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Change Healthcare
Change Healthcare Prior Authorization
Change Healthcare's Clearance Authorization software is a comprehensive solution designed to streamline prior authorization workflows in healthcare settings. It automates the process of verifying if pre-authorizations are required and on file, directly submitting requests to integrated payers.
Product Overview
Security and Compliance Certifications: HITRUST CSF, SOC 2 Type 2, PCI DSS
Change Healthcare's Clearance Authorization software is a comprehensive solution designed to streamline prior authorization workflows in healthcare settings. It automates the process of verifying if pre-authorizations are required and on file, directly submitting requests to integrated payers. The software incorporates real-time checking of clinical codes for Medicare compliance and helps minimize denials and financial losses associated with patient care pre-authorizations. Additionally, it includes tools to manage medical necessity checks and create Advanced Beneficiary Notices, ensuring that financial liability is communicated effectively to patients before service delivery.
Customers Served
Categories
Company Info
HQ Location
Nashville, Tennessee
Founded
2007
Headcount
5001-10000
Total Funding
$48.0M
Latest Round
Series Unknown
Latest Round
08/02/2014
Company Socials
Integrations
See all (1)314e Corporation
Claimed
314e Dexit
Company Info
Founded: 2004
Headcount: 201-500
Customers
Verified Customers: 1
Customers Served: Ambulatory Practice, Hospital / Health System, Digital Health Provider
Product Overview
Security and Compliance Certifications: HIPAA, SOC 2 Type 2
Dexit AI is an intelligent document processing (IDP) platform tailored for healthcare organizations to automate and manage document workflows. It supports omnichannel document intake—including fax, email, scans, and API uploads—and uses AI models to identify patient data and classify document types. Dexit features a built-in virtual fax server, rule-based routing, and drag-and-drop workflow customization, allowing users to automate processes such as referrals, prior authorizations, and release of information.
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.