Banjo Health is a prior authorization decision support platform for health plans and pharmacy benefit managers (collectively “payers”). We leverage artificial intelligence and machine learning to customize the platform to each payer’s specific prior authorization criteria. Through our integration with the provider’s electronic health records, we are able to directly draw from the prescribers notes to drive accurate decisions while reducing the administrative burden on the payer’s and provider’s staff. This effectively reduces the time-to-decision, improving member satisfaction and clinical & cost outcomes.

A smart solution that makes refined, compliant prior authorization decisions automatically. It gets smarter with each decision, reducing turnaround time from days to hours — and getting answers to patients faster. Prior authorization is an expensive and complex team effort, requiring a number of experts investing valuable time to analyze data in order to make painstaking decisions. The Banjo Health platform was designed by clinicians and engineers, working side-by-side, to make prior authorization work better for everyone involved. You configure it to your needs, using an intuitive interface, and put it to work. You configure the Banjo Health platform to your unique needs, using checklists and drag-and-drop tools, with little to no coding necessary. As different members of your team use the platform, it keeps track of changes for complete traceability. It's so easy to use, you will feel like it was built just for your company.