revenue cycle management

Automated Medical AND Pharmacy Prior Authorizations 

No more either-or. Myndshft is the only unified platform in the industry to offer both medical and pharmacy prior authorizations. Built on generative AI and machine learning, our software automates processes—speeding time to therapy, reducing repetitive, manual work, and providing insights at the point of care—so you can focus on patients, not paperwork.

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Deliver Immediate Value with Automated Medical AND Pharmacy Prior Authorizations

In The Moment


Enable seamless prior authorization automation within your existing system of record.

Immediate ROI

Immediate ROI

Reduce time and effort by up to 90% for benefit checks, prior authorizations, and utilization management.

In the Moment

No Surprises

Illuminate the entire benefits verification and prior authorization process—eliminating confusion for patients, providers, payers, pharmacies, PBMs, and drug manufacturers.

Myndshft Improve Patient Care

Faster Time to Care

Leap over administrative hurdles, freeing you to spend more time focused on delivering better patient experiences and health outcomes.

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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.


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 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.



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.

Myndshft Benefits Verification

Eligibility &
Benefits Verification

Automated, real-time patient-specific benefits and eligibility verification for 94% of covered lives.

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Coordination of Benefits

Real-time identification of other payers—even when they are not included as part of an eligibility verification request.

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Insurance Discovery

Insurance Discovery

Identify active coverage and increase revenue. Reduce operational costs with increased margins.

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Myndshft Patient Financial Responsibility

Patient Financial

Real-time calculation of patient financial responsibility and price transparency.

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Myndshft Prior Authorization


Unified medical and pharmacy prior authorization platform for requirement identification, initiation, submission, status, and adjudication.

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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

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

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

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

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.



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 Study

Client Case Studies

See how Myndshft customers are realizing the benefits of moving the revenue cycle up to the point of service.

An innovative prior authorization automation platform transforming the landscape of patient access and utilization management.

Recommended for You

Explore emerging trends and the latest strategies in solving prior authorization challenges

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Bottom Line Results

See how Myndshft helped a leading specialty pharmacy to reduce operational expenses, increase new patient referrals, and generate organic revenue growth.

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Myndshft Graph

21.8 %

Increased Collections