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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.

Companies
7
Revenue
$38.3M
Funding
$56.1M
Employees
873

Filters

Sorting: Highest -> Lowest

Filters

Top Prior Authorization Software Companies

Showing 10 of 2 companies ranked by annual revenue.

1
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
-
2
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
-

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