Authorization workflow mapper
Select the authorization, clinical-review, transaction, or reporting stages that matter, then inspect organizations whose official records address every selected area.
32 matching records
Cohere Health
Health plans evaluating a broad clinical-operations partner for prior authorization and related UM functions, especially where provider experience and specialty-specific review are material.
EviCore by Evernorth
Health plans seeking delegated specialty management, or provider organizations seeking EHR-connected submission into EviCore and other supported UM workflows.
Carelon Medical Benefits Management
Health plans evaluating delegated specialty or post-acute medical-benefit management and providers trying to understand Carelon-administered authorization workflows.
Evolent
Health plans evaluating a specialty-specific management partner that combines utilization controls with provider engagement and broader specialty-care strategy.
HealthHelp
Health plans comparing delegated specialty management models that emphasize provider consultation and clinical collaboration.
MCG Health
Payers and providers evaluating evidence-based criteria plus workflow support for prospective, concurrent, and retrospective review across care settings.
InterQual by Optum
Organizations comparing clinical criteria libraries and delivery or automation options that can operate within existing UM and case-management systems.
Xsolis
Hospitals and health plans seeking shared data and decision support for admission status, concurrent review, and payer-provider medical-necessity alignment.
HealthEdge GuidingCare
Health plans seeking a broad configurable UM and care-management system with authorization lifecycle, criteria, appeals, and ecosystem integrations.
ZeOmega Jiva
Health plans and delegated entities seeking configurable UM integrated with broader population-health and care-management workflows.
VirtualHealth HELIOSum
Payers wanting UM and care management in a shared platform with configurable workflow and criteria integrations.
Anterior
Health plans seeking an AI augmentation layer for existing UM systems with structured intake, clinical evidence extraction, policy application, and human review.
Latitude Health
Health plans, TPAs, risk-bearing entities, and UM service organizations evaluating an augmentation or workflow layer for manual clinical review operations.
Case Health AI
Health plans seeking configurable API-based automation for discrete prior authorization and UM tasks inside an existing operating platform.
Itiliti Health
Payers seeking modular policy transparency, is-authorization-required logic, routing, and auto-authorization capabilities without replacing the complete UM stack.
Availity
Health plans and provider organizations prioritizing broad transaction connectivity and a shared administrative access layer across multiple payers.
Rhyme
Provider and payer organizations evaluating a network-oriented approach to connecting authorization workflows across existing systems.
Waystar
Hospitals and health systems seeking authorization automation inside a broader financial-clearance and revenue-cycle platform.
Experian Health
Provider organizations seeking authorization requirement and status automation within a wider patient-access and financial-clearance environment.
Infinx Healthcare
Hospitals, specialty groups, and laboratories seeking a combined automation and managed-services model for heterogeneous payer channels.
R1
Large provider organizations considering authorization as part of a technology-enabled managed revenue-cycle relationship.
AKASA
Provider organizations prioritizing automation of status checks and clinical-document preparation inside existing authorization teams.
Infinitus
Providers, specialty pharmacies, and patient-support organizations with high volumes of authorization follow-up that still require payer phone or IVR interaction.
Janus Health
Health systems seeking an EHR-centered exception workflow that spans requirement discovery through status and reconciliation.
CoverMyMeds
Prescribers, EHR vendors, pharmacies, PBMs, plans, and life-sciences organizations participating in medication prior authorization workflows.
Surescripts
EHR vendors, health systems, PBMs, and health plans seeking in-workflow medication ePA over an established prescribing network.
DrFirst
EHR and healthcare IT vendors seeking embedded medication ePA as part of a broader prescribing and medication-management service.
CenterX
Epic health systems evaluating embedded prescription-benefit and medication ePA functionality.
Edifecs
Health plans seeking a broad interoperability and transaction gateway that spans CMS APIs, FHIR, EDI, and existing payer systems.
Onyx Health
Payers seeking a focused CMS-0057 implementation partner and FHIR layer that connects prior authorization to broader mandated APIs.
Smile Digital Health
Payers evaluating a FHIR data platform with CMS compliance APIs plus computable policy and prior authorization automation.
Redox
Healthcare product teams needing a programmable integration layer for prior authorization exchange rather than a complete UM application.
No current record documents every selected area
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Interpretation limit
A match means approved official evidence supports relevant positioning for every selected label. It does not establish product depth, package availability, integration, performance, independent outcome, or buyer-specific suitability. Read the evidence method.