Insurance Al for Prescribers

Qualify medication options and automate prior authorization

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Prior authorization throughput

14%

More approvals

Less Time

Reduce admin workload and save time

More Approvals

Minimize errors with automated form selection and answering

Peace of Mind

Get a response every time without follow up

Qualify Options

Check coverage and prior authorization requirements for multiple drugs at once

Review Answers

Check the AI-generated prior authorization answers before sending

Get Responses

Get notified when the payer sends a determination.

Reviews

Honestly I can't imagine work without the Develop Health product. We're now able to enhance patient value by optimizing both the volume and quality of our prior authorization submissions in a way that is hard to beat.

Allie Lahey RN

Clinical Support Specialist

Develop Health has overhauled our prior authorization process through holistic integration and auto-suggested answers. It's become an indispensable tool that improves both our operational efficiency and patient care.

Keaton Bedell

Head of Operations

Intelligent Form Selection

We take care of selecting and submitting the correct forms to the right payers - no more submission errors!

Seamless EHR Integration

All necessary documents are automatically pulled from your EHR and attached to submissions. Workflow is seamlessly integrated into the EHR.

Automated Follow-Up Calls

Our system manages all prior authorization follow-ups on your behalf, so you can focus on patient care.

Actionable Analytics

We provide clear and actionable recommendations to help you reduce denials and improve approval rates

FAQ

How does Develop Health differ from other solutions?

Develop Health leverages generative AI and automation to streamline the process. Unlike manual solutions, our platform integrates seamlessly with EHR systems and pharmacy workflows, reducing handling times by up to 83%. Additionally, we cover over 99% of insurance plans compared to the industry standard of 80%, as we meet PBMs where they are by submitting prior authorizations via ePA, fax, phone, or proprietary prior authorization portals.

How does Develop Health improve approval rates?

By leveraging AI-driven workflows and comprehensive payer coverage, Develop Health reduces errors and ensures that prior authorizations are submitted with all required information. This significantly increases first-pass approval rates. Based on the nature of denials, we suggest next steps, whether that be resubmission, additional data collection, or appeal. We also help improve upstream care templates and intake questionnaires to capture commonly missed data.

How does the platform integrate with existing workflows?

Develop Health integrates directly with EHR systems and pharmacy software, allowing seamless data sharing and minimal disruption to existing processes.

Does this still work if you haven't integrated with my EHR?

Yes, many customers start with a manual flow and transition to full electronic integration as their workflows evolve. We can also build an EHR integration within a 2-week timeframe.

Does the platform support any medication?

We support any medications under the pharmacy benefit.

How does Develop Health ensure security and compliance?

Develop Health is SOC 2 Type 2 and HIPAA compliant, ensuring the highest standards of data security and privacy. Additionally, HITRUST certification is on our roadmap for 2025. SOC 2 is the leading industry standard when it comes to security compliance and the most commonly required and accepted way to demonstrate security when conducting business in the United States. Created by the American Institute of CPAs (AICPA), the report assures customers, partners and investors that a business has a solid baseline of security and data protection guidelines in place. HIPAA compliance refers to the process of adhering to the Health Insurance Portability and Accountability Act (HIPAA) regulations, which mandate that healthcare providers and other covered entities protect the privacy and security of patients' personal health information (PHI) by implementing appropriate administrative, physical, and technical safeguards to prevent unauthorized access, use, or disclosure of that data.

How does the authorization kick off?

Develop Health takes over once the medication and coverage details are confirmed. From there, the platform automates form selection and submission. All information is then presented for your review before final submission. Then the platform automates payer follow-ups and anything required to get back a determination.

Does the platform support pharmacy-initiated prior authorizations?

Yes, the platform handles both provider and pharmacy-initiated prior authorizations to ensure flexibility for different workflows.

What kind of support does Develop Health provide?

We offer comprehensive onboarding, training, and ongoing support to ensure a smooth experience for all users. Our team is available for technical and workflow-related assistance.

Can you customize workflows for my organization's specific needs?

Yes, we work closely with customers to tailor workflows and integrations to their unique requirements.

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Contact

(650) 374-4543

1300 El Camino Real, Suite 100

Menlo Park, CA 94025