JSON twin: https://www.healthaidb.com/software/experian-health-prior-authorization.json
Experian Health
https://www.experian.com/healthcare
Experian Health Prior Authorization (Authorizations) is an automated prior-authorization management service that uses a dynamic payer knowledgebase and AI to automate inquiries, submissions and status monitoring for healthcare providers.
Authorizations automates 100% of prior-authorization inquiries and backend submission workflows by leveraging a continuously updated national payer knowledgebase, multiple payer connection types, and AI-driven routing and auto-fill capabilities. The solution integrates with EHRs and billing systems, provides real-time payer rules and status monitoring, and reduces manual work, denials and turnaround time.
unknown
1996
P0583
2025-09-07
proprietary commercial
Contact vendor for pricing, tiers and trial information (sales inquiry required).
enterprise_quote
product
1.0
{
"company_name": "Experian Health",
"company_url": "https://www.experian.com/healthcare",
"company_offices": [
"United States",
"United Kingdom",
"Ireland",
"India",
"Australia",
"Canada",
"Brazil",
"Mexico",
"South Africa",
"Singapore"
],
"company_founding": "1996",
"product_url": "https://www.experian.com/healthcare/products/patient-access-registration/prior-authorization-software",
"categories": [
"administrative",
"revenue cycle management",
"patient access",
"prior authorization",
"automation",
"data and analytics"
],
"market_segment": [
"enterprise",
"smb"
],
"links": [
"https://www.experian.com/healthcare/products/patient-access-registration/prior-authorization-software",
"https://www.experian.com/content/dam/marketing/na/healthcare/brochures/authorizations-brochure.pdf",
"https://www.experian.com/blogs/healthcare/5-benefits-of-automating-prior-authorizations/",
"https://elion.health/products/experian-health-prior-authorization",
"https://www.experian.com/content/dam/marketing/na/healthcare/payer-lists/authorizations-payer-list.pdf",
"https://marketplace.aviahealth.com/product/25692",
"https://klasresearch.com/vendor-ratings/experian-health/63709",
"https://www.experian.com/healthcare/about",
"https://www.experianplc.com/about-us/our-history"
],
"summary": "Experian Health Prior Authorization (Authorizations) is an automated prior-authorization management service that uses a dynamic payer knowledgebase and AI to automate inquiries, submissions and status monitoring for healthcare providers.",
"description": "Authorizations automates 100% of prior-authorization inquiries and backend submission workflows by leveraging a continuously updated national payer knowledgebase, multiple payer connection types, and AI-driven routing and auto-fill capabilities. The solution integrates with EHRs and billing systems, provides real-time payer rules and status monitoring, and reduces manual work, denials and turnaround time.",
"target_users": [
"providers",
"revenue cycle staff",
"clinical schedulers",
"prior-authorization specialists",
"billing/coding teams",
"health system administrators",
"payers"
],
"specialties": [
"radiology/imaging",
"pharmacy/medications",
"cardiology",
"oncology",
"orthopedics",
"outpatient surgery",
"primary care"
],
"regions_available": [
"United States",
"Canada",
"United Kingdom",
"Australia"
],
"languages_supported": [
"English"
],
"pricing_model": "enterprise_quote",
"pricing_details": "Contact vendor for pricing, tiers and trial information (sales inquiry required).",
"license": "proprietary commercial",
"deployment_model": [
"SaaS"
],
"os_platforms": [
"Web"
],
"features": [
"Automated prior-authorization inquiries",
"Automated prior-authorization submissions",
"Payer connection routing (multiple connection types)",
"Dynamic payer knowledgebase (payer rules/requirements)",
"Auto-fill payer and claim data",
"AI-assisted workflow routing",
"Status monitoring and tracking",
"User-guided workflow with manual intervention prompts",
"Pre-submission validation to reduce denials",
"Reporting/case study-backed outcomes (operational efficiency)"
],
"optional_modules": [
""
],
"integrations": [
"Electronic Health Records (EHR) systems (unnamed)",
"Billing systems / revenue cycle systems",
"Payer portals / payer connectivity (multiple connection types)"
],
"data_standards": [
""
],
"api_available": "unknown",
"system_requirements": "",
"compliance": [
"HIPAA",
"HITECH",
"SOC 2 (Type II)"
],
"certifications": [
"SOC 2 Type II"
],
"security_features": [
"Encryption (in transit and at rest)",
"Audit logging",
"Access controls / role-based access",
"Annual third-party SOC 2 assessment"
],
"privacy_features": [
"Business Associate Agreement (BAA) available",
"Data protection and consent-focused controls"
],
"data_residency": "",
"customers": [
"Milwaukee Health Care Partnership",
"CareMount Medical",
"Heritage Medical Associates",
"HCA Healthcare"
],
"user_reviews": [],
"ratings": [],
"support_channels": [
"email",
"phone",
"chat",
"ticketing"
],
"training_options": [
"documentation",
"webinars",
"live_online",
"onsite"
],
"release_year": "",
"integration_partners": [
"Oracle Cerner"
],
"id": "P0583",
"slug": "experian-health-prior-authorization",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/experian-health-prior-authorization.json"
}
}