Myndshft

Myndshft provides an automated prior authorization platform that uniquely handles both medical and pharmacy prior authorizations through a single unified system. The company's software integrates with existing provider and payer systems, operating in the background to streamline eligibility verification, benefits coordination, and prior authorization processes.

The platform utilizes generative AI and machine learning to automate workflow processes, claiming to reduce time and effort by up to 90% for benefit checks, prior authorizations, and utilization management. Myndshft's self-learning system dynamically updates based on actual provider-payer interactions, with a synchronized rules library covering thousands of continuously-updated rules for national, state, and regional payers. The solution covers 94% of covered lives and can complete eligibility verification through prior authorization adjudication in under 5 minutes.

The company serves multiple healthcare stakeholders including patients, providers, pharmacies, pharmacy benefit managers (PBMs), payers, and drug manufacturers. Case studies demonstrate results such as 21.8% increased collections for a specialty pharmacy client, along with reduced operational expenses and increased new patient referrals.

Myndshft is positioned for organizations where prior authorization administrative burden significantly impacts operational efficiency and patient care delivery. The platform's distinction lies in unifying both medical and pharmacy prior authorizations, eliminating the need for separate systems and workflows.

Organizations should expect a background-integrated solution that automates the complete prior authorization lifecycle from requirement identification through adjudication. The self-learning technology means the system becomes more effective over time without requiring manual rule updates or configuration changes.

Myndshft operates exclusively in healthcare, specifically addressing the prior authorization challenge that affects patients, providers, payers, pharmacies, PBMs, and pharmaceutical manufacturers. The platform addresses healthcare-specific workflows including eligibility verification, coordination of benefits, patient financial responsibility calculation, and insurance discovery. The solution is built around healthcare industry standards and integrates with EHR systems and health information systems used by providers and payers.

Provider organizations, health systems, and specialty pharmacies with high prior authorization volumes across both medical and pharmacy domains. Organizations seeking to improve patient access while reducing administrative costs, particularly those challenged by complex coordination between medical and pharmacy benefit pathways.