ClaimGlide

AI agent automating end-to-end prior authorization for healthcare practices.

ClaimGlide is an AI agent platform that automates the entire end-to-end prior-authorization process for private healthcare practices, handling submissions to payers faster and more accurately than manual processes. Prior authorization is one of the most administratively burdensome processes in healthcare — requiring staff to gather clinical documentation, complete payer-specific forms, and follow up on submissions, often across many different payers with different requirements. ClaimGlide automates this workflow, reducing the staff time required per authorization and improving submission accuracy, which in turn reduces denials and delays in patient care. The platform targets small and mid-sized healthcare practices and differentiates through its specific focus on the prior-authorization workflow, a high-friction process that disproportionately burdens smaller practices without large administrative staffs.

Compliance

HIPAA SOC 2

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Key Features

End-to-end prior authorization automation: Manages the full prior-authorization process from documentation gathering through payer submission, automating a workflow that traditionally requires significant manual staff effort.
Clinical documentation gathering: Identifies and assembles the clinical documentation required to support a given authorization request, reducing the manual chart review burden on practice staff.
Payer-specific form completion: Completes prior-authorization forms according to the specific requirements of each payer, addressing the variability that makes manual processing slow and error-prone.
Submission tracking: Tracks the status of submitted authorizations and follows up as needed, reducing the administrative burden of monitoring outstanding requests across multiple payers.
HIPAA-compliant processing: Handles patient clinical and insurance information within a HIPAA-compliant framework, addressing the privacy requirements inherent in prior-authorization workflows.
Multi-model architecture: Uses multiple underlying LLM providers to power the document processing, form completion, and tracking tasks across the workflow.

Use Cases

For small to mid-sized practices managing prior authorization burden: A specialty practice without a large administrative staff uses ClaimGlide to automate prior-authorization submissions, reducing the time staff spend on payer paperwork and accelerating the time to treatment approval for patients.
For practices reducing authorization-related care delays: A practice experiencing delays in patient care due to slow prior-authorization turnaround uses ClaimGlide to speed up submission and follow-up, reducing the administrative bottleneck between treatment recommendation and payer approval.

Pricing MODELS

Saas subscription

Pricing Summary

ClaimGlide uses a SaaS subscription model with custom enterprise pricing for larger organizations. Specific pricing tiers are not publicly listed — practices contact the company for a quote.