Rhyme

Rhyme is a healthcare technology company based in New Albany, Ohio, that specializes in automating prior authorization processes for healthcare providers and payers. The company processes over 4 million prior authorizations annually for 83 of the largest health systems and works with more than 300 payers across all procedure types.

The company's platform focuses on making prior authorizations fully touchless by tracking the end-to-end authorization process and automatically removing manual effort, friction, and inefficiencies. Rhyme's approach includes proprietary data and tools that enable payers and providers to work together through "gold carding" programs that eliminate prior authorizations entirely at point of care. The platform includes a shared visualization dashboard that provides both parties with transparency into manual effort, friction points, and areas of waste.

Rhyme has received recognition from KLAS Research and serves major health systems including Norton Hospital. The company's solution aims to benefit all stakeholders by reducing time to care for patients, saving providers millions of dollars while increasing clinical autonomy, and improving patient and provider satisfaction for payers.

Organizations should consider Rhyme when they need to address prior authorization inefficiencies at scale across multiple payers and procedure types. The platform excels in high-volume environments where automation can deliver significant time and cost savings, and where establishing collaborative relationships with payers through gold carding programs is a strategic priority.

Buyers can expect a managed service approach that integrates with existing EHR systems and provides ongoing monitoring of the authorization process. The shared dashboard model facilitates data-driven conversations with payers about eliminating unnecessary authorization requirements.

Rhyme operates exclusively in healthcare, focusing specifically on the prior authorization pain point that affects hospitals, health systems, and payers. The company's entire platform is built around healthcare-specific workflows including EHR integration, payer portal automation, and clinical documentation requirements. Their work addresses one of healthcare's most significant administrative challenges, with prior authorizations costing the industry billions annually in staff time and care delays.

The company demonstrates deep healthcare domain expertise through its gold carding programs, which require understanding of clinical appropriateness criteria, payer medical policies, and regulatory requirements around authorization elimination. Their client base of 83 major health systems and 300+ payers indicates specialized knowledge of healthcare operational challenges.

The ideal client is a large health system or hospital network processing thousands of prior authorizations monthly across multiple payers and procedure types. These organizations have dedicated patient access teams experiencing significant administrative burden from authorization requirements and are interested in strategic partnerships with payers to reduce or eliminate unnecessary authorizations.