PriorAuthNow, Inc.

PriorAuthNow, Inc. is a technology company focused on enhancing the prior authorization process in healthcare, providing innovative software solutions that streamline operations for both providers and payers. PriorAuthNow, Inc. simplifies the prior authorization process for healthcare providers and insurance companies.

Founded in 2016 in Columbus, US, the company has successfully completed 8 deals with its most recent deal occurring on February 14, 2022. It raised USD 25 mn in a Series C funding round led by Insight Partners, with participation from Health2047 Capital Partners and returning investor Panoramic Ventures. Amol Arora founded the company, while Joe Anstine serves as the CEO. PriorAuthNow offers a sophisticated software platform designed to automate and expedite the verification of insurance coverage for prescribed treatments and services.

By integrating with existing electronic health records and insurance databases, it enables healthcare professionals to submit prior authorization requests efficiently, thereby reducing administrative burdens and improving patient care timelines. The primary users include hospitals, outpatient clinics, and specialty medical practices across the United States, as well as insurance companies aiming for enhanced operational efficiency. PriorAuthNow generates revenue primarily through a subscription-based model tailored for healthcare providers and insurance companies. Clients can select from various subscription tiers, which may include additional features like analytics and reporting tools.

Transactions typically involve annual contracts with upfront payments for platform access and ongoing support, reflecting the platform’s value in reducing administrative costs and improving operational efficiency for users. Partnerships with healthcare organizations further contribute to the company’s revenue as it expands its reach with integrated solutions. Following its most recent funding round on February 14, 2022, where USD 25 mn was raised in Series C funding, PriorAuthNow plans to utilize the capital to bolster its growth and expand its network to meet customer demands. The company is targeting expansion into new geographical regions and plans to launch new products aimed at enhancing its service offerings, although specific regions and product release dates have not been disclosed.