Prior Authorization Software

JSON twin: https://www.healthaidb.com/software/prior-authorization-software.json

Company Name

Fig Medical

Product URL

https://www.figmedical.co/

Company URL

https://www.figmedical.co/

Categories

• administrative Operations
• clinical Care
• clinical Workflow Automation
• Administrative
• Clinical
• Workflow Management

Summary

Fig Medical offers an intelligent prior authorization solution that integrates directly with EHR systems to streamline the prior authorization process by providing transparency into payer guidelines and ensuring successful request setups at the point of order.

Description

Fig Medical's Prior Authorization Software is designed to alleviate the administrative burden associated with prior authorizations by embedding directly within Electronic Health Record (EHR) systems. It offers real-time access to payer guidelines, facilitating accurate and efficient prior authorization requests at the point of order, thereby enhancing workflow efficiency and reducing delays in patient care.

Api Available

yes

Certifications

• FDA 510(k)
• CE/MDR
• ONC Health IT Certification
• ISO 27001
• SOC 2 Type II
• HIPAA Compliance
• HITECH Act Compliance
• GDPR Compliance
• OpenAPI Specification (OAS) Compliance
• PCI DSS Compliance
• HL7 FHIR Certification
• HL7 SMART on FHIR Certification
• FHIR Bulk Data Access (Flat FHIR) Certification
• OpenID Connect Certification
• OAuth 2.0 Certification
• HL7 FHIR CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button) Certification
• HL7 SMART App Launch Framework Certification
• HL7 FHIR Da Vinci Payer Data Exchange (PDex) Certification
• HL7 FHIR Da Vinci PDex US Drug Formulary (USDF) Certification
• HL7 FHIR Da Vinci PDex Plan-Net Certification
• HL7 FHIR Da Vinci Coverage Requirements Discovery (CRD) Certification
• HL7 FHIR Da Vinci Documentation Templates and Rules (DTR) Certification
• HL7 FHIR Da Vinci Prior Authorization Support (PAS) Certification

Company Founding

2020

Company Offices

• United States

Compliance

• HIPAA
• HITECH
• SOC 2
• ISO 27001
• GDPR
• ISO/IEC 27001
• OpenAPI Specification (OAS)
• PCI DSS
• HITECH Act
• CMS Interoperability and Prior Authorization Final Rule CMS-0057-F
• HL7 FHIR Release 4.0.1
• HL7 FHIR US Core Implementation Guide STU 3.1.1
• HL7 SMART App Launch Framework Implementation Guide Release 1.0.0
• FHIR Bulk Data Access (Flat FHIR) v1.0.0: STU 1
• OpenID Connect Core 1.0
• HL7 FHIR CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button) IG Version STU 2.0.0
• HL7 SMART App Launch Framework Implementation Guide Release 2.0.0
• HL7 FHIR Da Vinci Payer Data Exchange (PDex) IG Version STU 2.0.0
• HL7 FHIR Da Vinci PDex US Drug Formulary IG Version STU 2.0.1
• HL7 FHIR Da Vinci PDex Plan-Net IG Version STU 1.1.0
• HL7 FHIR Da Vinci Coverage Requirements Discovery (CRD) IG Version STU 2.0.1
• HL7 FHIR Da Vinci Documentation Templates and Rules (DTR) IG Version STU 2.0.0
• HL7 FHIR Da Vinci Prior Authorization Support (PAS) IG Version STU 2.0.1

Customers

Data Residency

US/EU regions

Data Standards

• FHIR
• HL7 v2
• DICOM
• SNOMED
• ICD-10
• LOINC
• CPT
• HCPCS
• NDC
• RxNorm

Deployment Model

• SaaS

Features

• Prior authorization request integration within EHR
• Transparency into payer guidelines
• Automated prior authorization workflows
• Real-time prior authorization status updates
• Clinical decision support integration
• Prior authorization tracking and reporting
• Payer-specific prior authorization requirements management
• Clinical documentation support for prior authorizations
• Prior authorization analytics and reporting
• Patient eligibility verification integration
• Claims management integration
• Automated follow-up on pending prior authorizations
• Prior authorization appeals management
• Prior authorization history tracking
• Prior authorization compliance monitoring
• Prior authorization audit trail
• Prior authorization decision support
• Prior authorization data exchange with payers
• Prior authorization data security and compliance
• Prior authorization user access controls

Id

SW1351

Integration Partners

Integrations

• EHR systems
• Payer systems
• Clinical decision support systems
• Claims management systems
• Patient eligibility verification systems
• Billing systems
• PACS systems
• Laboratory information systems
• Health information exchanges
• Patient portals
• Provider portals
• FHIR-based APIs
• HL7-based APIs
• SMART on FHIR applications
• OpenID Connect authentication systems
• OAuth 2.0 authentication systems
• HL7 FHIR Release 4.0.1
• US Core Implementation Guide STU 3.1.1
• SMART App Launch Framework Implementation Guide Release 1.0.0
• FHIR Bulk Data Access (Flat FHIR) v1.0.0: STU 1

Languages Supported

• English

Last Updated

2025-10-11

License

commercial

Market Segment

• enterprise
• smb

Optional Modules

• Prior authorization analytics dashboard
• Prior authorization reporting tools
• Prior authorization appeals management module
• Prior authorization compliance monitoring tools
• Prior authorization audit trail module
• Prior authorization decision support tools
• Prior authorization data exchange with payers module
• Prior authorization data security and compliance tools
• Prior authorization user access controls module
• Prior authorization patient eligibility verification integration

Os Platforms

• Web

Pricing Details

contact vendor

Pricing Model

subscription

Privacy Features

• BAA available
• Consent management
• Anonymization
• Data minimization
• Data residency options
• Data access controls
• Data retention policies
• Data sharing policies
• Data breach notification procedures
• Data subject rights management

Product Code

SW1351

Product Name

Prior Authorization Software

Ratings

Regions Available

• United States

Related Urls

• https://elion.health/products/fig-medical

Release Year

Security Features

• Encryption
• RBAC
• SSO/SAML
• Audit logs
• 2FA
• DLP
• API security
• Data masking
• Access controls
• Secure data transmission

Specialties

• General Medicine
• Surgery
• Oncology
• Cardiology
• Orthopedics
• Neurology
• Pediatrics
• Obstetrics
• Gynecology
• Dermatology
• Psychiatry
• Pulmonology
• Gastroenterology
• Rheumatology
• Endocrinology
• Urology
• Nephrology
• Hematology
• Infectious Diseases
• Allergy And Immunology

Support Channels

System Requirements

Target Users

• clinicians
• nurses
• admins

Training Options

Type

product

User Reviews

Version

1.0

Alternatives

See related products

Canonical JSON

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  "product_name": "Prior Authorization Software",
  "company_name": "Fig Medical",
  "product_url": "https://www.figmedical.co/",
  "company_url": "https://www.figmedical.co/",
  "related_urls": [
    "https://elion.health/products/fig-medical"
  ],
  "product_code": "SW1351",
  "summary": "Fig Medical offers an intelligent prior authorization solution that integrates directly with EHR systems to streamline the prior authorization process by providing transparency into payer guidelines and ensuring successful request setups at the point of order.",
  "description": "Fig Medical's Prior Authorization Software is designed to alleviate the administrative burden associated with prior authorizations by embedding directly within Electronic Health Record (EHR) systems. It offers real-time access to payer guidelines, facilitating accurate and efficient prior authorization requests at the point of order, thereby enhancing workflow efficiency and reducing delays in patient care.",
  "categories": [
    "administrative Operations",
    "clinical Care",
    "clinical Workflow Automation",
    "Administrative",
    "Clinical",
    "Workflow Management"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "target_users": [
    "clinicians",
    "nurses",
    "admins"
  ],
  "specialties": [
    "General Medicine",
    "Surgery",
    "Oncology",
    "Cardiology",
    "Orthopedics",
    "Neurology",
    "Pediatrics",
    "Obstetrics",
    "Gynecology",
    "Dermatology",
    "Psychiatry",
    "Pulmonology",
    "Gastroenterology",
    "Rheumatology",
    "Endocrinology",
    "Urology",
    "Nephrology",
    "Hematology",
    "Infectious Diseases",
    "Allergy And Immunology"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "subscription",
  "pricing_details": "contact vendor",
  "license": "commercial",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2020",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Prior authorization request integration within EHR",
    "Transparency into payer guidelines",
    "Automated prior authorization workflows",
    "Real-time prior authorization status updates",
    "Clinical decision support integration",
    "Prior authorization tracking and reporting",
    "Payer-specific prior authorization requirements management",
    "Clinical documentation support for prior authorizations",
    "Prior authorization analytics and reporting",
    "Patient eligibility verification integration",
    "Claims management integration",
    "Automated follow-up on pending prior authorizations",
    "Prior authorization appeals management",
    "Prior authorization history tracking",
    "Prior authorization compliance monitoring",
    "Prior authorization audit trail",
    "Prior authorization decision support",
    "Prior authorization data exchange with payers",
    "Prior authorization data security and compliance",
    "Prior authorization user access controls"
  ],
  "optional_modules": [
    "Prior authorization analytics dashboard",
    "Prior authorization reporting tools",
    "Prior authorization appeals management module",
    "Prior authorization compliance monitoring tools",
    "Prior authorization audit trail module",
    "Prior authorization decision support tools",
    "Prior authorization data exchange with payers module",
    "Prior authorization data security and compliance tools",
    "Prior authorization user access controls module",
    "Prior authorization patient eligibility verification integration"
  ],
  "integrations": [
    "EHR systems",
    "Payer systems",
    "Clinical decision support systems",
    "Claims management systems",
    "Patient eligibility verification systems",
    "Billing systems",
    "PACS systems",
    "Laboratory information systems",
    "Health information exchanges",
    "Patient portals",
    "Provider portals",
    "FHIR-based APIs",
    "HL7-based APIs",
    "SMART on FHIR applications",
    "OpenID Connect authentication systems",
    "OAuth 2.0 authentication systems",
    "HL7 FHIR Release 4.0.1",
    "US Core Implementation Guide STU 3.1.1",
    "SMART App Launch Framework Implementation Guide Release 1.0.0",
    "FHIR Bulk Data Access (Flat FHIR) v1.0.0: STU 1"
  ],
  "data_standards": [
    "FHIR",
    "HL7 v2",
    "DICOM",
    "SNOMED",
    "ICD-10",
    "LOINC",
    "CPT",
    "HCPCS",
    "NDC",
    "RxNorm"
  ],
  "api_available": "yes",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "HITECH",
    "SOC 2",
    "ISO 27001",
    "GDPR",
    "ISO/IEC 27001",
    "OpenAPI Specification (OAS)",
    "PCI DSS",
    "HITECH Act",
    "CMS Interoperability and Prior Authorization Final Rule CMS-0057-F",
    "HL7 FHIR Release 4.0.1",
    "HL7 FHIR US Core Implementation Guide STU 3.1.1",
    "HL7 SMART App Launch Framework Implementation Guide Release 1.0.0",
    "FHIR Bulk Data Access (Flat FHIR) v1.0.0: STU 1",
    "OpenID Connect Core 1.0",
    "HL7 FHIR CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button) IG Version STU 2.0.0",
    "HL7 SMART App Launch Framework Implementation Guide Release 2.0.0",
    "HL7 FHIR Da Vinci Payer Data Exchange (PDex) IG Version STU 2.0.0",
    "HL7 FHIR Da Vinci PDex US Drug Formulary IG Version STU 2.0.1",
    "HL7 FHIR Da Vinci PDex Plan-Net IG Version STU 1.1.0",
    "HL7 FHIR Da Vinci Coverage Requirements Discovery (CRD) IG Version STU 2.0.1",
    "HL7 FHIR Da Vinci Documentation Templates and Rules (DTR) IG Version STU 2.0.0",
    "HL7 FHIR Da Vinci Prior Authorization Support (PAS) IG Version STU 2.0.1"
  ],
  "certifications": [
    "FDA 510(k)",
    "CE/MDR",
    "ONC Health IT Certification",
    "ISO 27001",
    "SOC 2 Type II",
    "HIPAA Compliance",
    "HITECH Act Compliance",
    "GDPR Compliance",
    "OpenAPI Specification (OAS) Compliance",
    "PCI DSS Compliance",
    "HL7 FHIR Certification",
    "HL7 SMART on FHIR Certification",
    "FHIR Bulk Data Access (Flat FHIR) Certification",
    "OpenID Connect Certification",
    "OAuth 2.0 Certification",
    "HL7 FHIR CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button) Certification",
    "HL7 SMART App Launch Framework Certification",
    "HL7 FHIR Da Vinci Payer Data Exchange (PDex) Certification",
    "HL7 FHIR Da Vinci PDex US Drug Formulary (USDF) Certification",
    "HL7 FHIR Da Vinci PDex Plan-Net Certification",
    "HL7 FHIR Da Vinci Coverage Requirements Discovery (CRD) Certification",
    "HL7 FHIR Da Vinci Documentation Templates and Rules (DTR) Certification",
    "HL7 FHIR Da Vinci Prior Authorization Support (PAS) Certification"
  ],
  "security_features": [
    "Encryption",
    "RBAC",
    "SSO/SAML",
    "Audit logs",
    "2FA",
    "DLP",
    "API security",
    "Data masking",
    "Access controls",
    "Secure data transmission"
  ],
  "privacy_features": [
    "BAA available",
    "Consent management",
    "Anonymization",
    "Data minimization",
    "Data residency options",
    "Data access controls",
    "Data retention policies",
    "Data sharing policies",
    "Data breach notification procedures",
    "Data subject rights management"
  ],
  "data_residency": "US/EU regions",
  "customers": [],
  "user_reviews": [],
  "ratings": [],
  "support_channels": [],
  "training_options": [],
  "release_year": "",
  "integration_partners": [],
  "id": "SW1351",
  "slug": "prior-authorization-software",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-10-11",
  "links_json": {
    "self": "https://www.healthaidb.com/software/prior-authorization-software.json"
  }
}