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If you need help choosing
We look at how your team actually operates, not a generic prior authorization software feature list, and narrow the real options down to the ones that fit. No commission on prior authorization software, no vendor bias.
Prior Authorization Software
Looking for Prior Authorization Software? Here's How to Actually Pick One.
Rhyme processes over four million prior authorizations a year for 83 of the largest provider groups, and its "gold carding" feature works directly with payers to eliminate some authorizations at the point of care entirely, rather than just speeding up the paperwork. Myndshft runs both medical and pharmacy prior auth through one AI-driven platform and claims a 90% reduction in staff time on benefit checks and PA adjudication. Cohere Health does similar work but sells to payers, not provider practices, which matters if you're shopping as the practice trying to get authorizations approved faster, not the health plan trying to issue them faster.
Finding the right fit, not the best-reviewed option
Business owners in healthcare consistently flag prior authorization as the single most-hated admin task in the building, and it's easy to see why: a staff member calls a payer, waits on hold, submits a fax or a portal form, then waits days for an answer a patient is waiting on too. We look at your payer mix, your EHR, and how much of this is already automated versus run by phone and fax, and narrow the field to what actually plugs into what you run instead of adding another login nobody checks.
n-frames helps you find, implement, or build prior authorization software, whichever actually fits how your team works. We're not tied to any one prior authorization software vendor, so our job is finding what actually fits, not pushing whichever platform we know best. We'll narrow the field, help you implement whichever prior authorization software you pick, and connect it to the rest of your business once it's in.
How we help, depending on where you're starting from
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If you've picked something and need it set up
Implementation, data migration, and connecting your prior authorization software to the rest of what your business runs on, so it's working on day one instead of half-configured for a month.
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If nothing on the market actually fits
We build it. Prior authorization software built around your actual operational style, not one you adapt your business to, with no learning curve for staff because it already matches how they work.
Where this usually connects to
Let's talk
Get a free quote before you decide
Tell us where things stand with prior authorization software, whether that's "we have no idea what to use" or "we picked something and it's not fitting." We'll tell you what's realistic.
Get a free quote → →Questions people ask
Who do I talk to about prior authorization software?
n-frames. We help you pick, implement, or build prior authorization software, whichever your business actually needs, and we're also the ones who connect it to everything else you run once it's in place.
How do you pick the right prior authorization software for us?
We start with how your team actually works, not a generic prior authorization software feature checklist. We'll ask what the day-to-day looks like, what's non-negotiable, and what's broken a different way in every prior authorization software option you're considering, then narrow it down to the ones that genuinely fit instead of the ones with the best marketing.
Do you get a commission or kickback from the software you recommend?
No. We're not an affiliate for any prior authorization software vendor, so there's no reason for us to steer you toward one option over another except whether it actually fits how you work.
What if nothing on the market actually fits our operation?
That happens more than people expect with prior authorization software, especially for businesses with a workflow that doesn't match how most off-the-shelf options assume a business like yours runs. When that's the case, we build a prior authorization software replacement custom around your actual process instead of asking your team to adapt to someone else's.
Is custom software harder for staff to learn than something off-the-shelf?
The opposite, usually, with prior authorization software specifically. Off-the-shelf prior authorization software has a learning curve because it's built for a generic version of your business, not yours specifically. We pick or build prior authorization software around how your team already works, so nobody has to learn a new way of doing their job, it matches the one they already have.
Is the quote really free with no obligation?
Yes. Tell us where things stand with prior authorization software, we'll tell you what it takes and what it costs, whether that's picking something off-the-shelf, implementing it, or building something custom. The decision on prior authorization software stays yours either way.
Do these tools replace our EHR or billing system?
No. Rhyme and Myndshft both sit alongside your EHR and practice management system, pulling the clinical and benefit data they need from what you already run rather than becoming a second system of record. We connect whichever one you pick to your actual EHR and billing workflow so staff aren't re-entering the same authorization twice.
We're a payer, not a provider. Does this still apply?
The buying decision is different. Cohere Health and similar clinical-intelligence platforms sell specifically to health plans looking to speed up their own review process, not to provider practices trying to get authorizations approved. Tell us which side of the authorization you're actually on and we'll point you at the right category.