RISA Prior Authorization

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

Company Name

RISA Labs

Product URL

https://www.risa.health

Company URL

https://www.risa.health

Categories

• administrative Operations
• clinical Operations
• patient Facing
• diagnostic Support
• healthcare It
• clinical Workflow Automation
• compliance Management
• revenue Cycle
• data Integration
• ai Clinical Documentation Integrity
• clinical Decision Support
• Administrative
• Diagnostic
• Workflow Automation
• Revenue Cycle Management
• Artificial Intelligence

Summary

RISA Prior Authorization is an AI-driven solution that automates and streamlines the prior authorization process in healthcare, aiming to reduce denials and administrative burdens.

Description

RISA Prior Authorization leverages a Multi-Agent System (MAS) to automate various steps in the prior authorization workflow, including patient registration, insurance eligibility verification, authorization verification, and submission. This approach enhances accuracy, reduces administrative workload, and accelerates approval times, particularly in oncology care where prior authorization challenges are prevalent. The platform integrates seamlessly with existing Electronic Health Records (EHRs) and payer systems, ensuring compliance with evolving regulations and improving overall operational efficiency.

Api Available

yes

Certifications

• FDA 510(k)
• CE/MDR
• ONC
• ISO 27001

Company Founding

2022

Company Offices

• United States
• India

Compliance

• HIPAA
• HITECH
• SOC 2
• ISO 27001

Customers

Data Residency

US/EU regions

Data Standards

• FHIR
• HL7
• X12

Deployment Model

• SaaS

Features

• Automated patient registration and intake forms
• Insurance eligibility and coverage verification
• Prior authorization verification and alerts
• Adaptation to evolving payer protocols
• Prior authorization management
• Chart profiling and authorization documentation
• Automated prior authorization filing
• Status tracking and updates
• Appeal and denial management
• Automated PA review
• Approval and denial letter generation
• Expertise on complex cases
• Automated PA filing
• Status tracking and update
• Complete service support

Id

SW2171

Integration Partners

Integrations

• EHR systems
• Payer portals
• Availity
• Clearing houses

Languages Supported

• English
• Spanish
• French
• German
• Italian
• Dutch
• Swedish
• Norwegian
• Danish
• Finnish
• Portuguese
• Russian
• Chinese
• Japanese
• Korean
• Arabic
• Hindi
• Bengali
• Punjabi

Last Updated

2025-10-11

License

commercial

Market Segment

• enterprise
• smb

Optional Modules

• RISA Co-pilot
• RISA 360

Os Platforms

• Web

Pricing Details

Contact vendor for pricing information.

Pricing Model

subscription

Privacy Features

• BAA available
• Consent management
• Anonymization
• Data minimization

Product Code

SW2171

Product Name

RISA Prior Authorization

Ratings

Regions Available

• United States
• Canada
• United Kingdom
• Australia
• India
• Germany
• France
• Italy
• Spain
• Netherlands
• Sweden
• Norway
• Denmark
• Finland
• Belgium
• Switzerland
• Austria
• New Zealand
• Japan
• South Korea

Related Urls

• https://markets.financialcontent.com/stocks/article/newsfile-2024-1-18-healthtech-risa-launches-ai-platform-to-optimize-healthcare-prior-authorizations
• https://business.thepilotnews.com/thepilotnews/article/newsfile-2024-1-18-healthtech-risa-launches-ai-platform-to-optimize-healthcare-prior-authorizations
• https://elion.health/products/risa-labs

Release Year

2024

Security Features

• Encryption
• RBAC
• SSO/SAML
• Audit logs
• 2FA
• DLP

Specialties

• Oncology
• Radiology
• Cardiology
• Orthopedics
• Neurology
• Gastroenterology
• Pulmonology
• Dermatology
• Urology
• Obstetrics
• Gynecology
• Pediatrics
• Psychiatry
• Emergency Medicine
• Internal Medicine
• Family Medicine
• Ent
• Ophthalmology
• Endocrinology
• Rheumatology

Support Channels

System Requirements

Target Users

• clinicians
• nurses
• patients
• admins
• payers

Training Options

Type

product

User Reviews

Version

1.0

Alternatives

See related products

Canonical JSON

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  "product_name": "RISA Prior Authorization",
  "company_name": "RISA Labs",
  "product_url": "https://www.risa.health",
  "company_url": "https://www.risa.health",
  "related_urls": [
    "https://markets.financialcontent.com/stocks/article/newsfile-2024-1-18-healthtech-risa-launches-ai-platform-to-optimize-healthcare-prior-authorizations",
    "https://business.thepilotnews.com/thepilotnews/article/newsfile-2024-1-18-healthtech-risa-launches-ai-platform-to-optimize-healthcare-prior-authorizations",
    "https://elion.health/products/risa-labs"
  ],
  "product_code": "SW2171",
  "summary": "RISA Prior Authorization is an AI-driven solution that automates and streamlines the prior authorization process in healthcare, aiming to reduce denials and administrative burdens.",
  "description": "RISA Prior Authorization leverages a Multi-Agent System (MAS) to automate various steps in the prior authorization workflow, including patient registration, insurance eligibility verification, authorization verification, and submission. This approach enhances accuracy, reduces administrative workload, and accelerates approval times, particularly in oncology care where prior authorization challenges are prevalent. The platform integrates seamlessly with existing Electronic Health Records (EHRs) and payer systems, ensuring compliance with evolving regulations and improving overall operational efficiency.",
  "categories": [
    "administrative Operations",
    "clinical Operations",
    "patient Facing",
    "diagnostic Support",
    "healthcare It",
    "clinical Workflow Automation",
    "compliance Management",
    "revenue Cycle",
    "data Integration",
    "ai Clinical Documentation Integrity",
    "clinical Decision Support",
    "Administrative",
    "Clinical Operations",
    "Patient-facing",
    "Diagnostic",
    "Healthcare It",
    "Workflow Automation",
    "Compliance Management",
    "Revenue Cycle Management",
    "Data Integration",
    "Artificial Intelligence"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "target_users": [
    "clinicians",
    "nurses",
    "patients",
    "admins",
    "payers"
  ],
  "specialties": [
    "Oncology",
    "Radiology",
    "Cardiology",
    "Orthopedics",
    "Neurology",
    "Gastroenterology",
    "Pulmonology",
    "Dermatology",
    "Urology",
    "Obstetrics",
    "Gynecology",
    "Pediatrics",
    "Psychiatry",
    "Emergency Medicine",
    "Internal Medicine",
    "Family Medicine",
    "Ent",
    "Ophthalmology",
    "Endocrinology",
    "Rheumatology"
  ],
  "regions_available": [
    "United States",
    "Canada",
    "United Kingdom",
    "Australia",
    "India",
    "Germany",
    "France",
    "Italy",
    "Spain",
    "Netherlands",
    "Sweden",
    "Norway",
    "Denmark",
    "Finland",
    "Belgium",
    "Switzerland",
    "Austria",
    "New Zealand",
    "Japan",
    "South Korea"
  ],
  "languages_supported": [
    "English",
    "Spanish",
    "French",
    "German",
    "Italian",
    "Dutch",
    "Swedish",
    "Norwegian",
    "Danish",
    "Finnish",
    "Portuguese",
    "Russian",
    "Chinese",
    "Japanese",
    "Korean",
    "Arabic",
    "Hindi",
    "Bengali",
    "Punjabi"
  ],
  "pricing_model": "subscription",
  "pricing_details": "Contact vendor for pricing information.",
  "license": "commercial",
  "company_offices": [
    "United States",
    "India"
  ],
  "company_founding": "2022",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Automated patient registration and intake forms",
    "Insurance eligibility and coverage verification",
    "Prior authorization verification and alerts",
    "Adaptation to evolving payer protocols",
    "Prior authorization management",
    "Chart profiling and authorization documentation",
    "Automated prior authorization filing",
    "Status tracking and updates",
    "Appeal and denial management",
    "Automated PA review",
    "Approval and denial letter generation",
    "Expertise on complex cases",
    "Automated PA filing",
    "Status tracking and update",
    "Complete service support"
  ],
  "optional_modules": [
    "RISA Co-pilot",
    "RISA 360"
  ],
  "integrations": [
    "EHR systems",
    "Payer portals",
    "Availity",
    "Clearing houses"
  ],
  "data_standards": [
    "FHIR",
    "HL7",
    "X12"
  ],
  "api_available": "yes",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "HITECH",
    "SOC 2",
    "ISO 27001"
  ],
  "certifications": [
    "FDA 510(k)",
    "CE/MDR",
    "ONC",
    "ISO 27001"
  ],
  "security_features": [
    "Encryption",
    "RBAC",
    "SSO/SAML",
    "Audit logs",
    "2FA",
    "DLP"
  ],
  "privacy_features": [
    "BAA available",
    "Consent management",
    "Anonymization",
    "Data minimization"
  ],
  "data_residency": "US/EU regions",
  "customers": [],
  "user_reviews": [],
  "ratings": [],
  "support_channels": [],
  "training_options": [],
  "release_year": "2024",
  "integration_partners": [],
  "id": "SW2171",
  "slug": "risa-prior-authorization",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-10-11",
  "links_json": {
    "self": "https://www.healthaidb.com/software/risa-prior-authorization.json"
  }
}