Alternatives to Consensus Harmony
Compare Consensus Harmony alternatives for your business or organization using the curated list below. SourceForge ranks the best alternatives to Consensus Harmony in 2026. Compare features, ratings, user reviews, pricing, and more from Consensus Harmony competitors and alternatives in order to make an informed decision for your business.
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RXNT
RXNT
RXNT is an ambulatory healthcare technology pioneer that empowers medical practices and healthcare organizations to succeed and scale through innovative, data-backed, AI-powered software. Our fully-integrated, ONC-certified suite of medical software—like Clinical EHRs, Practice Management, Medical Billing and RCM, E-Prescribing, Practice Scheduling, Patient Portal, and more—optimizes clinical outcomes and RCM for your practice. Used by tens of thousands of medical professionals—from large physician practices to medical billing companies—to drive growth, streamline business operations, and improve patient care across all 50 U.S. states. Our unified “Full Suite” system employs a secure, central database so your data passes through every product in real-time from anywhere, and more than 135 million prescriptions have been transmitted and over $10 billion in claims have been processed using RXNT. -
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Service Center
Office Ally
Service Center by Office Ally is a trusted Revenue Cycle Management and patient payments platform used by more than 80,000 healthcare providers and health services organizations, which process more than 950 million transactions annually. Service Center is a cost-effective solution enabling providers to control their revenue cycle. With a user-friendly interface, Service Center helps providers check and verify patients’ eligibility and benefits, submit, correct, and check the status of their claims online, and receive remittance advice. Accepting standard ANSI formats, data entry and pipe-delimited formats, Service Center helps streamline administrative tasks and create more efficient workflows for providers. -
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Azalea EHR
Azalea Health
Azalea Health Innovations (Azalea) is changing the way health IT platforms connect community-based healthcare providers and patients across the care continuum. Offering a 100% cloud-based, interoperable solution, Azalea delivers an electronic health record that is fully integrated with telehealth, revenue cycle management, and analytic solutions designed for rural, community, and urban practices and hospitals. Quick to deploy and intuitive to use, Azalea's EHR ensures better care coordination and communication, and the “one patient, one record” approach provides care teams the agility to achieve better outcomes. The Azalea platform also delivers tools and resources to help providers meet their Meaningful Use requirements, and informs their strategies to navigate accountable care and alternative payment models. -
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Definitive Healthcare
Definitive Healthcare
Access the highest quality data and intelligence on hospitals, physicians, and other healthcare providers - updated daily. We help companies across the healthcare ecosystem grow their businesses and create new paths to commercial success. Here are just a few reasons why we’ve been a leader in healthcare commercial intelligence for 10 years and counting. Fueled by powerful data science and AI, we have intelligence for all your commercial needs. Healthcare commercial intelligence untangles the web of data on delivery systems, physicians, payor, patients, government organizations and more to identify the people, opportunities and organizations that are the best fit for your product. Building and selling a product for the healthcare market is complex. Answers to critical questions are often buried in disparate information systems, making centralized insights hard to come by. Healthcare commercial intelligence (HCI) is a new category of software that untangles the web of data on delivery. -
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HealthAPIx
Google
Make it easy for healthcare organizations, including hospitals and clinics, health plans and life sciences, to connect with app developers and health data partners to build new FHIR API-based digital services. Improve the efficiency and safety of transitions across the continuum of in-patient and out-patient care. Provide targeted personal wellness and prevention guidance to at-risk participants. Empower collaboration between patients, physicians, and healthcare providers to effectively manage chronic conditions. Improve chronic condition management. Deliver patient-centric digital services. Reduce risks during care transitions. Manage, secure, and scale APIs with an enterprise-grade platform that is FHIR-server agnostic. Easily ingest healthcare data from internal, external, or open-source FHIR-ready partners. Deliver on the promise of patient-centric healthcare and data interoperability by quickly launching digital services like new mobile apps. -
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1upHealth
1upHealth
1upHealth is a modern data platform designed to facilitate seamless health data exchange and interoperability. Built on the Fast Healthcare Interoperability Resources (FHIR) standard, it offers cloud-based, API-powered solutions tailored for payers, providers, digital health companies, and life sciences organizations. The platform enables secure and compliant sharing of high-quality, comprehensive, and timely data, supporting CMS interoperability requirements, clinical and claims data aggregation, patient-mediated data exchange, and health data analytics. 1upHealth's suite of products includes the 1up FHIR Platform for data acquisition and management, 1up Comply for meeting regulatory requirements, 1up Patient Connect to empower members in accessing and sharing their health data, 1up Population Connect for importing patient population data from top EHRs, 1up Exchange for efficient data exchange at the population level, and more. -
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Change Healthcare
Change Healthcare
Our platform builds consistency, continuity, and scalability across our integrated portfolio, enabling our customers to improve operational efficiency, decision-making, and patient outcomes—and enabling innovation as our healthcare system evolves. With innovative data and analytics, plus patient engagement and collaboration tools, the Change Healthcare platform helps providers and payers optimize workflows, access the right information at the right time, and support the safest and most clinically appropriate care. We enable access to data and facilitate the interoperability of data between sources to support CMS patient access and interoperability rules, as well as enable real-time access to clinical documents to help better manage risk adjustment, improve HEDIS scores, and support accurate payments with faster adjudication. -
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Rhapsody Integration Engine
Rhapsody
Rhapsody Integration Engine is an intelligent health data integration platform designed to streamline complex healthcare environments. It empowers expert teams to build flexible solutions efficiently and cost-effectively, ensuring seamless data flow across various systems. The engine supports multiple data formats, including FHIR, API, HL7, and custom formats, facilitating interoperability between diverse healthcare applications. With deployment in 31 countries, Rhapsody offers a robust toolkit for intricate integrations, providing flexible deployment options such as private cloud, hosted cloud, or Integration Platform as a Service (iPaaS). The platform's comprehensive features include out-of-the-box connectivity, coding options for current and emerging standards, and scalable solutions tailored to healthcare organizations' unique needs. Rhapsody's commitment to data privacy and security ensures compliance with global regulations. -
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Azure Health Data Services
Microsoft
Azure Health Data Services is a suite of purpose-built technologies for protected health information (PHI) in the cloud. It's built on the global open standards Fast Healthcare Interoperability Resources (FHIR)® and Digital Imaging Communications in Medicine (DICOM). Ensure data privacy within compliance boundaries, de-identify data for secondary use, and generate insights with analytics and AI tools. Azure Health Data Services is the evolved version of Azure API for FHIR and offers additional technology and services. Existing customers can continue using the product without disruption to service or change in pricing structure. Unify healthcare data in the cloud to make PHI easier to exchange across the care continuum. Standardize diverse data streams such as clinical, imaging, device, and unstructured data using FHIR, DICOM, and MedTech services.Starting Price: $0.39 per GB per month -
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Particle Health
Particle Health
At last, healthcare data is accessible nationwide. But “accessibility” doesn’t mean much when the data is practically unusable—stored by thousands of disparate hospitals, networks, and other sources in a hodgepodge of standards and formats. Particle Health’s modern API platform unifies records from over 270 million patients across the United States. We provide a single, secure access point for the data you need to fuel digital healthcare innovations rapidly and at scale. Quickly prototype solutions, optimize workflows, and explore use cases in a fully functional sandbox environment. Accelerate time to market with implementation guides, an intuitive user interface, and code snippets. Particle Health has spent years building the impossibly complex integrations needed to release historically siloed medical records. Because let’s face it—you’ve got bigger fish to fry. -
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Optum AI Marketplace
Optum
Optum AI Marketplace is a curated ecosystem of AI-powered solutions designed to transform healthcare by providing payers, providers, and partners with tools to deliver better outcomes efficiently. It offers a diverse range of products and services across categories such as patient & member engagement, eligibility & claims, care operations & management, payment & reimbursement, and analytics & insights. Notable offerings include the prior authorization inquiry API, which enables payers to check a patient's prior authorization status in real-time, and SmartPay Plus, an e-cashiering payment platform that simplifies patient payments and streamlines the collection process. Additionally, Optum Advisory Technology Services provides expert support for digital transformation initiatives, offering system selection, procurement, implementation, and AI tools. It also features partnerships with trusted resellers, such as ServiceNow, to offer cutting-edge healthcare solutions. -
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AuthParency
Oncospark
Prior Authorization with AuthParency Prior authorization is a growing administrative burden for healthcare providers. Our automated prior authorization solution, AuthParency™, is powered by AI and machine learning (ML). This advanced system can cut your team’s prior authorization time in half. It is also compatible with all EHR and practice management systems AuthParency helps: Analyze payers’ tendencies Reduce patients’ days to care Improve patient outcomes Stop losses from non-reimbursable services Identify financial toxicity burdens Analyze population health data Track disparities Pharmaceutical companies -
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Aidbox FHIR Platform
Health Samurai
More than just a FHIR server. Full-blown FHIR-powered platform that drastically reduces time and effort for your Health IT solution development. Use Aidbox for effective development of interoperable apps to plug into the connected healthcare ecosystem. Focus on business logic we'll guide you through FHIR-implementation challenges. Build a customized EHR system that works for unique processes in your medical practice. Create a unified data source of truth and provide powerful analytical capabilities. Develop telehealth apps designed for communication and remote monitoring. Implement an FHIR eco-system that complies with CMS interoperability regulations. Develop FHIR-first apps to enable your clients with great access to healthcare information. Aidbox is a metadata-driven platform where everything is represented as data/resourses that can be customized and always remain under your control. -
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CoverMyMeds
McKesson
We’re accelerating innovative solutions created to benefit all stakeholders in healthcare, to help increase speed to therapy, reduce prescription abandonment and support improved health outcomes for the patient. We’re committed to removing access barriers to healthcare — whether it’s resolving prior authorization requests or raising awareness around support services. Healthcare is seemingly more expensive than ever. Assist your patients in getting their prescribed therapy with affordability solutions that help with high-deductible health plans, increasing copays and a lack of visibility. For some, staying on therapy can be the hardest part of their healthcare journey — whether it’s learning how to take their medications or simply remembering to do it at the prescribed time. Which is why these adherence challenges must be met with people-first solutions. -
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Valer
Valer
Valer’s technology speeds and simplifies prior authorization and referral management by automating submissions, status checking, verification, reporting, and EHR synchronization across all mid-to-large-sized healthcare settings, specialties, and payers from one platform and portal. Valer is the all-specialty, all-payer technology solution designed around your needs, not ours. Unlike off-the-shelf products that limit specialties, service lines, and payer mix (that don’t even automate submissions), Valer is explicitly customized to fit your needs. Because Valer is so easy to use, the dashboard increases staff productivity, simplifies staff training, and measures staff and payer performance across all service lines to enable continuous improvement. Valer doesn’t just connect to some of your payers for some of what you need. We link to all payers for all specialties, service lines, and care settings with real-time payer rule updates. -
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Google Cloud Healthcare API
Google
The Google Cloud Healthcare API is a fully managed service that enables secure and scalable data exchange between healthcare applications and solutions. It supports industry-standard protocols and formats, including DICOM, FHIR, and HL7v2, allowing for the ingestion, storage, and analysis of healthcare data within the Google Cloud environment. By integrating with advanced analytics and machine learning tools such as BigQuery, AutoML, and Gemini Enterprise Agent Platform, the API empowers healthcare organizations to derive actionable insights and drive innovation in patient care and operational efficiency. -
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MedicsRIS
Advanced Data Systems
MedicsRIS is a comprehensive radiology information system that empowers radiologists to seamlessly manage their practice and easily get paid for every diagnostic exam. Developed by Advanced Data Systems, MedicsRIS takes inbound orders from referring physician’s stage 2 certified electronic medical record (EMR) without any costly HL7 interfaces as well as obtain incentives and avoid penalties. Core features of MedicsRIS that help boost business productivity include a referring physicians portal, automated billing with EDI, multi-modality scheduling, insurance eligibility verification, mammography tracking, and more. Give referring physicians and radiology departments access to our qualified CDS option via the MedicsRIS portal for those who don’t have their own qCDSM. Stymied with getting prior authorizations manually? Our automated PA option gets them online without leaving MedicsRIS. -
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elsai Prior Authorization Agent automates payer requirement checks, documentation validation, packet assembly, AIR handling, and workflow orchestration for healthcare RCM teams. It helps providers reduce delays, incomplete submissions, repeat AIR cycles, and administrative burden while working alongside existing EHR and RCM systems. Built on governed AI workflows with auditability, guardrails, and human oversight.
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Infinx
Infinx Healthcare
Leverage automation and intelligence to overcome patient access and revenue cycle challenges and increase reimbursements for patient care delivered. Despite the progress AI and automation is making in automating patient access and revenue cycle processes, there still remains a need for staff with RCM, clinical and compliance expertise to ensure patients seen were financially cleared and services rendered are accurately billed and reimbursed. We provide our clients with complete technology plus team coverage with deep knowledge of the complicated reimbursement landscape. Our technology and team learn from billions of transactions processed for leading healthcare providers and 1400 payers across the United States. Get quicker financial clearance for patients before care with our patient access plus a platform that provides complete coverage for obtaining eligibility verifications, benefit checks, patient pay estimates, and prior authorization approvals, all in one system. -
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Truepill
Truepill
Truepill is a digital healthcare platform that enables organizations to build, manage, and scale pharmacy experiences through a suite of services and APIs. Our virtual pharmacy provides a configurable, white-labeled digital interface for prescription management, offering patients a seamless ecommerce experience with features like flexible payment options (cash, insurance, FSA/HSA, savings cards), home delivery, and real-time notifications for orders, deliveries, and refills. Truepill operates a nationwide network of URAC-accredited mail-order and specialty pharmacies, ensuring safe dispensing and shipping of medications across all 50 states. It supports custom packaging to enhance brand presence and offers broad insurance coverage, being in-network for the majority of commercially insured patients. Additionally, Truepill provides patient services, including 24/7 pharmacist support, prescription intake, transfer and renewal services, benefits and access support, insurance, etc. -
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HL7 FHIR
HL7
FHIR is described as a 'RESTful' specification based on common industry-level use of the term REST. In practice, FHIR only supports Level 2 of the REST Maturity Model as part of the core specification, though full Level 3 conformance is possible through the use of extensions. Because FHIR is a standard, it relies on the standardization of resource structures and interfaces. This may be considered a violation of REST principles but is key to ensuring consistent interoperability across diverse systems. For each "resource type," the same set of interactions is defined, which can be used to manage the resources in a highly granular fashion. Applications claiming conformance to this framework claim to be conformant to "RESTful FHIR." Note that in this RESTful framework, transactions are performed directly on the server resource using an HTTP request/response. -
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Redox
Redox
Move past protocols with Redox, the only data platform designed to connect providers, payers, and products. It’s EHR integration, patient data, product workflows, and a world of new healthcare solutions powered by Redox. With the Redox FHIR API you can build and scale your application with a common set of workflows that delivers a consistent experience across every payer, provider, or EHR. Redox delivers where industry standards can’t. From large academic medical centers to small practices and everything in between. Using Redox helps you navigate each provider’s review and maintain consistency of process across new connections. Redox is HITRUST certified and SOC2 compliant. Adopt infrastructure built on a broad culture of security that meets the demands of the healthcare industry. -
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Rhyme
Rhyme
Rhyme connects payers and providers intelligently inside the prior authorization workflow, reclaiming the time lost on back-and-forth efforts and returning it to the patient. Automating manual tasks is critical (that’s why we do it), but it isn’t enough. When the nuances of clinical decision-making require collaboration between payers and providers, Rhyme keeps your workflow clear, agile, and fluid. We created the largest integrated prior authorization network, to leave a disjointed system behind and replace it with intelligent collaboration. Deep relationships and connections to EHRs, payers, and benefits managers, all on one platform. No scrambling, no screen-scraping, no secondhand info. We meet providers and payers right where you are, in your existing systems and workflows. Connections are easy so we can adjust to you, not the other way around. Prior authorizations aren’t an add-on to our platform, they’re all we do. -
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Verifiable
Verifiable
A modern provider data engine delivering real-time verifications and powerful automation to simplify credentialing and provider network management. One place to manage all your provider data and workflows, onboarding, network management, and everything in between. Replace manual verification processes with automation to save time, money and be more compliant by removing human error. Deploy lightning fast verifications and advanced network monitoring wherever your business needs. Advanced credentialing and compliance monitoring to notify you of gaps before they become an issue. Get the most accurate, up-to-date data using our proprietary real-time lookups, all delivered via an API that integrates wherever you need. Finally, a healthcare API that is a pleasure to work with. Customize to your needs and seamlessly integrate with your existing systems and workflows. -
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LexisNexis Health Intelligence
LexisNexis
LexisNexis' Health Intelligence EHR solution integrates data and analytics to enhance healthcare outcomes and streamline administrative processes. This platform enables healthcare providers to make data-driven decisions by incorporating real-time patient data, improving clinical workflows, and ensuring compliance with regulatory standards. By integrating Electronic Health Records (EHR) with powerful analytics, it helps healthcare organizations improve patient care, reduce operational inefficiencies, and drive better outcomes through actionable insights. -
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Practice Fusion
Practice Fusion
Save time with templates and patient charts in the cloud-based EHR that adapt to your needs. Browse from a library of medical charting templates built by practices like yours. Efficiently manage prescriptions including controlled substances and those requiring prior authorization. Seamlessly exchange information with local pharmacies, laboratories, imaging centers and other tools integrated into the EHR platform. Choose from over 500 lab and imaging centers to order tests and share results with patient. Flexible billing options with industry-leading partners who help you get paid faster. Monitor your progress with insightful dashboards and submit reporting data to CMS directly through your EHR. Access customizable dashboards to track your progress on quality initiatives like MIPS. Explore extensive education and training materials to navigate the complexities of quality measures. -
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GenHealth.ai
GenHealth.ai
GenHealth.ai is a healthcare-focused generative AI platform built on a proprietary Large Medical Model (LMM) trained using data from over 100 million patient histories rather than natural language. The LMM processes medical codes and events to predict future patient trajectories, forecast costs, and simulate clinical pathways with higher accuracy and fewer hallucinations than traditional large language models. It supports a suite of purpose-built applications, including Intake Automation (PDF routing, data extraction, medical necessity), Prior Authorization Agent for automated adjudication, and G‑Mode analytics, which enables users to “chat” with historical and projected population‐health data via natural language, all without coding. This AI‑powered co‑pilot has shown 94 % accuracy in prior‑auth cases, a 120× improvement in medical loss ratio forecasting, and 110 % better cost prediction versus standard HCC scoring. -
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ROOK
ROOK
ROOK is a comprehensive API solution that enables seamless integration of health data from over 300 wearable devices and data sources into applications. By providing a single integration point, ROOK eliminates the need for developers to perform individual integrations, maintenance, or resolve data disparities for each device. It aggregates and processes data standardizes units, addresses duplicate or missing data points, and delivers ready-to-use, real-time health insights. ROOK's Health Score offers a unified definition of health by utilizing biomarker data from multiple sources, aiding in the prediction of user behaviors and events without requiring additional analysis. It is designed with security in mind, adhering to HIPAA and GDPR compliance standards to ensure data protection. Founded by biomedical engineers with extensive experience in medical devices and hardware-software integrations, ROOK offers expert guidance and support to clients.Starting Price: $399 per month -
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Infermedica API
Infermedica
Infermedica is a leading digital health company, specializing in AI-powered solutions for early symptoms assessment, digital triage and care navigation. Through its technology healthcare organizations can introduce solutions for symptoms checking, patient intake, follow-up, call center support and more. Infermedica’s Medical Guidance Platform is a Class IIb Medical Device under the MDR in the European Union, and is developed with the highest standards of quality and data protection, compliant with ISO, HIPAA, GDPR, SOC2. Infermedica has been adeptly interweaving cutting edge technologies, including AI, LLMs, and NLP, with the proven Medical Knowledge and Inference Engine that lies in the core of its technologies. Those technologies can be accessed through various touchpoints, including web, mobile, call centers, voice agents and chat bots. Infermedica’s solutions achieve 94% of accuracy. To learn more, visit our webpage. -
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Isabel Healthcare
Isabel Healthcare
Isabel Healthcare offers AI-powered tools designed to enhance diagnostic accuracy and patient triage. The Isabel DDx Companion assists healthcare professionals by generating a differential diagnosis list from minimal clinical features in under a minute, covering over 10,000 conditions across all ages and specialties. The Isabel Self-Triage tool enables patients to receive triage advice by answering just 11 standard questions, achieving a 97% completion rate, and directing them to appropriate care venues. Both tools are supported by a comprehensive API for seamless integration into various platforms and workflows. -
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EHR 24/7®
Office Ally
EHR 24/7 by Office Ally is a trusted electronic health record system used by more than 20,000 users. Its comprehensive patient charting and document management, real-time patient information, and customizable forms provide healthcare providers with an intuitive interface to manage patient care. By using EHR 24/7, providers can improve communication and collaboration between providers, leading to more accurate diagnoses and fewer errors. Its seamless integration with other Office Ally solutions also provides additional functionality such as patient intake, electronic prescription, etc. With no needed implementation, healthcare providers can use EHR 24/7 to treat and document patients today.Starting Price: $44.95 per month -
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ClinOne
ClinOne
ClinOne connects, informs, and empowers participants, care partners, and sites in clinical trials with a true single platform for trial awareness, consent management, and participant experience/retention, underpinned with comprehensive data insights tools and standards-based interoperability. The platform offers solutions such as Site Hub, a one-stop shop for sites to access necessary resources, including inclusion/exclusion criteria, site resources, systems landing page with single sign-on, and community features. The Connect module includes Sponsor & Monitor Hub, trial awareness, healthcare provider community, site selection, and diversity, equity, and inclusion data. The Inform module provides consent management, education, eConsent with eSignature, data insights and modeling, tele-visit capabilities, and community collaboration. The Empower module offers transportation management, medication adherence monitoring, care partner and caregiver portal, and more. -
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Validic
Validic
Validic is a comprehensive platform that enhances remote patient monitoring (RPM) by integrating patient-generated health data directly into Electronic Health Records (EHRs). By providing real-time data from over 580 connected health devices, Validic supports healthcare providers in delivering personalized, data-driven care while reducing clinician workload. With the power of Generative AI, the platform automates RPM workflows and generates insights that help clinicians make informed decisions. Designed to scale for populations from 100 to over 100,000 patients, Validic helps improve patient outcomes, engagement, and operational efficiency. -
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Waystar
Waystar
The financial and administrative challenges facing healthcare providers are daunting. Waystar’s technology platform simplifies and unifies healthcare payments across the revenue cycle. We empower healthcare organizations to automate manual work, gain insight into processes and performance, and ultimately collect more revenue. At Waystar, we know there’s a better, more efficient way forward. Let’s climb the mountain ahead of us to reach new heights in healthcare. We know that adopting new revenue cycle technology can seem like an obstacle. Whatever your existing systems, our cost-effective technology is compatible and gets up and running quickly. Our single sign-on platform lets you manage commercial, government and patient payments all in one place, so you can consolidate vendors and eliminate the hassle of multiple systems. Give your staff intuitive solutions that will make their jobs easier and their workflows more productive.Starting Price: $100 per month -
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Jitterbit
Jitterbit
Jitterbit Harmony is an AI-infused integration and automation platform designed to unify business systems across cloud, SaaS, and on-premise environments. It provides end-to-end workflow automation through products including iPaaS, API Manager, App Builder, and EDI. With a layered AI architecture, Harmony embeds accountable AI agents and assistants directly into integration processes. Drag-and-drop connectors enable rapid deployment and seamless connectivity with thousands of applications such as Salesforce, SAP, Workday, and NetSuite. The platform supports industries ranging from healthcare and manufacturing to retail and logistics. Jitterbit has earned repeated #1 rankings in G2’s Enterprise iPaaS Implementation Index, highlighting customer satisfaction and speed to value. Designed for secure, scalable transformation, Harmony powers integration, automation, and application development within a single unified system. -
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Cohere Unify
Cohere Health
The Cohere Unify platform supports all of our intelligent prior authorization solutions with touchless and predictive technologies, evidence-based clinical content, and other advanced capabilities. Our technologies reduce or eliminate manual steps toward creating an end-to-end fully automated prior authorization process. This predictive capability enables health plans to virtually eliminate prior authorization workflow steps. Instead, the system can automatically craft specific care plans based on patient and population auth and claims data, including multiple services that can all be pre-approved upfront before they are even requested. Evidence-based clinical criteria for select specialties that inform our touchless and predictive technologies. Proven single sign-on capabilities with Availity, NaviNet, and other common portal technologies. Rules configuration and deployment proven to scale over multi-million+ transactions. -
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MediFusion
MediFusion
MediFusion is a fully integrated suite of software designed to offer innovative EHR and medical billing solutions to healthcare practices and enhance clinical, administrative and financial operations. Our team is just a phone call away to provide ongoing EHR training and be there for you whenever you need help and support. Speed-up your clinical processes and automate your workflow with our all-in-one integrated solution. A system that manages the entire revenue cycle from Eligibility Verification to Claim Processing and getting paid. Our cloud-based Electronic Health Record (EHR) software is an integrated and scalable solution to enable your practice to improve the quality of care provided to patients. This easy to use web-based EHR platform allows you to document, access and track your Clinical and Financial information on any internet-ready device no matter where you are. -
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Amazon Comprehend Medical
Amazon
Amazon Comprehend Medical is a HIPAA-eligible natural language processing (NLP) service that uses machine learning to extract health data from medical text–no machine learning experience is required. Much of health data today is in free-form medical text like doctors’ notes, clinical trial reports, and patient health records. Manually extracting the data is a time consuming process, while automated rule-based attempts to extract the data don’t capture the full story as they fail to take context into account. As a result, the data remains unusable in large-scale analytics needed to advance the healthcare and life sciences industry and improve patient outcomes and create efficiencies. -
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Veradigm AccelRx
Veradigm
Veradigm AccelRx delivers a free, automated, comprehensive solution to help you streamline specialty medication fulfillment for your patients. With faster time to therapy comes better odds for medication adherence and positive outcomes, as well as fewer phone calls and faxes for your staff. Combining electronic enrollment, consent, prior authorization, and script into an all-in-one system, AccelRx can help your practice significantly cut time-to-fulfillment for all specialty drugs, with any payer. Automatically populate patient data on enrollment and other forms with the click of a button. A single user-friendly platform to help you transform specialty medication management. Enhance your management of most specialty drugs all in one place, including electronic prior authorization (ePA). Access your enhanced specialty medication management as part of your existing electronic health record (EHR) workflow. -
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Cohere PaaS Intelligent Prior Authorization
Cohere Health
Cohere helps health plans digitize the process and apply clinical intelligence to enable in-house, end-to-end automation of prior authorization. Health plans can directly license Cohere’s PaaS intelligent prior authorization for use by the plan’s internal utilization management staff. As a result, our client health plans achieve both significant administrative efficiencies and faster, better patient outcomes. Cohere delivers a tailored, modular, and configurable solution suite for health plans. Digitizes all prior authorization requests into a single automated workflow. Automates prior authorization decisions using health plan-preferred policies and accelerates manual review. Helps clinical reviewers adjudicate complex requests, using responsible AI/ML and automated capabilities. Leverages clinical intelligence with AI/ML and advanced analytics to improve utilization management performance. Improves patient and population outcomes with innovative, specialty-specific programs. -
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The combination of our core strengths, our deep industry experience in health, our advanced technology solutions including options for AI, blockchain, and data and analytics, and our reputation for trust and security, enables Watson Health to support our clients' digital transformations. Through a combination of technology solutions and experienced consulting, we're helping organizations become more efficient, resilient and robust institutions that can deliver on their mission to their communities. See Watson Health solutions that help optimize clinical, financial and operational performance. See Watson Health solutions to apply analytics and improve programs for vulnerable populations. See Watson Health solutions to improve clinical trials and generate real-world evidence. See Watson Health solutions that help payers manage performance, members and business networks. Watson Health solutions that help with benefits analytics, engagement and business continuity.
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PAHub
Agadia Systems
As Prior Authorization volumes continue to rise, and as specialty drugs create additional clinical complexities, Health Plans, Pharmacy Benefit Managers (PBMs) and Third-Party Administrators (TPAs) are challenged to adapt while maintaining or improving operational and clinical efficiencies. PAHub, is a HITRUST certified solution that puts the tools at your fingertips to streamline and control all clinical, compliance and administrative aspects of Prior Authorization at the point-of-care to improve compliance, reduce turn-around times and costs. By leveraging the latest technologies for data mining, data analytics, content management and advanced decision support trees, PAHub, enables customers to automate the end-to-end prior authorization process. -
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Health Gorilla
Health Gorilla
Access data from thousands of vendors instantly with Health Gorilla’s APIs and software solutions. Building healthcare products is hard work. Getting data from different vendors is even harder. Health Gorilla arms developers with the tools they need to build healthcare products and retrieve data seamlessly. From a FHIR-native data platform to scalable medical record retrieval, we have a suite of industry-leading APIs and software products that power fundamental healthcare workflows. Get started today with our software, and code our API into your back-end to automate and scale new functionality. We partner with healthcare innovators across the industry to make high quality data easily accessible. We spent years integrating with all the major EMR systems and diagnostic vendors so you don’t have to. Enable community providers to get records and order labs electronically from your institution. -
44
Lifepoint
Lifepoint Informatics
Lifepoint Informatics is the trusted leader in healthcare information technology, advancing value-based healthcare with uncomplicated clinical integration, health information exchange, and data interoperability solutions for hospitals, health systems, clinical laboratories, diagnostic imaging, health insurers and accountable care organizations. Built on a unified workflow platform, our solutions interoperate seamlessly across multiple modalities, application layers, and end-user devices. Lifepoint customers love our clear, user friendly data integration solutions that facilitate health information exchange, enable successful outreach connectivity, EMR integration, EHR interfacing, physician portal, population health management, and quality reporting among disparate clinical systems. -
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Umee
Umee
Simplest way to start your DeFi experience for staking, rates, and interoperable solutions across blockchains. Umee is a layer one blockchain for cross-chain communication and interoperability, built on the Cosmos SDK and powered by Tendermint Consensus along with a self-sovereign validator network. Interoperability is achieved using Inter-Blockchain Communication protocol (IBC), Gravity bridge, and decentralized infrastructure for creating a universal cross-chain DeFi hub toward expanding the crypto ecosystem. A DeFi platform designed towards integrating with money legos, that interconnects crypto markets across networks, allows for the development of open finance innovation including multi-chain staking, interchain leverage, and cross-chain interest rates. As a base layer blockchain, applications and money lego primitives can be built on top of Umee to access cross-chain leverage and liquidity. -
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PracticeAdmin
PracticeAdmin
PracticeAdmin Scheduling reduces no-shows and improves your patient interactions by providing the data you need on demand. Using our proprietary rules-based architecture, you can set up your own preferences — whether you’re a solo provider, small to medium sized organization or a provider with multiple locations. Create your own scheduling templates for an unlimited number of locations and set up automated patient reminders. Billing is your one stop tool to manage patient registration, claims and payment. You can track all of your patient information and prior authorizations. It integrates easily with your EHR and helps keep track of your Meaningful Use certification. Billing lets you know if your claim has an error before it’s sent. Quickly re-submit your claim with no penalty, and monitor all of your EDI rejections. -
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Silna Health
Silna Health
Silna Health’s Care Readiness Platform handles all prior authorizations, benefit checks, and insurance monitoring upfront to make sure patients are clear to receive care while providers gain capacity to focus on treatment. Its AI‑powered engine manages the entire prior authorization workflow, from tracking upcoming authorizations and sending weekly reminders to submissions and follow‑ups, automatically applying industry‑proven rules and escalating exceptions for human review. Specialty‑specific benefit checks verify coverage, accumulations, authorization requirements, and visit limits in real time, delivering accurate quotes at intake. Continuous insurance monitoring flags lost coverage, detects new plans, and safeguards against eligibility lapses. Designed for zero extra headcount, Silna ingests data directly from EMRs and practice management systems, offers configurable rule sets and strategic guidelines, and presents clear dashboards with incremental revenue insights. -
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iMed e-Rx
iMedWare
iMed e-Rx electronic prescription system starts from $43/month and can be used for writing both legend and EPCS compliant prescriptions. Which is Certified for e-Prescribing in all States. Our software has Electronic prior authorization and it has Formulary support. Our key highlights are Drug-Drug, Allergy, and Disease interaction checking, Database of drug stores with frequent updates, Drug therapy monitoring, 24/7 monitoring of script delivery and so on.Starting Price: $43 per month -
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Practice Mate
Office Ally
Practice Mate by Office Ally is a comprehensive practice management solution used by over 25,000 healthcare organizations. It simplifies revenue cycle management and assists in HIPAA-compliant recordkeeping for new and existing practices. Its user-friendly interface offers easy billing management that checks eligibility and benefits and manages claim submission and tracking. Its seamless integration with other Office Ally solutions provides additional functionality such as patient intake, reminders, e-prescriptions, and more. With no cost, commitment, or implementation, you can get started today to help reduce unnecessary administrative tasks, enhance provider job satisfaction, and improve the overall patient experience.Starting Price: $0 -
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MDToolbox e-Prescribing
MDToolbox
MDToolbox-Rx is a Certified, Award-Winning, complete electronic prescription writer that can run stand-alone or synced with your other office software. The e-Prescribing Software is a highly customizable, simple to use e-prescribing system that allows you to easily select drugs, find drug information, and create and electronically send a prescription quickly and efficiently. MDToolbox-Rx is Certified for e-Prescribing, Eligibility, Formulary, EPCS (e-Prescribing of Controlled Substances), and Electronic Prior Authorization. Search for drugs by name, nickname, generic, brand, rx, OTC, class or indication in the most comprehensive drug database available. Higher productivity due to less pharmacy calls and time spent for renewal requests.
