JSON twin: https://www.healthaidb.com/software/risa-labs.json
RISA Labs
RISA Labs provides an AI-powered workflow automation platform (BOSS) that automates oncology prior authorization, eligibility, medical necessity checks, submissions and related clinical operations to reduce treatment delays and administrative burden.
Commercial healthcare software that uses RPA, rules engines, LLMs and human-in-the-loop review to ingest EHR/payer data, verify eligibility/benefits, generate medical-necessity checklists aligned to payer and NCCN guidelines, auto-populate & submit payer-specific prior authorization forms (API, portals, eFax), and manage denials/appeals for oncology workflows.
yes
2024
P1434
2025-09-07
commercial proprietary
Contact vendor for pricing; enterprise deployments and ROI calculator available via vendor demo/waitlist.
enterprise_quote
product
1.0
{
"company_name": "RISA Labs",
"company_url": "https://www.risalabs.ai/",
"company_offices": [
"United States",
"India"
],
"company_founding": "2024",
"product_url": "https://www.risalabs.ai/",
"categories": [
"oncology",
"administrative",
"workflow automation",
"prior authorization",
"clinical decision support",
"interoperability",
"revenue cycle management"
],
"market_segment": [
"enterprise",
"smb"
],
"links": [
"https://www.risalabs.ai/",
"https://www.risalabs.ai/contact",
"https://www.risalabs.ai/privacy-policy",
"https://www.risalabs.ai/terms-of-use",
"https://elion.health/products/risa-labs",
"https://www.forbes.com/sites/davidprosser/2025/04/17/saving-lives-with-ai-that-gets-cancer-patients-treated-faster/",
"https://www.crunchbase.com/organization/risa-labs-ai",
"https://www.linkedin.com/company/risalabs"
],
"summary": "RISA Labs provides an AI-powered workflow automation platform (BOSS) that automates oncology prior authorization, eligibility, medical necessity checks, submissions and related clinical operations to reduce treatment delays and administrative burden.",
"description": "Commercial healthcare software that uses RPA, rules engines, LLMs and human-in-the-loop review to ingest EHR/payer data, verify eligibility/benefits, generate medical-necessity checklists aligned to payer and NCCN guidelines, auto-populate & submit payer-specific prior authorization forms (API, portals, eFax), and manage denials/appeals for oncology workflows.",
"target_users": [
"medical oncologists",
"radiation oncologists",
"surgical oncologists",
"hematologists",
"oncology RCM teams",
"prior authorization specialists",
"health system administrators",
"payers",
"clinical operations managers"
],
"specialties": [
"oncology",
"medical oncology",
"radiation oncology",
"surgical oncology",
"hematology-oncology",
"uro-oncology",
"neuro-oncology",
"gynecologic oncology",
"radiology (prior auth)"
],
"regions_available": [
"United States",
"India"
],
"languages_supported": [
"English"
],
"pricing_model": "enterprise_quote",
"pricing_details": "Contact vendor for pricing; enterprise deployments and ROI calculator available via vendor demo/waitlist.",
"license": "commercial proprietary",
"deployment_model": [
"SaaS",
"cloud"
],
"os_platforms": [
"Web"
],
"features": [
"Eligibility & benefits verification",
"Patient financial responsibility calculation",
"Medical necessity check (payer-specific + NCCN references)",
"Authorization necessity verification (dynamic rules engine)",
"Prior authorization form review, auto-population and submission (API/portal/e-fax)",
"RPA for portal automation",
"Rules engine with payer rule library",
"AI / LLM-based EHR reading and document validation",
"Human expert review and escalation for complex cases",
"Denial management & appeals",
"Claims submission & management",
"Payment posting & reconciliation",
"Clinical decision support for oncology",
"Support for multiple oncology subspecialties and workflows",
"Integration connectors to payers, clearinghouses and portals",
"Continuous learning feed from complex cases to improve AI"
],
"optional_modules": [
"Denial management & appeals module",
"Claims management & submission module",
"Payment posting & reconciliation module",
"Human expert review service",
"Advanced analytics / reporting"
],
"integrations": [
"Availity",
"Payer portals",
"Clearinghouses",
"EHRs (90+ EHR integrations supported)",
"HIEs / HINs (50+)",
"e-fax",
"MCG (guidelines)",
"Interqual (guidelines)"
],
"data_standards": [
"HL7 v2",
"FHIR",
"DICOM",
"X12",
"CDA / XML",
"JSON",
"ICD-10",
"SNOMED"
],
"api_available": "yes",
"system_requirements": "",
"compliance": [
"HIPAA",
"HITECH"
],
"certifications": [],
"security_features": [],
"privacy_features": [],
"data_residency": "",
"customers": [
"Odd Bird",
"Fairview Park Hospital"
],
"user_reviews": [],
"ratings": [],
"support_channels": [
"email"
],
"training_options": [
"documentation",
"webinars",
"live_online"
],
"release_year": "",
"integration_partners": [
"Availity",
"MCG (evidence/guidelines)",
"InterQual",
"McKesson",
"HL7/FHIR",
"DICOM",
"X12",
"e-fax",
"clearing houses",
"payer portals",
"EHRs (90+ integrations claimed)",
"HIEs / HINs"
],
"id": "P1434",
"slug": "risa-labs",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/risa-labs.json"
}
}