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§ Software · Clearinghouse & Claims · Prior Authorization Tools

Top Prior Authorization Tools software.

25 ranked tools · How we rank
01
500+ employees
Louisville, KY
Est. 2017

Services Provided

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Waystar combines clearinghouse services with denial management, patient payments, and authorization automation. Mid-to-large ABA organizations use it to reduce days in A/R and surface the root causes of denied claims.

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02
500+ employees
Nashville, TN
Est. 2007

Services Provided

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Change Healthcare, part of Optum, routes a large share of U.S. medical claims and provides revenue cycle and clinical connectivity tools. Providers use it as a clearinghouse, for eligibility checks, and for payer-agnostic analytics.

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03
500+ employees
Jacksonville, FL
Est. 2001

Services Provided

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Availity connects providers to hundreds of payers for eligibility verification, prior authorizations, claims submission, and remittance posting. Many ABA billers check eligibility in Availity before a learner's first session to confirm ABA coverage and units.

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04
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Services Provided

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Claims management and denial prevention.

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05
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Services Provided

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Claims processing and clearinghouse.

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06
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Services Provided

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Billing and clearinghouse for small practices.

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07
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Services Provided

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Medical billing and claims management.

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08
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Services Provided

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Eligibility verification and claims processing.

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09
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Services Provided

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Revenue cycle management and clearinghouse.

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10
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Services Provided

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Charge capture and claims processing.

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11
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Services Provided

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Comprehensive EHR and billing system with automated payment posting and denial management.

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12
51-200 employees
Atlanta, GA
Est. 1993

Services Provided

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NueMD provides charting, scheduling, and revenue cycle tools with a focus on smaller practices. Its clearinghouse integration supports electronic claims to most commercial and Medicaid payers and is compatible with common ABA CPT codes.

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13
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Services Provided

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Enterprise healthcare data interoperability and claims processing platform.

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14
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Services Provided

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Data platform accelerating payer-provider connectivity and data exchange.

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15
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Services Provided

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EOB-to-ERA automation and electronic remittance processing.

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16
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Services Provided

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Claim scrubbing service improving readability and reducing rejections.

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17
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Services Provided

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AI-powered prior authorization platform automating administrative tasks between providers and payers.

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18
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Services Provided

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Fully automated end-to-end prior authorization platform with real-time payer connectivity.

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19
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Services Provided

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Leading prior authorization platform for medications with EHR integration.

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20
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Services Provided

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Touchless prior authorization for prescriptions with broad pharmacy payer connectivity.

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