- Prior authorization requirement automation for healthcare buyers
- Built specifically for prior authorization teams, not bolt-on AI
- Scales to organization-wide healthcare rollouts
Best for
Payers and provider organizations
Pricing
Custom
SoftFinders Score
6.9 / 10
Overview
What is Itiliti Health?
Itiliti Health is an AI prior authorization company for payers and providers that automates requirement checks, documentation workflows, and authorization processes.
- Workflow focus: The product centers on payer-provider workflow and documentation automation rather than guaranteed approvals; outcomes still depend on payer policy and case clinical detail.
- Buyer fit: Payers and provider organizations are the core audience, especially teams evaluating authorization requirement automation across active utilization management programs at scale.
- Implementation checks: Buyers should confirm payer connection depth, EHR evidence retrieval, and reporting fit before rollout across workflows.
- Commercial model: Pricing is sales-led and scoped per buyer rather than posted publicly; a focused pilot around one workflow can test fit.
Overall, Itiliti Health fits organizations prioritizing authorization workflow automation while retaining payer-policy-dependent outcomes and careful implementation planning before rollout.
KEY FEATURES
What you get out of the box
Payer Integration
Connects with payer review platforms
Status Tracking
Tracks auth status across submissions
Documentation Pull
Pulls supporting documentation from the EHR
Workflow Routing
Routes auth tasks through the team
Provider Portal
Provider portal for status and submission
Reporting Tools
Reports on authorization cycle times
USE CASES
Where teams put it to work
Editorial Take
What we like, and what to verify
- Outcomes still depend on payer policy
- Implementation needs clinical and IT coordination
- Pricing is sales-led and needs scoping upfront
Screenshots
A look inside

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FAQ
