JSON twin: https://www.healthaidb.com/software/develop-health.json
Develop Health
Develop Health is an AI-powered platform that automates medication benefit verification and prior authorization workflows to increase approval rates and reduce administrative time.
Develop Health uses generative AI and automation to select and populate payer forms, submit prior authorizations (via ePA, fax, phone, or portal), follow up with payers, and surface analytics to reduce denials and improve throughput. The platform integrates with EHRs and pharmacy systems, supports provider- and pharmacy-initiated workflows, and is SOC 2 Type II and HIPAA compliant.
yes
2022
P0469
2025-09-07
commercial proprietary
Contact vendor for pricing, custom onboarding and integration. Trial/contact for demo available via website.
enterprise_quote
SaaS API - requires API key (Bearer JWT); no on-prem requirements listed
product
1.0
{
"company_name": "Develop Health",
"company_url": "https://www.develophealth.ai/",
"company_offices": [
"United States"
],
"company_founding": "2022",
"product_url": "https://www.develophealth.ai/",
"categories": [
"AI Prior Authorization for Providers",
"Prior Authorization",
"Eligibility Checking",
"Payer-Facing AI Phone Calls"
],
"market_segment": [
"enterprise",
"smb",
"provider"
],
"links": [
"https://www.develophealth.ai/",
"https://docs.develophealth.ai/",
"https://www.develophealth.ai/team",
"https://www.develophealth.ai/privacy-notice",
"https://www.develophealth.ai/terms-of-use",
"https://elion.health/products/develop-health",
"https://www.linkedin.com/company/develop-health/",
"https://www.crunchbase.com/organization/develop-health"
],
"summary": "Develop Health is an AI-powered platform that automates medication benefit verification and prior authorization workflows to increase approval rates and reduce administrative time.",
"description": "Develop Health uses generative AI and automation to select and populate payer forms, submit prior authorizations (via ePA, fax, phone, or portal), follow up with payers, and surface analytics to reduce denials and improve throughput. The platform integrates with EHRs and pharmacy systems, supports provider- and pharmacy-initiated workflows, and is SOC 2 Type II and HIPAA compliant.",
"target_users": [
"prescribers/clinicians",
"pharmacy staff",
"nurses",
"care coordinators",
"clinic administrators",
"specialty pharmacy operations"
],
"specialties": [
"pharmacy",
"ambulatory care",
"specialty pharmacy",
"outpatient medications"
],
"regions_available": [
"United States"
],
"languages_supported": [
"English"
],
"pricing_model": "enterprise_quote",
"pricing_details": "Contact vendor for pricing, custom onboarding and integration. Trial/contact for demo available via website.",
"license": "commercial proprietary",
"deployment_model": [
"SaaS"
],
"os_platforms": [
"Web"
],
"features": [
"Benefit verification (real-time coverage & patient cost estimation)",
"Automated prior authorization submission",
"PBM search",
"AI-driven phone calling for benefit verification",
"Transcript parsing (call transcript -> structured data)",
"Inbound fax parsing and extraction",
"Omni-channel submission pathways (fax/portal/phone)",
"Regular status checks / case tracking",
"Denial risk alerting",
"Proactive reauthorizations",
"Analytics & reporting",
"Patient enrollment / support enrollment automation",
"AI-form filling (autofill prior auth forms)",
"Webhooks for event notifications",
"Authentication / API key based bearer token auth"
],
"optional_modules": [
"Clinical Qualification (PA policy search & eligibility evaluation) - coming soon",
"Human fallback for AI calls",
"Proactive reauthorization module",
"Omni-channel submission adapter"
],
"integrations": [
"EHR systems (unnamed / EHR integration via API/webhooks)",
"PBMs (pharmacy benefit managers) lookup/connectivity",
"OpenAI (LLM integration)",
"Telephony/automated voice providers (for AI calling)",
"Fax ingestion providers",
"Webhook consumers / custom integrations via API"
],
"data_standards": [],
"api_available": "yes",
"system_requirements": "SaaS API - requires API key (Bearer JWT); no on-prem requirements listed",
"compliance": [
"HIPAA",
"Business Associate Agreement (BAA) practices (with OpenAI)",
"SOC 2 (in audit / planned)"
],
"certifications": [
"SOC 2 (in audit window / planned)"
],
"security_features": [
"Industry-standard data security measures (transmission/storage protections)",
"vCISO partnership for security oversight",
"Audit/logging capabilities",
"Authentication via API keys (Bearer tokens)"
],
"privacy_features": [
"HIPAA-aligned privacy practices",
"Business Associate Agreement (BAA) availability (noted with OpenAI)",
"Zero data retention policy for data sent to OpenAI"
],
"data_residency": "",
"customers": [],
"user_reviews": [],
"ratings": [],
"support_channels": [
"phone",
"contact_form",
"documentation",
"onboarding/training",
"technical_support"
],
"training_options": [
"documentation",
"live_online",
"onboarding",
"custom_implementation"
],
"release_year": "",
"integration_partners": [],
"id": "P0469",
"slug": "develop-health",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/develop-health.json"
}
}