Myndshft
JSON twin: https://www.healthaidb.com/software/myndshft.json
Company Name
Myndshft Technologies
Product URL
https://www.myndshft.com/our-automated-prior-authorization-solutions/
Company URL
https://www.myndshft.com
Categories
Summary
Myndshft offers automated prior authorization solutions that streamline medical and pharmacy benefit processes, enhancing efficiency and reducing administrative burdens for healthcare providers and payers.
Description
Myndshft provides a unified platform that automates the entire prior authorization workflow, including eligibility and benefits verification, coordination of benefits, insurance discovery, patient financial responsibility, and prior authorization submission and monitoring. Built on generative AI and machine learning, the platform integrates seamlessly with existing healthcare systems, reducing manual tasks and accelerating access to care. It serves a wide range of stakeholders, including providers, payers, pharmacies, PBMs, and drug manufacturers, aiming to improve patient outcomes and operational efficiency. In April 2024, DrFirst acquired Myndshft Technologies to enhance medication management by addressing both pharmacy and medical benefits.
Api Available
yes
Certifications
- HITRUST CSF Certification
Company Founding
2018
Company Offices
Compliance
Customers
- Diagnostic Labs
- Imaging Labs
- Ambulatory Practice
Data Residency
US-based hosting
Data Standards
Deployment Model
Features
- Automated medical and pharmacy prior authorizations
- Real-time eligibility and benefits verification
- Coordination of benefits (primary, secondary, tertiary payers)
- Insurance discovery across 2,000+ payers and clearinghouse databases
- Patient financial responsibility estimation at point of service
- Automated prior authorization determination and submission
- Prior authorization status monitoring and tracking
- Machine learning to identify payer response patterns and reduce denials
- AI and analytics layer with de-identified data warehouse
- Self-learning rules engine and payer rules library (600+ payers)
- Payer integration layer (EDI submissions, portal workflow automation)
- M:IA integration/robotic process workflow engine
- CognitiveBus platform (AI compute engine + native enterprise blockchain)
- Smart contracts for automated business rules
- De-identification/PHI scrubbing for analytics
Id
SW1845
Integration Partners
- EHR systems
- payer systems
Integrations
- EMRs/EHRs
- Payers
- PBMs
- Clearinghouses
- Financial management systems/billing systems
- Google Cloud
Languages Supported
- English
- Spanish
- French
- German
- Italian
- Dutch
- Swedish
- Norwegian
- Danish
- Finnish
- Belgian Dutch
- Swiss German
- Austrian German
- Irish English
- New Zealand English
- Japanese
- Korean
- Chinese
- Portuguese
- Russian
Last Updated
2025-10-11
License
commercial
Market Segment
Optional Modules
- CognitiveBus
- M:IA integration
- AI and analytics layer
- Payer integration layer
- Self-learning rules engine
- De-identification/PHI scrubbing
Os Platforms
Pricing Details
Tiered subscription plans based on organization size and feature requirements; contact vendor for detailed pricing information.
Pricing Model
subscription
Privacy Features
- BAA available
- Consent management
- Anonymization
- Data minimization
Product Code
SW1845
Product Name
Myndshft
Ratings
Regions Available
Related Urls
Release Year
2015
Security Features
- Encryption
- RBAC
- Audit logs
- 2FA
Specialties
Support Channels
- email
- phone
- chat
- ticketing
- community
- 24x7
System Requirements
Google Cloud
Target Users
- clinicians
- nurses
- patients
- admins
- payers
- pharmacies
- PBMs
- drug manufacturers
Training Options
- documentation
- webinars
- live_online
- onsite
- certification
Type
product
User Reviews
- The concept is interesting. It seemed like it might fit our need.
- This tool is a great time saver. I can get insurance verification and medical policies in a fraction of the time I used to spend calling insurance companies.
- Sometimes it's not accurate and will lag when using.
Version
1.0
Alternatives
See related products
Canonical JSON
{
"product_name": "Myndshft",
"company_name": "Myndshft Technologies",
"product_url": "https://www.myndshft.com/our-automated-prior-authorization-solutions/",
"company_url": "https://www.myndshft.com",
"related_urls": [
"https://www.prnewswire.com/news-releases/drfirst-acquires-myndshft-technologies-to-revolutionize-medication-management-by-addressing-both-pharmacy-and-medical-benefits-302120178.html",
"https://elion.health/products/myndshft"
],
"product_code": "SW1845",
"summary": "Myndshft offers automated prior authorization solutions that streamline medical and pharmacy benefit processes, enhancing efficiency and reducing administrative burdens for healthcare providers and payers.",
"description": "Myndshft provides a unified platform that automates the entire prior authorization workflow, including eligibility and benefits verification, coordination of benefits, insurance discovery, patient financial responsibility, and prior authorization submission and monitoring. Built on generative AI and machine learning, the platform integrates seamlessly with existing healthcare systems, reducing manual tasks and accelerating access to care. It serves a wide range of stakeholders, including providers, payers, pharmacies, PBMs, and drug manufacturers, aiming to improve patient outcomes and operational efficiency. In April 2024, DrFirst acquired Myndshft Technologies to enhance medication management by addressing both pharmacy and medical benefits.",
"categories": [
"administrative Operations",
"clinical Care",
"patient Facing",
"diagnostic Support",
"healthcare It",
"healthcare Operations",
"data Integration",
"health Data Analytics",
"clinical Workflow Automation",
"Administrative",
"Clinical",
"Patient-facing",
"Diagnostic",
"Healthcare It",
"Healthcare Operations",
"Healthcare Integration",
"Healthcare Automation",
"Healthcare Analytics",
"Healthcare Workflow Management"
],
"market_segment": [
"enterprise",
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"consumer"
],
"target_users": [
"clinicians",
"nurses",
"patients",
"admins",
"payers",
"pharmacies",
"PBMs",
"drug manufacturers"
],
"specialties": [
"Radiology",
"Cardiology",
"Oncology",
"Orthopedics",
"Neurology",
"Pediatrics",
"Dermatology",
"Psychiatry",
"Obstetrics",
"Gynecology",
"Urology",
"Gastroenterology",
"Pulmonology",
"Endocrinology",
"Rheumatology",
"Hematology",
"Infectious Disease",
"Allergy And Immunology",
"Emergency Medicine",
"Family Medicine"
],
"regions_available": [
"United States",
"Canada",
"United Kingdom",
"Australia",
"Germany",
"France",
"Italy",
"Spain",
"Netherlands",
"Sweden",
"Norway",
"Denmark",
"Finland",
"Belgium",
"Switzerland",
"Austria",
"Ireland",
"New Zealand",
"Japan",
"South Korea"
],
"languages_supported": [
"English",
"Spanish",
"French",
"German",
"Italian",
"Dutch",
"Swedish",
"Norwegian",
"Danish",
"Finnish",
"Belgian Dutch",
"Swiss German",
"Austrian German",
"Irish English",
"New Zealand English",
"Japanese",
"Korean",
"Chinese",
"Portuguese",
"Russian"
],
"pricing_model": "subscription",
"pricing_details": "Tiered subscription plans based on organization size and feature requirements; contact vendor for detailed pricing information.",
"license": "commercial",
"company_offices": [
"United States",
"Canada",
"United Kingdom",
"Australia",
"Germany",
"France",
"Italy",
"Spain",
"Netherlands",
"Sweden"
],
"company_founding": "2018",
"deployment_model": [
"SaaS",
"cloud"
],
"os_platforms": [
"Web"
],
"features": [
"Automated medical and pharmacy prior authorizations",
"Real-time eligibility and benefits verification",
"Coordination of benefits (primary, secondary, tertiary payers)",
"Insurance discovery across 2,000+ payers and clearinghouse databases",
"Patient financial responsibility estimation at point of service",
"Automated prior authorization determination and submission",
"Prior authorization status monitoring and tracking",
"Machine learning to identify payer response patterns and reduce denials",
"AI and analytics layer with de-identified data warehouse",
"Self-learning rules engine and payer rules library (600+ payers)",
"Payer integration layer (EDI submissions, portal workflow automation)",
"M:IA integration/robotic process workflow engine",
"CognitiveBus platform (AI compute engine + native enterprise blockchain)",
"Smart contracts for automated business rules",
"De-identification/PHI scrubbing for analytics"
],
"optional_modules": [
"CognitiveBus",
"M:IA integration",
"AI and analytics layer",
"Payer integration layer",
"Self-learning rules engine",
"De-identification/PHI scrubbing"
],
"integrations": [
"EMRs/EHRs",
"Payers",
"PBMs",
"Clearinghouses",
"Financial management systems/billing systems",
"Google Cloud"
],
"data_standards": [
"HL7 FHIR",
"EDI"
],
"api_available": "yes",
"system_requirements": "Google Cloud",
"compliance": [
"HIPAA",
"HITRUST"
],
"certifications": [
"HITRUST CSF Certification"
],
"security_features": [
"Encryption",
"RBAC",
"Audit logs",
"2FA"
],
"privacy_features": [
"BAA available",
"Consent management",
"Anonymization",
"Data minimization"
],
"data_residency": "US-based hosting",
"customers": [
"Diagnostic Labs",
"Imaging Labs",
"Ambulatory Practice"
],
"user_reviews": [
"The concept is interesting. It seemed like it might fit our need.",
"This tool is a great time saver. I can get insurance verification and medical policies in a fraction of the time I used to spend calling insurance companies.",
"Sometimes it's not accurate and will lag when using."
],
"ratings": [
"3.5/5 on G2.com"
],
"support_channels": [
"email",
"phone",
"chat",
"ticketing",
"community",
"24x7"
],
"training_options": [
"documentation",
"webinars",
"live_online",
"onsite",
"certification"
],
"release_year": "2015",
"integration_partners": [
"EHR systems",
"payer systems"
],
"id": "SW1845",
"slug": "myndshft",
"type": "product",
"version": "1.0",
"last_updated": "2025-10-11",
"links_json": {
"self": "https://www.healthaidb.com/software/myndshft.json"
}
}