Reimbursement & Prior Authorization Services

Technology-first patient access platform backed by WCAS, delivering measurable time-to-therapy reductions through direct payer connectivity and EHR-integrated digital intake.

Technology-enabled hub services platform providing patient access, benefit verification, copay administration, and adherence solutions across 80+ pharmaceutical brands.

Leading independent provider of outsourced commercialization services to drug manufacturers, operating across hub solutions, copay assistance, and awareness & adherence (A&A) segments.

Cloud platform powered by the largest U.S. primary-source healthcare dataset (97B+ medical events, 454M lives), enabling payers, providers, pharmacies, and pharma to drive better outcomes and econo...

Voice AI agents automating patient access workflows for pharma and specialty pharmacy to cut delays and boost adherence.

Integrated platform unifies payer data and tools to empower biopharma field teams for precise market access execution.

AI-powered utilization management platform automating prior authorization for 100M+ covered lives across 55+ health plan and PBM customers, with an emerging specialty drug ePA portal for pharma.

Pioneering specialty pharmacy with AI-driven adherence, comprehensive patient support, and biopharma data partnerships for complex therapies.

Tech-driven copay, hub, and analytics solutions optimizing pharma patient access and commercial performance.

Largest U.S. specialty pharmacy GPO with 35,000+ pharmacy network, integrated hub services, and the industry's dominant annual conference (AXS Summit) — the gateway to the specialty pharmacy ecosys...

AI agents automating pharmacy workflows to accelerate specialty medication access and cut admin time by 80%.

Global partner delivering behavior science-powered patient engagement solutions to boost adherence and outcomes for pharma across the health journey.

Cloud software automating post-acute workflows for HME, pharmacy, and infusion providers to boost efficiency and patient care.

Therapy initiation platform combining provider-embedded digital enrollment, automated benefit verification, and physical fulfillment (samples, pharmacy, 3PL) under one roof. Formerly Knipper Health.

One of the oldest and largest hub services providers in the U.S., now classified as non-core by parent Cencora — a major M&A signal for the hub services industry.

Biosimulation leader accelerating safer, faster drug development from discovery to market access.

AI-powered appeals platform overturns insurance denials at scale for pharma hubs, providers, and patients.

Specialist in patient journey analytics for specialty and rare disease brands, turning fragmented SP/hub data into predictive interventions via the Ascend platform and Patient Watchtower CRM.

Comprehensive hub services connecting pharma to patients for rapid access to oncology, rare, and complex therapies.

AI automation platform accelerating healthcare providers' patient intake and prior auth workflows within existing systems.

Dominant U.S. electronic prior authorization platform (~90% ePA market share) with a multi-billion-dollar pharma manufacturer services business built on top of a free provider tool.

End-to-end consulting and SaaS eliminating friction in specialty drug commercialization, access, compliance, and patient support.

Next-generation data aggregation platform powering patient insights and pharma channel performance.

Global legal counsel accelerating pharma innovation through IP, regulatory, and transactional expertise across product lifecycles.

Secure cloud fax and interoperability platform automating healthcare workflows with AI data extraction for regulated industries.

Evernorth Health Services is the health services subsidiary of The Cigna Group and the organizational umbrella under which Express Scripts, Accredo, CuraScript SD, eviCore, and MDLIVE operate.

Systems integration embedding pharma engagement into EHR workflows for precise POC impact and patient access.

Unified digital hub services platform accelerating pharma patient access, fulfillment, affordability, and adherence at scale.

AI-led consulting optimizing pharma launches, market access, and lifecycle value through integrated advisory and technology.

Modular white-label specialty pharmacy and hub services powering pharma, telehealth, and providers to scale patient access rapidly.

Fills insurance gaps with copay/premium grants for underinsured patients across 95+ chronic disease areas.

Leading legal experts guiding pharma and specialty pharmacy through regulatory, reimbursement, and transactional challenges.

Voice AI platform automating payer calls for faster patient access, higher accuracy, and scalable healthcare operations — the market leader in AI-powered payer phone call automation.

Unifying ePrescribing with real-time benefit transparency for affordable, informed medication access at point of care.

Nationwide pharmacy delivering affordable DTC meds via direct manufacturer partnerships, tech platform, and superior retention.

AI automates prior auth and intake for specialty pharmacies to accelerate patient therapy starts and cut staff workload.

Global insurance broker delivering pharmacy benefit optimization, risk management, and specialized coverage for life sciences and healthcare providers.

AI agents automating specialty drug back-office to accelerate access and revenue for infusion providers.

Largest U.S. pharmaceutical distributor with an integrated technology + services business (RxTS) that is the company's highest-margin segment and strategic growth engine.

Intelligent platform automating specialty patient engagement, adherence, and care coordination for pharma and pharmacies.

Technology-driven hub services accelerating rare disease patient access via instant copay, PA, and pharmacy integration.

Next-gen specialty pharmacy bridging HUB services to precise dispensing of LDD, trials, and PAP therapies for faster patient access.

Tech-enabled pharmacy fulfillment advancing pharma patient access via PAPs, sampling, telehealth with nationwide compliance and scale.

Industry standard for payer formulary and medical policy data — tracking drug coverage, restrictions, and access across all U.S. health plans.

Cloud revenue management platform automating pharmaceutical pricing, rebates, government compliance, and gross-to-net operations — the dominant system of record for pharma pricing compliance.

Nationwide home infusion nursing network delivering specialized therapy administration and pharma patient support programs across all 50 states.

Empowering medically integrated oncology teams with accreditation, standards, and resources for optimal oral oncolytic care.

AI-native patient access platform replacing hub call center workflows with autonomous AI agents — 2x faster, 80% cheaper therapy initiation for specialty pharma.

AI-powered platform optimizing pharma access, real-world data, and revenue cycle for life sciences and healthcare ecosystem.

Nation's leading independent oncology specialty pharmacy delivering 24/7 expert dispensing and clinical support for complex cancer care.

Nation's leading nonprofit delivering case management, copay relief, and financial aid to ensure patient access to care.

Streamlined SaaS compliance platform automating PBM regulatory tracking, reporting, and licensing nationwide.

AI agents automating pharmacy calls, messaging, and documentation to scale operations 24/7.

AI-powered prescribing platform accelerating patient therapy access via HCP tools and pharma brand activation.

Simplifying patient access to specialized therapies through integrated support, market access, and policy expertise.

Boutique consulting fueling biotech/pharma growth through expert IT PMO, implementations, and continuous improvement.

Voice AI agents automating healthcare phone workflows for patient access, RCM, and payer interactions to cut costs and speed care.

Dominant independent pharmacy technology platform powering 16,000 pharmacies and 50M patients with six PMS brands, the PBM-independent PowerLine claims switch, and a growing value-added services ec...

Data-driven patient engagement and payments platform optimizing revenue cycle for healthcare providers via personalized omnichannel communications.

AI operating system automating oncology prior auth and access workflows to accelerate patient therapy start.

Expert market access and patient support strategies from launch to lifecycle optimization for pharma success.

Largest independent full-service specialty pharmacy in the U.S., delivering high-touch care with a proprietary technology suite across all 50 states.

AI voice agents automating outbound payer phone calls for healthcare RCM, accelerating reimbursements with seamless EHR integration and human-in-the-loop reliability.

Surescripts is the dominant operator of the United States' national health information network for prescription transactions, functioning as the essential plumbing through which the majority of the...

End-to-end platform automating financial assistance to eliminate cost barriers for patients across all conditions.

AI platform automating referral intake, prior auths, and patient routing to cut denials and boost conversions for specialty providers.

End-to-end EHR-integrated platform accelerating pharma patient access and adherence via personalized provider-patient engagement.

AI agents automating prior auths, intake, and appeals to accelerate patient access to therapies for providers and pharma.

Healthcare price transparency platform aggregating MRF data for pricing analytics, contract intelligence, and pharma reimbursement insights.

Uniting real-world evidence and patient access to accelerate specialty therapy outcomes for biopharma.[UBC Homepage](https://ubc.com)

Independent accreditor validating healthcare quality and accountability through rigorous, evidence-based standards for pharmacies, providers, and innovators.

Bridging manufacturers to US healthcare payers, providers, and channels for profitable market access and growth.

GenAI-powered patient support platforms accelerating pharma access, adherence, and outcomes on Salesforce.

End-to-end software simplifying infusion workflows for centers, home providers, and specialty pharmacies to boost efficiency and outcomes.

AI-powered RCM and workflow platform empowering specialty pharmacies and diagnostics to optimize reimbursement and scale clinical services.

Salesforce-native platform unifying multi-channel document exchange and FHIR data capture to accelerate pharma patient enrollments.