Deliver Immediate Value with Automated Medical AND Pharmacy Prior Authorizations
Real-Time
Enable seamless prior authorization automation within your existing system of record.
Immediate ROI
Reduce time and effort by up to 90% for benefit checks, prior authorizations, and utilization management.
No Surprises
Illuminate the entire benefits verification and prior authorization process—eliminating confusion for patients, providers, payers, pharmacies, PBMs, and drug manufacturers.
Faster Time to Care
Leap over administrative hurdles, freeing you to spend more time focused on delivering better patient experiences and health outcomes.
Who We Help
Myndshft addresses the needs of patients, providers, pharmacies, PBMs, payers, and drug manufacturers alike. Our flexible, unified automated prior authorization platform eliminates the administrative quagmire, enabling real-time data exchange and faster decisions.
Patients
Empower patients with the most accurate price transparency and benefit details at the point of care.
Patients know immediately if they have coverage and what they will have to pay—supporting cost and care decisions.
Providers
Providers complete the entire intake and ordering process without leaving their workflow.
Benefits verification, patient out of pocket calculator and prior authorizations are executed hands free.
Payers
Equip provider networks with the availability of accurate comprehensive member eligibility data and real-time, automated prior authorization adjudication at the point of care.
Our Solutions
We bring critical decisions and actions to the point of care—reducing downstream costs and eliminating complexity.
How We Do It
Our prior authorization software integrates easily with existing provider and payer systems, working independently in the background. Through generative AI, machine learning, and workflow automation, we deliver big leaps in productivity for both medical and pharmacy prior authorizations without requiring big changes to your current workflow or systems.
Self-Learning System
Myndshft dynamically updates automated workflow and rules engines based on the actual responses and results from provider-payer interactions. Our technology continuously adapts to the rules in use by payers. The more you use it, the smarter it gets.
Synchronized Rules Library
Our library features thousands of continuously-updated rules for national, state and regional payers. Myndshft automatically synchronizes eligibility and prior authorization rules to provide full transparency for providers and patients.
Lightning Fast
Automatically verify eligibility and benefits, check coordination of benefits, calculate patient financial responsibility, and identify and submit a prior authorization and then adjudicating a PA in less than 5 minutes.
Seamless Integration
Myndshft plays well with provider and payer systems. Our solution integrates with any system of record, from EHRs and other health information systems to revenue cycle and claims management solutions.
Autonomous
Myndshft prior authorization software takes action with no need for intervention by you or your team. It handles all the tedious, error-prone administrative tasks so that you can focus elsewhere.
Client Case Studies
See how Myndshft customers are realizing the benefits of moving the revenue cycle up to the point of service.
Recommended for You
Explore emerging trends and the latest strategies in solving prior authorization challenges.
Bottom Line Results
See how Myndshft helped a leading specialty pharmacy to reduce operational expenses, increase new patient referrals, and generate organic revenue growth.
Read The Case Study
21.8 %
Increased Collections