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Top Prior Authorization Tools software.

25 ranked tools · How we rank

Filters apply to the listings on this page.

Tied for rank 1
Availity logo
Availity
FOUNDED 2001 · LISTED · 500+ EMPLOYEES

Nationwide healthcare clearinghouse and payer connectivity platform.

Free to start · Cloud · 7 integrations

2.6 on Google (23)

ClearinghouseClaims ProcessingElectronic ClaimsEligibility Checks+4 more
HEADQUARTERS
Jacksonville, FL
TEAM
500+ employees
RATING
2.6
23 ON GOOGLE
›
Tied for rank 1
ClaimTek logo
ClaimTek
LISTED

From $29,995/mo · Hybrid · 8 integrations

4.7 on Google (42)

ClearinghouseClaims ProcessingElectronic ClaimsEligibility Checks+4 more
HEADQUARTERS
—
RATING
4.7
42 ON GOOGLE
›
Tied for rank 1
Kareo
LISTED

From $349/mo · Cloud · 6 integrations

ClearinghouseClaims ProcessingElectronic ClaimsEligibility Checks+4 more
HEADQUARTERS
—
RATING
No reviews
›
Tied for rank 1
pMD logo
pMD
LISTED

From $10/mo · Cloud · 4 integrations

5.0 on Google (1)

ClearinghouseClaims ProcessingElectronic ClaimsEligibility Checks+4 more
HEADQUARTERS
—
RATING
5.0
1 ON GOOGLE
›
Tied for rank 5
DentalXChange logo
DentalXChange
LISTED

Cloud · 5 integrations

3.7 on Google (57)

ClearinghouseClaims ProcessingElectronic ClaimsEligibility Checks+4 more
HEADQUARTERS
—
RATING
3.7
57 ON GOOGLE
›
Tied for rank 5
Experian Health logo
Experian Health
LISTED

Cloud · 3 integrations

3.7 on Google (3)

ClearinghouseClaims ProcessingElectronic ClaimsEligibility Checks+4 more
HEADQUARTERS
—
RATING
3.7
3 ON GOOGLE
›
Tied for rank 5
Navicure
LISTED

Cloud · 4 integrations

ClearinghouseClaims ProcessingElectronic ClaimsEligibility Checks+4 more
HEADQUARTERS
—
RATING
No reviews
›
Tied for rank 5
Waystar logo
Waystar
FOUNDED 2017 · LISTED · 500+ EMPLOYEES

Revenue cycle technology platform spanning claims, payments, and analytics.

Cloud · 1 integration

3.8 on Google (16)

ClearinghouseClaims ProcessingElectronic ClaimsEligibility Checks+4 more
HEADQUARTERS
Louisville, KY
TEAM
500+ employees
RATING
3.8
16 ON GOOGLE
›
Tied for rank 5
ZirMed
LISTED

Cloud · 3 integrations

ClearinghouseClaims ProcessingElectronic ClaimsEligibility Checks+4 more
HEADQUARTERS
—
RATING
No reviews
›
Tied for rank 10
Cohere Health logo
Cohere Health
LISTED

Cloud · 8 integrations

Claims ProcessingPrior Authorization Tools
HEADQUARTERS
—
RATING
No reviews
›
Tied for rank 10
CoverMyMeds
LISTED

Free to start · Cloud · 6 integrations

Prior Authorization Tools
HEADQUARTERS
—
RATING
No reviews
›
Tied for rank 10
DrChrono logo
DrChrono
LISTED

From $199/mo · Cloud · 20 integrations

ClearinghouseClaims ProcessingElectronic ClaimsEligibility Checks+3 more
HEADQUARTERS
—
RATING
No reviews
›
Tied for rank 10
Edifecs
LISTED

Hybrid · 11 integrations

4.8 on Google (24)

ClearinghouseClaims ProcessingElectronic ClaimsEligibility Checks+2 more
HEADQUARTERS
—
RATING
4.8
24 ON GOOGLE
›
Tied for rank 10
Infinx Healthcare
LISTED

Cloud · 5 integrations

ClearinghouseClaims ProcessingElectronic ClaimsEligibility Checks+4 more
HEADQUARTERS
—
RATING
No reviews
›
Tied for rank 10
Innovaccer logo
Innovaccer
LISTED

Cloud · 10 integrations

4.3 on Google (304)

Claims ProcessingEligibility ChecksPayer ConnectivityPrior Authorization Tools
HEADQUARTERS
—
RATING
4.3
304 ON GOOGLE
›
Tied for rank 10
Myndshft logo
Myndshft
LISTED

Cloud · 8 integrations

4.5 on Google (4)

Eligibility ChecksPayer ConnectivityPrior Authorization Tools
HEADQUARTERS
—
RATING
4.5
4 ON GOOGLE
›
Tied for rank 10
NueMD
FOUNDED 1993 · LISTED · 51-200 EMPLOYEES

Practice management and medical billing solution for outpatient providers.

From $99/mo · Cloud

3.2 on Google (5)

ClearinghouseClaims ProcessingElectronic ClaimsEligibility Checks+4 more
HEADQUARTERS
Atlanta, GA
TEAM
51-200 employees
RATING
3.2
5 ON GOOGLE
›
Tied for rank 10
PrognoCIS logo
PrognoCIS
LISTED

From $280/mo · Cloud · 8 integrations

Claims ProcessingClaim ScrubbingPrior Authorization Tools
HEADQUARTERS
—
RATING
No reviews
›
Tied for rank 10
SamaCare logo
SamaCare
LISTED

Free to start · Cloud · 4 integrations

Prior Authorization Tools
HEADQUARTERS
—
RATING
No reviews
›
Tied for rank 10
Surescripts
LISTED

Cloud · 10 integrations

4.9 on Google (8)

Eligibility ChecksERA / EOB ProcessingPayer ConnectivityPrior Authorization Tools
HEADQUARTERS
—
RATING
4.9
8 ON GOOGLE
›

Compare at a glance

Prior Authorization Tools tools on this page, in ranked order. Facts as each vendor's profile lists them; "Not listed" means the vendor has not published it. Google ratings are Google's, shown for reference, and are not part of the Index.
ProductStarting priceFree tierDeploymentIntegrationsRating on Google
AvailityFreeYesCloud72.6 (23)
ClaimTek$29,995/moNoHybrid84.7 (42)
Kareo$349/moNoCloud6Not listed
pMD$10/moNoCloud45.0 (1)
DentalXChangeNot listedNoCloud53.7 (57)
Experian HealthNot listedNoCloud33.7 (3)
NavicureNot listedNoCloud4Not listed
WaystarNot listedNoCloud13.8 (16)
ZirMedNot listedNoCloud3Not listed
Cohere HealthNot listedNoCloud8Not listed
CoverMyMedsFreeYesCloud6Not listed
DrChrono$199/moNoCloud20Not listed
EdifecsNot listedNoHybrid114.8 (24)
Infinx HealthcareNot listedNoCloud5Not listed
InnovaccerNot listedNoCloud104.3 (304)
MyndshftNot listedNot listedCloud84.5 (4)
NueMD$99/moNoCloudNot listed3.2 (5)
PrognoCIS$280/moNoCloud8Not listed
SamaCareFreeYesCloud4Not listed
SurescriptsNot listedNoCloud104.9 (8)
Showing 1–20 of 25
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More Clearinghouse & Claims software

Other software categories

§ Subcategory FAQ

The questions buyers ask before shortlisting.

Answered against the same disclosed methodology that powers every ranking on this page.

§FAQ.01

What is ABA Prior Authorization Tools?

ABA prior authorization tools is a software category inside the broader clearinghouse & claims stack used by Applied Behavior Analysis providers. ABA Rank indexes 25 tools in this subcategory and scores each on the same disclosed 100-point Index - qualified public reviews, decision facts, and primary-category fit - so buyers can compare apples-to-apples without a sponsored marketplace. No paid tier is an input to that score.

§FAQ.02

How does ABA Rank rank prior authorization tools tools?

Every tool in the Prior Authorization Tools subcategory is scored on the same 100-point Index used across the rest of ABA Rank: 60 points from qualified public reviews, 35 points from decision facts (pricing, integrations, a recently checked price, and deployment model), and 5 points from primary-category fit. As of methodology v3.0 no paid product contributes any Index points, and sponsored placements render in labeled slots above the ranked list rather than mixing into it. Methodology is fully disclosed at /how-we-rank.

§FAQ.03

Which prior authorization tools tool ranks #1 on ABA Rank today?

The current #1 in Prior Authorization Tools is the top entry on this page; rankings refresh every night so the leader can change between visits. ABA Rank does not endorse a single permanent winner - the public Index recomputes from its three disclosed inputs (qualified public reviews, decision facts, and primary-category fit) on a nightly cadence, and any tool that improves its disclosed inputs can move up.

§FAQ.04

How many prior authorization tools tools are listed on ABA Rank?

25 tools are currently ranked under Prior Authorization Tools on ABA Rank. 1 of 25 is claimed - meaning the vendor's own team manages the profile. The directory is an editorial index of operating U.S. ABA tools; defunct or out-of-market entries are removed.

§FAQ.05

What does Verified mean for prior authorization tools tool on ABA Rank?

Verified means the listing subscribes to ABA Rank Verified, a review of the listing itself: that the product’s team controls it (proven with a work email at the product’s own domain), that its website answers over HTTPS, and that the profile is substantially complete. Software runs every check it can confirm and a reviewer handles the rest; the profile shows the date the review passed, or that it is still in progress. Verified products carry a seal; unverified products remain ranked but are clearly marked. Verification is not a paid ranking boost.

§FAQ.06

How much do prior authorization tools tools cost?

Pricing varies by seat count, modules, and contract length, and most prior authorization tools vendors quote per-clinician or per-clinic. Where it has been recorded, a product’s profile shows its starting price (dated, or marked self-reported) and whether it has a free tier. ABA Rank does not publish pricing models or price bands, and a starting price is not a quote, so confirm the full cost with the vendor.

§FAQ.07

How does ABA Rank decide which tools qualify for Prior Authorization Tools?

Owners choose their categories; ABA Rank reviews and removes ones that don’t fit. Tools that span multiple subcategories appear in each one rather than being forced into a single bucket.

§FAQ.08

How can a tool get listed in Prior Authorization Tools?

Any owner or authorized representative of an eligible tool can claim a free listing. Claimed profiles unlock the editable fields that drive the Index, and Verified ($490/yr) and Sponsor ($1,490/yr) tiers are optional paid upgrades disclosed in the methodology. New tools that are not yet on ABA Rank can be submitted at /suggest-vendor; submissions are reviewed weekly and approved listings typically appear within seven to ten days.