Banjo Health streamlines the prior authorization process for health plans and pharmacy benefit managers. BanjoPA is their prior authorization platform for health plans that consolidates prior authorization requests, provides decision recommendation based on predefined clinical decisions trees, and creates documentation to support appeal processes. Banjo Composer takes clinical criteria as inputs and creates clinical decision trees by automatically identifying decisions points and delivering in a platform that supports editing and testing.

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.

Anterior is a generative AI platform for payer organizations, providing a co-pilot dashboard to empower UM nurses to get all of the right data summarized and presented so they can make the right decision faster.