Billing & Prior Auths: AI tools for small practices
Prior authorizations, claims, denials and appeals – the paperwork that delays payment.
How to implement AI for billing & prior auths →
CoverMyMeds
Electronic prior authorization for prescriptions.
Price: Free to providers (funded by plans/PBMs)
BAA: unverified
EasyPA
AI prior authorization tracking, approval predictions and appeals.
Price: UM Helper $50/user/mo; Pro $250/clinic/mo (vendor site)
BAA: On request (vendor site)
Medman prior auth agent
AI agent that drafts prior authorization requests.
Price: $10–$25 per request (vendor site)
BAA: unverified
Chalya
AI back-office agents for billing, denials and prior auth at independent practices.
Price: Solo $999/mo (1–2 providers); $1,999/mo (3–8) (vendor site)
BAA: unverified
Myndshft
Prior authorization automation for specialty and procedural care.
Price: Not published
BAA: unverified
Waystar
Revenue cycle platform with Auth Accelerate for prior auth.
Price: Bundled; sales contact
BAA: unverified
Pabau
Practice management and billing that tracks authorizations on appointments and claims.
Price: From $62/mo, one user (vendor blog)
BAA: unverified
Disclaimer: This site covers administrative and operational workflows only. It is not clinical, legal, or compliance advice. Pricing and BAA status come from vendor sites or third-party reviews as of the date shown and can change – confirm directly with each vendor and your compliance advisor before using any tool with protected health information.