San Francisco, California, United States
Offering a cloud-based workflow intelligence platform that streamlines specialty drug prior authorization processes.
- Revenue
- $15M
As of September 2026, Latka tracks 2 prior authorization software companies with $10M–$100M in annual revenue. They have combined revenues of $26M and employ 751 people. They have raised $56.1M.
Every company below sells prior authorization software to other businesses and is ranked by its most recent annual revenue. Revenue, funding, headcount and customer figures come from CEO interviews on the Latka podcast, public company filings, and Latka estimates where a company has not disclosed a number.
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.
Sorting: Highest -> Lowest
Showing 2 of 2 companies ranked by annual revenue.
San Francisco, California, United States
Offering a cloud-based workflow intelligence platform that streamlines specialty drug prior authorization processes.
Latka tracks 2 prior authorization software companies with $10M–$100M in annual revenue. Together they generate $26M in annual revenue and employ 751 people.
SamaCare is the largest, with $15M in annual revenue.
The average prior authorization software company in this list makes $13M a year, across 2 companies with reported revenue.
Ranked by annual revenue, the leaders are SamaCare and Cohere Health.
The 2 prior authorization software companies with $10M–$100M in annual revenue tracked here have raised $56.1M in disclosed funding between them.
- 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
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