Bookend
Bookend Healthcare AI Agent platform optimizes administration from patient care to payment processing. Streamline complex prior authorization workflows freeing healthcare providers from manual tasks and reducing costly denials. By automating the process, we help you increase operational efficiency, accelerate revenue cycles, and ultimately improve patient outcomes. Our intelligent agents analyze patient data, understand insurance policies, and package necessary information for accurate and timely submissions, ensuring higher approval rates and faster reimbursements. Our AI-powered platform revolutionizes healthcare by automating the design and delivery of personalized care plans. We help healthcare providers proactively identify evidence-based interventions to optimize patient outcomes and reduce costs. Our platform empowers clinicians to make data-driven decisions, improve care quality, and enhance patient satisfaction. -
28
Heidi Health
Heidi Health
Heidi Health is an ambient AI clinical documentation and workflow platform built for healthcare professionals. It captures patient consultations in real time and converts conversations into structured medical records, including progress notes, referral letters, discharge summaries, care plans, and billing-ready documentation. The system recognizes complex medical terminology, adapts to specialty-specific requirements, and supports standardized coding systems such as ICD-10 and SNOMED CT. Heidi distinguishes clinically relevant details from general dialogue and formats outputs for review and EHR integration. Accessible via secure desktop and mobile applications, Heidi integrates with major electronic health record systems and supports multilingual consultations. With enterprise-grade security and compliance with global privacy standards, Heidi reduces administrative workload while improving documentation accuracy and clinical workflow efficiency.Starting Price: $30 per user / month -
29
MedicsRIS
Advanced Data Systems
MedicsRIS is a comprehensive radiology information system that empowers radiologists to seamlessly manage their practice and easily get paid for every diagnostic exam. Developed by Advanced Data Systems, MedicsRIS takes inbound orders from referring physician’s stage 2 certified electronic medical record (EMR) without any costly HL7 interfaces as well as obtain incentives and avoid penalties. Core features of MedicsRIS that help boost business productivity include a referring physicians portal, automated billing with EDI, multi-modality scheduling, insurance eligibility verification, mammography tracking, and more. Give referring physicians and radiology departments access to our qualified CDS option via the MedicsRIS portal for those who don’t have their own qCDSM. Stymied with getting prior authorizations manually? Our automated PA option gets them online without leaving MedicsRIS. -
30
Droxi
Droxi
Droxi is an AI-powered clinical workflow platform designed to reduce the administrative burden on healthcare providers by streamlining tasks within electronic health record systems. It functions as an intelligent inbox companion that centralizes patient information and presents all relevant clinical data, such as medication history, lab results, and prior interactions, in a single interface, eliminating the need to navigate multiple screens or perform manual searches. It uses machine learning to learn from provider behavior over time and automate repetitive workflows like prescription refills, inbox message management, and lab result reviews, while still leaving all medical decisions to clinicians. With one-click actions, providers can approve, deny, or modify requests, automatically generate patient responses, and trigger follow-up actions such as appointment scheduling via SMS. -
31
Tridiuum
Tridiuum
A digital behavioral health platform, Tridiuum ONE automates the identification of patient behavioral needs, accelerates access to the most appropriate care, and helps deliver better overall outcomes. Used by medical and behavioral health providers and health plans, Tridiuum ONE serves as a foundation for behavioral health evaluation and supports clinical decision making throughout the continuum of care. Tridiuum ONE combines a digital behavioral health assessment with an advanced analytics engine to rapidly identify patient behavioral health issues, assign risk scores, and generate alerts which are delivered in real-time at the point of care. It also supports video-based virtual visits, enterprise-level dashboards into population statistics and clinician performance, and provider-level views into patient progress. -
32
Clearstep
Clearstep
Empower patient consumers to triage themselves to the right care and services. We help health systems and providers acquire new patients and retain existing patients by delivering an enhanced, consumer-centric experience. Ultimately driving better patient engagement and health outcomes, while automating workflows and increasing efficiency. We complement health plans and payers by offering plan members self-service symptom checking, triage, and step-by-step guidance to find the most appropriate, convenient, cost-effective, and trusted in-network care. We partner with digital health, healthcare innovation, and healthcare SaaS companies to enhance digital health products with clinically-validated AI chat solutions. -
33
EHRAccess
EHRAccess
Automated AI assisted EHR / EMR Notes. Built for Clinicians of any practice. Finish documentation in minutes. Reduce burnout and increase revenue. Smart Automation - EHRAccess (formerly ReactEHR) automates charting from key points, generating a complete note & treatment plan. EHRAccess.com can integrate prior notes with current ones to show your client's health progress. Chart from anywhere with our secure, mobile-friendly platform. EHRAccess ensures you stay connected to your patient data. EHRAccess can provide clinical recommendations to assist you by sparking treatment ideas. Close charts faster. EHRAccess turns hours of paperwork into minutes—so you can see more patients and boost revenue.Starting Price: $5/month -
34
TatvaPractice
TatvaCare
TatvaPractice by TatvaCare revolutionises medical practice management with its advanced EMR software and clinic management solutions. Streamlining administrative tasks, ensuring DPDP-compliant data management, and enhancing patient care, it's the ultimate tool for healthcare professionals. Accredited by national health authorities, it integrates seamlessly into India's digital health ecosystem, promoting practice growth and superior patient outcomes. -
35
SwaDocs EMR
Swa.Tantraa Wellness Private Limited
Swa.Tantraa's SwaDocs Electronic Medical Record (EMR) is a digital version of a patient’s paper chart. SwaDocs (EMR) provides real-time, patient-centric records, that make the information available instantly and securely to authorized users. While SwaDocs (EMR) does contain the medical and treatment histories of patients, it is a system which is built to go beyond standard clinical data, collected in a provider’s office and can be inclusive of a broader view of a patient’s care. SwaDocs (EMR) is a vital part of health IT and it can: Contain a patient’s medical history, diagnosis, medications, treatment plans, immunization dates, allergies, radiology images, and laboratory and test results. Allow access to evidence-based tools that providers can use to make decisions about a patient’s care. Automate and streamline provider workflow. One of the key features of SwaDocs (EMR) is that the health information can be created and managed by authorized providers in a digital format.Starting Price: ₹11988 -
36
Truity
TruLite Health
Truity™ is the industry’s first comprehensive health equity platform. It is built to drive transformational clinical, social, and behavioral interventions for diverse populations at the point of care, to improve outcomes and build trust. With Truity™, healthcare organizations can take action to advance health equity and improve outcomes for all stakeholders in your communities. Through explainable AI and machine learning, Truity™ takes patient-specific data and matches it to our proprietary knowledge base, resulting in better care plans for your community and improved brand equity. -
37
ReveliaDx
ReveliaDx
ReveliaDx is a cloud-based Patient Relationship Management (PRM) and medical practice management platform built for lifestyle medicine, integrative health, and whole-health practitioners. It helps clinics streamline patient intake, manage personalized care plans, and improve patient engagement through one integrated system. The platform captures detailed patient information including medical history, symptoms, lifestyle factors, and health data, giving practitioners a comprehensive view of patient wellness. Providers can connect symptoms, labs, and interventions through clear timelines to gain better clinical insights. ReveliaDx also simplifies practice operations with digital intake forms, scheduling, patient communication, and reporting tools. Built-in analytics dashboards provide key metrics and insights that help clinics improve efficiency, optimize workflows, and enhance patient outcomes. -
38
Inovalon Payer Cloud
Inovalon
Improve clinical quality metrics, risk score accuracy, patient and provider engagement, patient outcomes, operational transparency, and economic performance, all with one comprehensive suite of software solutions. The Inovalon Payer Cloud transforms traditional workflows into data-driven processes that support your health plan’s key objectives. Backed by industry-leading analytics capabilities, our converged SaaS solutions deliver the member-centric insights and speed, accuracy, and flexibility you need to stay ahead in this diverse, ever-changing marketplace. Inovalon's SaaS suite of healthcare payer solutions delivers member-centric insights and actions to help health plans measure, manage, and improve healthcare outcomes, economics, and quality of care. Payer solutions to improve member care and outcomes while achieving greater operational performance and efficiency with sophisticated analytics and dynamic business intelligence. -
39
PACE+
PacePlus
PACE+ Cloud-Based EHR Software is an integrated electronic health record (EHR) and database management system designed for behavioral and mental health facilities and human services. It is up-to-date, patient-centered digital records that are easily accessible and available to authorized users. PACE+ is a cloud-based electronic health record software and practice management solution for mental healthcare providers that contains the patient’s comprehensive medical and clinical details. PACE+ electronic health records solutions generate a digital record of a patient’s health accounts for each visit in any healthcare facility setting. It ensures a secure database of patients’ medical records that authorized facilities and agencies can access.Starting Price: free -
40
NeuralRev
NeuralRev
NeuralRev is an AI-powered Revenue Cycle Management (RCM) platform that automates and accelerates end-to-end financial workflows in healthcare, reducing manual effort and errors while improving cash flow and operational efficiency. It automates insurance eligibility verification by connecting to clearinghouse networks in real time so patient intake and coverage checks happen instantly, and it handles prior authorization by assembling clinical and payer requirements, submitting requests electronically, and tracking approvals to reduce denials and delays. It also delivers real-time patient cost estimates by combining eligibility data with payer rules to improve transparency and upfront collections, and it streamlines medical coding, claim submission, claims processing, post-claim follow-up, and recovery, so teams spend less time chasing paperwork. -
41
Optum AI Marketplace
Optum
Optum AI Marketplace is a curated ecosystem of AI-powered solutions designed to transform healthcare by providing payers, providers, and partners with tools to deliver better outcomes efficiently. It offers a diverse range of products and services across categories such as patient & member engagement, eligibility & claims, care operations & management, payment & reimbursement, and analytics & insights. Notable offerings include the prior authorization inquiry API, which enables payers to check a patient's prior authorization status in real-time, and SmartPay Plus, an e-cashiering payment platform that simplifies patient payments and streamlines the collection process. Additionally, Optum Advisory Technology Services provides expert support for digital transformation initiatives, offering system selection, procurement, implementation, and AI tools. It also features partnerships with trusted resellers, such as ServiceNow, to offer cutting-edge healthcare solutions. -
42
KanTime Home Health
Kanrad Technologies
Your agency needs a home health software system that can quickly pivot to meet demand as more patients seek services beyond the clinic. Increase efficiency, improve communication, and deliver quality care from the comfort of your patient’s home with KanTime. Empower your agency through our advanced home health software. KanTime combines over a decade of home health industry experience with intuitive technology to deliver a robust home healthcare experience. Spend less time managing your employee’s expiring items and more time on patient care by receiving comprehensive alerts 30 days prior to the expiration date. Organize employees by their various types of skills and easily find the most qualified practitioner for the visit. Our powerful home health software helps professionals focus on their work while effectively monitoring all agency operations. -
43
Keet Health
Keet Health
Keet makes it easy for providers to partner with patients in the clinic and at home—supporting seamless communication, collaboration and accountability. Our patient engagement solutions make it easy for providers to involve patients in their own care, creating shared accountability for reaching goals. Keet’s digital health platform helps you develop the best plan for each patient. Optimize care as you go using surveys and smart automation. Enable patients to easily check on their plans of care and chat virtually with their therapist via Keet’s intuitive mobile app that supports RTM. Keet gives you everything you need to manage patients’ episodes of care in a single digital health platform—from diagnosis to successful outcomes. Track patient progress and monitor their experience in real-time to improve satisfaction and prevent dropout with RTM.Starting Price: Free -
44
Care Director
Altera Digital Health
Achieving the care coordination goals at lower cost is critical in ensuring patient satisfaction and loyalty. But these goals are complex. Your organization needs population health software that provides a shareable care plan that extends across all healthcare settings—without forcing users to leave their workflow. You need to be able to reach out to patients with automated tools, freeing up your care coordinators for more strategic tasks. It’s time for Care Director. With Care Director, your team can more efficiently coordinate outpatient care, stratify patients into at-risk and healthy populations and receive care recommendations based on actionable, clinical intelligence, resulting in more timely interventions and improved population health. Care Director enables providers to access a holistic care plan within their native workflows, so they can get information and communicate back to care navigators with minimal clicks. -
45
Wheel
Wheel
Wheel is a configurable virtual care and telehealth platform that gives healthcare providers, digital health companies, life sciences organizations, health plans, retailers, and pharmacies the infrastructure, clinician network, and connected services needed to launch, scale, and operate branded virtual care programs. Built around the Wheel Horizon care enablement platform, it delivers a white-labeled patient experience that includes scheduling, synchronous and asynchronous visits, secure messaging, and follow-up, all within a HIPAA-compliant, SOC 2-certified ecosystem. Wheel’s solution integrates care services such as e-prescriptions, lab ordering and review, insurance processing, payments, and remote patient monitoring to support flexible clinical workflows, reduce administrative burden, and improve outcomes. It provides real-time analytics and AI-driven insights to track engagement, clinical outcomes, and ROI, helping organizations optimize their virtual care delivery. -
46
Oracle Health Specialty Practice Management is part of the Oracle Health family of clinical and practice management solutions, designed to provide the tools needed to run a profitable medical practice. Oracle Health Specialty Practice Management is customizable and integrates well with user-friendly EHRs offering medical document management, patient appointment scheduling and health record management. With an internet connection, Oracle Health Specialty Practice Management provides near real-time updates on claim status. With most payers, Oracle Health Specialty Practice Management is designed to help your practice have its claims adjudicated, paid and posted weeks sooner than a paper-based system. Other key features include patient scheduling, monitoring and posting payments. Oracle Health Specialty Practice Management includes capabilities to help your practice improve efficiencies during the scheduling, monitoring and payment process.
-
47
Babylon Health
Babylon
Enhance your digital health services using our customizable AI technology. Our vision is to make healthcare more intelligent and preventative, by applying advanced technology, artificial intelligence, and seamless engagement tools across the continuum of care. Babylon is building tools that you can embed in your digital footprint so that a patient has a seamless experience. By partnering together we help achieve optimal clinical outcomes within your population, through greater integration of care and consumer engagement. Book a Babylon Video Appointment 24/7, available at no cost through select health insurance plans. Don't receive Babylon through your insurance? Access our chatbot and health check for free. Shifting the focus of healthcare from sick to preventative care can result in better health and reduced costs. That's why we're combining AI and technology with human medical expertise to create all-in-one healthcare, right from your device. -
48
Cleerly
Cleerly
Cleerly is a digital healthcare company transforming the way clinicians approach the treatment of heart disease. We design intelligent clinical technologies to help clinicians precisely identify and define atherosclerosis earlier, so they can provide personalized, life-saving treatment plans for all patients throughout their care continuum. We measure atherosclerosis, plaque build-up in the heart's arteries, not indirect markers such as risk factors and symptoms of the disease. Our AI-enabled digital care pathway offers simpler, faster, more accurate heart disease diagnostics and reporting that's tailored to each stakeholder, improving overall clinical and financial outcomes. Cleerly empowers providers to go beyond traditional measures of heart disease by analyzing, characterizing, and quantifying types of plaque, so they can more accurately determine a patient's risk of heart attack and develop a treatment plan to improve heart health. -
49
Mirah
Mirah
Mirah is a comprehensive measurement-based care platform designed for behavioral health and primary-care organizations, offering a deep library of over 500 clinically-validated assessments that can be delivered digitally via web, tablet, or phone and automatically scored, graphed, and analyzed. It supports both the Collaborative Care Model (CoCM) and traditional mental-health workflows by enabling care managers, clinicians, and primary-care providers to monitor patient progress, stratify risk, automate time tracking, link outcomes to billing, and gain real-time insight into caseloads, care pathways, and financial sustainability. Mirah’s dashboards provide case-level and population-level analytics, supporting decision-making such as which patients need intervention, how treatment plans should adjust, and how workflows impact revenue. -
50
InterSystems HealthShare
InterSystems
InterSystems HealthShare is an advanced interoperability platform designed to seamlessly connect health data from various sources, ensuring secure, accessible, and shareable information whenever needed. It integrates clinical, claims, and social determinants of health data to support population health management and digital transformation. HealthShare's suite of solutions captures information, shares it meaningfully, aids understanding and drives transformative action across organizations and communities. Creating a comprehensive, unified care record, supports better care and outcomes. Leverage a comprehensive provider data management solution to ensure up-to-date directories and manage provider networks. Enable the entire care team to partner to connect, collaborate, and plan care across the health ecosystem. Drive patient and member engagement with a configurable portal, APIs, and services to create or enhance your digital front door.
