autonomize-ai-prior-auth-copilot

JSON twin: https://www.healthaidb.com/software/autonomize-ai-prior-auth-copilot.json

Company Name

Autonomize AI

Product URL

https://www.autonomize.ai/solutions/prior-auth-copilot

Company URL

https://autonomize.ai

Categories

Summary

Autonomize AI Prior Auth Copilot is a healthcare-native AI copilot that automates intake, summarizes clinical requests, and accelerates prior authorization decisions for health plans and provider organizations.

Description

A purpose-built generative-AI solution for prior authorization and utilization management that extracts and summarizes member authorization requests, links clinical evidence to internal data sources, provides transparent, traceable decision summaries, and integrates with claims, UM, and EHR systems. Designed for human-in-the-loop workflows, it emphasizes compliance (HIPAA, SOC 2) and rapid ROI by reducing review time and administrative burden.

Api Available

yes

Certifications

Company Founding

2022

Company Offices

Compliance

Customers

Data Residency

Hosted on Azure (region options available per customer/contract)

Data Standards

Deployment Model

Features

Id

P0172

Integration Partners

Integrations

Languages Supported

Last Updated

2025-09-07

License

proprietary (commercial)

Links

Market Segment

Optional Modules

Os Platforms

Pricing Details

Contact vendor for pricing and deployment options; enterprise sales/quote required.

Pricing Model

enterprise_quote

Privacy Features

Ratings

Regions Available

Release Year

2022

Security Features

Specialties

Support Channels

System Requirements

Hosted on Azure; container-based architecture; separate prod/staging/dev environments

Target Users

Training Options

Type

product

User Reviews

Version

1.0

Canonical JSON

{
  "company_name": "Autonomize AI",
  "company_url": "https://autonomize.ai",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2022",
  "product_url": "https://www.autonomize.ai/solutions/prior-auth-copilot",
  "categories": [
    "AI Prior Authorization for Providers",
    "AI Prior Authorization for Payers",
    "Prior Authorization"
  ],
  "market_segment": [
    "enterprise",
    "payer"
  ],
  "links": [
    "https://autonomize.ai",
    "https://www.autonomize.ai/solutions/prior-auth-copilot",
    "https://www.autonomize.ai/static/pdf/Autonomize-AI-Prior-Authorization-Copilot.pdf",
    "https://autonomize.ai/fact-sheets/1",
    "https://trust.autonomize.ai/",
    "https://autonomize.ai/news/autonomize-ai-prior-authorization-copilot-helping-patients-get-care-faster-safer-and-with-less-stress",
    "https://elion.health/products/autonomize-ai-prior-auth-copilot",
    "https://azuremarketplace.microsoft.com/en-us/marketplace/apps/284109.autonomize-prior-auth-copilot",
    "https://appsource.microsoft.com/en-us/product/web-apps/284109.autonomize-prior-auth-copilot?tab=overview",
    "https://autonomize.ai/privacy-policy"
  ],
  "summary": "Autonomize AI Prior Auth Copilot is a healthcare-native AI copilot that automates intake, summarizes clinical requests, and accelerates prior authorization decisions for health plans and provider organizations.",
  "description": "A purpose-built generative-AI solution for prior authorization and utilization management that extracts and summarizes member authorization requests, links clinical evidence to internal data sources, provides transparent, traceable decision summaries, and integrates with claims, UM, and EHR systems. Designed for human-in-the-loop workflows, it emphasizes compliance (HIPAA, SOC 2) and rapid ROI by reducing review time and administrative burden.",
  "target_users": [
    "health plan utilization managers",
    "clinical reviewers",
    "care managers",
    "prior auth coordinators",
    "health plan administrators",
    "provider authorizations teams"
  ],
  "specialties": [
    "prior authorization",
    "utilization management"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "enterprise_quote",
  "pricing_details": "Contact vendor for pricing and deployment options; enterprise sales/quote required.",
  "license": "proprietary (commercial)",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "AI-assisted prior authorization intake/auto-intake",
    "Instant data extraction from submitted documents",
    "Clinical decision support and recommendations",
    "Human-in-the-loop workflow orchestration",
    "Transparent, traceable recommendations linked to source data",
    "Automation of authorization creation",
    "Workflow integration with claims and UM processes",
    "Reporting and ROI metrics (processing time, compliance gains)",
    "Compound AI for clinical and proactive care intelligence",
    "Role-based access controls and audit logging"
  ],
  "optional_modules": [
    "Custom EHR/claims connectors",
    "Advanced compliance/reporting bundle",
    "Enhanced analytics/BI dashboards"
  ],
  "integrations": [
    "EHR systems (integrated via connectors)",
    "Claims systems",
    "Utilization Management (UM) systems",
    "Customer identity / SSO providers (SAML/OIDC)",
    "Azure cloud services"
  ],
  "data_standards": [
    "HL7 (general integrations)",
    "FHIR (used for EHR interoperability)"
  ],
  "api_available": "yes",
  "system_requirements": "Hosted on Azure; container-based architecture; separate prod/staging/dev environments",
  "compliance": [
    "HIPAA",
    "SOC 2"
  ],
  "certifications": [
    "SOC 2 Type 2",
    "HIPAA compliance attestation"
  ],
  "security_features": [
    "Encryption in transit",
    "Encryption at rest",
    "Role-based access control (RBAC)",
    "SSO/MFA support",
    "Audit logging",
    "Network IDS and firewall protections",
    "Endpoint protection (EDR)",
    "Regular pentesting and vulnerability scanning"
  ],
  "privacy_features": [
    "BAA available",
    "Data breach notification per MSA",
    "Data classification and retention policies",
    "Employee privacy & security training"
  ],
  "data_residency": "Hosted on Azure (region options available per customer/contract)",
  "customers": [],
  "user_reviews": [],
  "ratings": [],
  "support_channels": [
    "contact form",
    "Trust Portal"
  ],
  "training_options": [
    "documentation (fact sheets, case studies, white papers)",
    "webinars / demo"
  ],
  "release_year": "2022",
  "integration_partners": [
    "Microsoft (AppSource/Azure)",
    "EHRs (Epic)",
    "EHRs (Cerner)",
    "Claims systems",
    "Utilization Management (UM) systems"
  ],
  "id": "P0172",
  "slug": "autonomize-ai-prior-auth-copilot",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-09-07",
  "links_json": {
    "self": "https://www.healthaidb.com/software/autonomize-ai-prior-auth-copilot.json"
  }
}