Myndshft
End-to-end prior authorization for medical and pharmacy benefits.
4.3
our score
HIPAA CompliantBAA Availableenterprise
Visit MyndshftOverview
Myndshft works directly with providers to automate prior authorization across both medical and pharmacy benefits in a single platform, maintaining rules for over 600 payers. The system pulls clinical data from the EHR, compares documentation against each payer's medical necessity criteria using natural language processing, and submits electronically — flagging exactly what documentation is missing before submission rather than after a denial. Myndshft focuses on eliminating manual work throughout the entire workflow, reducing total PA time from roughly 50 minutes to under 5.
Pros
- +Handles both medical and pharmacy PA
- +Massive payer rule library
- +Cuts PA time dramatically (50 min to under 5)
- +Provider-facing (not payer-gated)
- +Flags gaps before denial
Cons
- -Enterprise pricing only
- -No public pricing
- -Implementation takes 4-12 weeks
- -Best for higher PA volumes
Features
Medical and pharmacy PA in one platform600+ payer rule libraryNLP documentation matchingPre-submission gap detectionElectronic submissionEHR data extractionEnd-to-end workflow automation
Integrations
Major EHR systems; 600+ payer connections