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Product Overview
Security and Compliance Certifications: HIPAA
Basys.ai is an AI-powered platform that streamlines prior authorization (PA) for health plans using GenAI for policy encoding and request processing. It enables rapid payer onboarding and policy updates, automates complex policy rules and decision logic, and allows UM nurses to verify recommendations while making decisions. The platform recommends alternative care pathways when requests don’t match existing policies and records overrides for analytics and model improvement. It features a portal for direct document submission, API integration with Epic, and OCR for handling document types like fax.
Customers Served
Categories
Company Info
HQ Location
Cambridge, MA
Founded
2021
Headcount
1-10
Total Funding
$2.4M
Latest Round
Pre-Seed
Latest Round
07/07/2023
Company Socials
Customers
1
Verified customers
Type
0
1
Hospitals / Health System (1)
Provider Headcount
0
1
5001+ (1)
Showcased Customers
See all (1)Ethermed
Claimed
Ethermed
Company Info
Founded: 2021
Headcount: 11-50
Customers
Verified Customers: 7
Customers Served: Ambulatory Practice, Hospital / Health System, Digital Health Provider, Health Plan, Life Sciences, Employers, Government
Product Overview
Security and Compliance Certifications: HIPAA
Ethermed offers an AI-driven solution that automates the prior authorization process in healthcare, aiming to reduce up to 90% of manual administrative tasks. Operating seamlessly within existing systems, it gathers necessary clinical data, completes authorization forms, and submits them without manual input, thereby minimizing delays in patient care. This technology benefits both healthcare providers and payers by decreasing administrative burdens and enhancing operational efficiency.
Availity
Availity Essentials
Company Info
Founded: 2001
Headcount: 1001-5000
Customers
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
Security and Compliance Certifications: HITRUST CSF, HIPAA
Availity Essentials is an end-to-end RCM solution for providers. It offers a range of features aimed at improving efficiency and accuracy in tasks such as eligibility and benefits verification, claims management, and prior authorization.
CoverMyMeds
CoverMyMeds
Company Info
Founded: 2008
Headcount: 1001-5000
Customers
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System, Health Plan, Life Sciences
Product Overview
Security and Compliance Certifications: HIPAA
CoverMyMeds helps automate prior authorization for medications, connecting healthcare networks to improve patient medication access. It integrates with over 500 EHR systems, linking healthcare providers, pharmacies, and payers to streamline prescribing and approval.
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