1
SamaCare
San Francisco, California, United States
Offering a cloud-based workflow intelligence platform that streamlines specialty drug prior authorization processes.
- Revenue
- $15M
- Customers
- -
- Year founded
- -
- Funding
- -
- Team size
- -
- Growth
- -
Top 7 Prior Authorization Software SaaS Companies in May 2026
As of May 2026, there are 7 SaaS companies in Prior Authorization Software. They have combined revenues of $38.3M and employ 873 people. They have raised $56.1M and serve - customers combined.
Prior Authorization Software refers to digital solutions designed to streamline the management and processing of prior authorization requests between healthcare providers and insurance companies. These systems automate the verification of insurance coverage for treatments, services, or medications before they are administered, thereby enhancing efficiency and accuracy in the healthcare workflow. Typical features of prior authorization software include centralized dashboards to track requests, integration with electronic health records (EHRs), user-friendly interfaces for submitting authorizations, and real-time communication with insurance providers. The primary use cases revolve around reducing administrative burdens on healthcare staff, accelerating patient care through quicker approvals, and ensuring compliance with insurance requirements. Common buyers of these solutions include healthcare providers, such as hospitals and clinics, who need to manage a high volume of authorization requests. Other stakeholders may include healthcare administrators, practice managers, and billing departments, all of whom benefit from improved operational efficiency and reduced denials of service or medication due to authorization issues.
Filters
Sorting: Highest -> Lowest
Top Prior Authorization Software Companies
Showing 10 of 7 companies ranked by annual revenue.
- Revenue
- $11M
- Customers
- -
- Year founded
- 2019
- Funding
- $56.1M
- Team size
- 751
- Growth
- -
3
Humata Health
Winter Park, Florida, United States
Humata Health specializes in transforming prior authorizations through artificial intelligence and automation within the healthcare sector. The company offers a platform that streamlines the end-to-end prior authorization process for healthcare providers, enhancing efficiency and accuracy.
- Revenue
- $5.9M
- Customers
- -
- Year founded
- 2023
- Funding
- -
- Team size
- 58
- Growth
- -
4
Banjo Health
United States
Banjo Health is a prior authorization decision support platform for health plans and pharmacy benefit managers (collectively “payers”). We leverage artificial intelligence and machine learning to customize the platform to each payer’s specific prior authorization criteria. Through our integration with the provider’s electronic health records, we are able to directly draw from the prescribers notes to drive accurate decisions while reducing the administrative burden on the payer’s and provider’s staff. This effectively reduces the time-to-decision, improving member satisfaction and clinical & cost outcomes.
- Revenue
- $4M
- Customers
- -
- Year founded
- 2019
- Funding
- -
- Team size
- 36
- Growth
- -
5
Myndshft
Mesa, Arizona, United States
Myndshft is the only fully automated end-to-end prior authorization platform with real-time benefits and prior authorization insights directly in any system of record. We do this by combining hands-free automation with Collective Healthcare Intelligence™, a single source of truth for patients’ health and benefits information, providers’ clinical documentation, and payers’ plans and policies. With nationwide payer connections, our rules-based payer policy engine, and intelligent automation, Myndshft dramatically shortens the preauthorization cycle time—taking us one step closer to value-based care by reducing unnecessary operating costs and increasing revenue while achieving optimal patient care. Through Collective Healthcare Intelligence, we’re leaving the status quo behind and leading a complete mind shift—away from paperwork and back to patients.
- Revenue
- $1.8M
- Customers
- -
- Year founded
- 2015
- Funding
- -
- Team size
- 16
- Growth
- -
6
dotflo
San Francisco, California, United States
Introducing our first digital employee- Sydney. An AI voice assistant who helps clinics automate prior authorization and appointment scheduling for new referred patients. If you'd like to see how Sydney seamlessly integrates into your health systems tech stack, book a meeting on our website (www.dotflo.co) today!
- Revenue
- $600K
- Customers
- -
- Year founded
- 2023
- Funding
- -
- Team size
- 4
- Growth
- -
7
Informatics In Context
Boston, Massachusetts, United States
Provider of cloud-based clinical analytics services. The company's cloud-based platform, 'Digital Physician Assistant', streamlines and automates manual processes for all patent referral and prior authorization transactions based on real time EDI transactions.
- Revenue
- $114.9K
- Customers
- -
- Year founded
- 2011
- Funding
- -
- Team size
- 8
- Growth
- 26.5%
Inclusion Criteria
- Must facilitate electronic submission of prior authorization requests - Should offer real-time tracking of authorization statuses - Must integrate with existing Electronic Health Record (EHR) systems - Should provide alerts and notifications for impending deadlines - Must include features for compliance with payer requirements - Not just a claims management tool; must also ensure efficient prior authorization processes - Should enable data analytics for tracking approval rates and turnaround times