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AI automated prior-auths for private medical practices
We automate the entire end-to-end prior-authorization process for private practices for cheaper, and more accurately than they're doing today.
ClaimGlide automates prior-authorization submissions and appeals for specialty medical practices using AI. It integrates with EMRs, automates documentation and payer follow-ups, and aims to reduce time and costs while improving approvals.
The product auto-pulls provider and patient diagnosis codes from the EMR, generates strong prior-authorization submissions with payer-friendly language, tracks payer timelines, and flags delays. It can automatically generate and submit appeal letters, handle related phone calls to payers, and store supporting evidence and prior-auth confirmations. It integrates within existing workflows and emphasizes HIPAA-compliant security and EMR integration.
Who it’s for: Specialty medical practices (e.g., Orthopedics, Physiatry, Pain Clinic, Behavioral Health) seeking to automate prior-auth submissions and appeals to save time and reduce costs.
Funding/backing from investors mentioned; emphasizes enterprise-ready, HIPAA-compliant product; clearly targeting clinical practices and automation adoption
Founder and CEO of ClaimGlide. Penn M&T undergrad from Bellevue, WA. ClaimGlide increases revenue for private medical practices by increasing their prior-auth acceptance rate and speed to auth.
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