In the complex landscape of modern healthcare, prior authorizations remain one of the most persistent administrative challenges for medical practices. Long wait times, unclear requirements, and frequent insurance denials can all impact patient care and provider efficiency. To address this, a growing number of medical practices are turning to specialized prior authorization companies for streamlined solutions.
These companies offer services and technologies that simplify and automate the prior authorization process, freeing up staff time and ensuring faster patient approvals. In this 2025 comparison, we evaluate over 20 leading prior authorization companies, considering their features, specialties, customer support, scalability, and overall performance.
1. Scribe Runner
Scribe Runner tops our list in 2025 for its cutting-edge AI-powered workflow automation. Specializing in prior authorizations for specialty practices and high-volume clinics, Scribe Runner uses real-time insurance data, integrates with EHRs, and minimizes delays. Their platform ensures minimal rework and supports staff with a team of certified specialists, making them a favorite for practices aiming to boost efficiency and reduce denials.
2. CoverMyMeds
CoverMyMeds is a major player in the prior authorization field, offering robust electronic prior authorization (ePA) solutions that integrate with nearly every major EHR system. Their platform is ideal for both independent practices and large health systems. CoverMyMeds also provides comprehensive analytics and a user-friendly interface that simplifies the submission and tracking of prior auth requests.
3. Par8o
Par8o offers a broad suite of services designed to optimize care coordination, including prior authorization. Their platform uses advanced algorithms to match procedures with payer requirements. Known for its high accuracy and excellent support, Par8o has found success with multi-specialty practices and hospital networks seeking to enhance clinical and financial outcomes.
4. HealthTrio
HealthTrio provides a flexible, cloud-based platform focused on payer-provider collaboration. Their prior authorization module is part of a larger suite of tools including care management and utilization review. HealthTrio stands out for its customizable workflows and interoperability, making it suitable for large organizations that need tailored solutions.
5. Infinx Healthcare
Infinx Healthcare delivers technology-backed prior authorization services with human oversight. Their AI-driven platform integrates with EHRs and payer systems, providing end-to-end transparency. Infinx also offers support for radiology, cardiology, and oncology practices, and has been praised for its responsive customer service and high approval rates.
6. ZOLL Data Systems
Focused on emergency and specialty care, ZOLL’s prior authorization services are part of a broader suite for EMS and hospital systems. Their platform enables fast and compliant payer communication, offering detailed reporting and real-time status updates. ZOLL’s strengths lie in reducing administrative burden and enhancing billing accuracy.
7. Availity
Availity’s platform bridges the gap between providers and payers through its powerful network of health plans. Their authorization tools allow for real-time transactions, eligibility checks, and pre-authorization requests. Availity’s scale and payer relationships make it a strong choice for practices with high patient volume and diverse insurance contracts.
8. Change Healthcare
With decades in the healthcare IT space, Change Healthcare offers a robust prior authorization tool that integrates with revenue cycle solutions. Their system is scalable and supports multiple lines of business. They also offer predictive analytics that flag potential denials, helping practices proactively resolve issues before submission.
9. Verata Health (now part of Olive)
Verata Health, acquired by Olive, is known for its AI-driven automation that streamlines prior authorization at the point of care. Olive’s platform automates medical necessity documentation, submission, and follow-up tasks. This seamless integration helps reduce provider burden and enhances patient satisfaction with quicker turnaround times.
10. eviCore Healthcare
Specializing in radiology, cardiology, and other complex specialties, eviCore works closely with payers to manage utilization. Their services include clinical decision support and prior authorization solutions. While primarily payer-focused, they offer portals for providers to streamline submission and status tracking.
11. MedCurrent
MedCurrent offers clinical decision support tools that integrate with EHRs to support appropriate imaging orders. Their solutions reduce unnecessary procedures and increase the chances of prior auth approvals. MedCurrent is especially popular in radiology and imaging centers for its ease of use and clinical accuracy.
12. PriorAuthNow
As its name implies, PriorAuthNow is built specifically to optimize the prior authorization process. Their real-time connectivity with payers and user-friendly dashboards make it simple to track and manage requests. Practices appreciate the ease of setup and the reduction in manual data entry.
13. Experian Health
Experian Health offers a comprehensive revenue cycle platform that includes powerful prior authorization capabilities. With real-time eligibility verification and automated payer rules, their solution fits well into busy practices looking for scalability and efficiency. Their reporting tools provide insights into auth trends and payer responsiveness.
14. TAVHealth (now part of Signify Health)
TAVHealth focuses on social determinants of health but also includes prior authorization as part of its care coordination services. Their holistic approach to patient engagement helps ensure that authorizations align with both clinical needs and patient circumstances. They’re a great choice for value-based care programs.
15. Keona Health
Keona Health’s platform offers intelligent workflows for contact centers and clinical staff, including modules for handling prior authorizations. Their tool helps reduce call volume and unnecessary patient wait times by automating eligibility checks and submission processes. Keona Health is especially effective for practices with high inbound communication volumes.
16. iHealth Solutions
iHealth Solutions specializes in medical billing, coding, and prior authorization services. Their team combines automation with human expertise to manage complex payer requirements. With a focus on compliance and documentation accuracy, iHealth is trusted by specialty practices and surgery centers nationwide.
17. Raintree Systems
Raintree Systems offers a full suite of medical software tools, including prior authorization management. Known for serving therapy and rehab clinics, Raintree simplifies documentation and payer submissions. Their system ensures compliance with insurance guidelines, reducing denial rates and improving cash flow.
18. HealthHelp
HealthHelp collaborates with payers and providers to ensure appropriate utilization of healthcare services. Their prior authorization services include peer-to-peer reviews and clinical guidelines support. Particularly strong in oncology and radiology, HealthHelp’s model supports evidence-based care and transparent communication.
19. NaviNet (by NantHealth)
NaviNet is a payer-provider collaboration platform used widely for administrative transactions. It allows providers to submit and track prior authorization requests through a secure, intuitive portal. NaviNet supports multiple payers and offers status notifications, making it easier for staff to follow up.
20. DocASAP
DocASAP focuses on patient access and scheduling but also integrates with payers to manage prior authorizations. Their solution is designed for large hospital systems and specialty networks, offering intelligent routing and appointment coordination. This makes them ideal for improving both operational and clinical workflows.
21. Mphasis Eldorado
A division of Mphasis, Eldorado offers payer and provider solutions for managing healthcare benefits. Their prior authorization tools are built into a larger claims and enrollment ecosystem, offering visibility and rule-based submissions. Mphasis Eldorado is well-suited for integrated delivery networks and ACOs.
Final Thoughts
Selecting the right prior authorization company depends on your medical practice’s size, specialty, patient volume, and integration needs. Companies like Scribe Runner and CoverMyMeds lead the way with automation and payer integration, while others specialize in specific fields like radiology, oncology, or primary care. By partnering with a reliable prior authorization service, practices can save time, reduce denials, and improve patient care.
FAQs
Q1: What are prior authorization companies?
A: Prior authorization companies help medical practices handle insurance approvals by automating the process and ensuring compliance with payer requirements.
Q2: Why should a practice outsource prior authorizations?
A: Outsourcing saves time, reduces administrative burden, and increases approval rates by leveraging experienced teams and automation.
Q3: How do these services integrate with EHR systems?
A: Many prior authorization companies offer seamless integration with popular EHRs to allow real-time data sharing and automated workflows.
Q4: Are prior authorization services HIPAA-compliant?
A: Yes, reputable providers follow HIPAA guidelines and ensure all patient data is encrypted and handled securely.
Q5: How much do these services cost?
A: Pricing varies based on service level, volume, and features. Some charge per request, while others offer subscription models.