Healthtech · Clinical Software · 50–200 · North America #b027_16

Context

We provide records, billing and data services for independent mental health practices, and use aggregated clinical data to support research.

Industry

Healthtech · Clinical Software

Size

50–200 employees

Region

North America

Tools budget

$1K–5K per month

Needs

Claims & prior authorization. Prior authorizations for newer psychiatric treatments are slow and denial-prone, and our billing staff chase them by hand.

Today: built-in benefit checks and an AI agent filing prior authorizations and screening claims · Urgency: this year

Data governance & catalog. We reuse de-identified clinical data for research partners and need tighter tracking of consent, lineage and allowed uses.

Today: structured clinical outcomes pooled across practices for studies, governed inside the product itself · Urgency: this year

Who decides

cto · team trial

Expects from suppliers

Consent and lineage tracking for research data; Prior authorization automation with payer coverage; Pricing suited to a mid-sized company

Not a fit

Analytics tools ignoring de-identification; Large consultancies with long timelines

Stack

cloud: AWS-class hyperscaler, data warehouse: cloud, EHR system in place

Buying triggers

new market or product launch, regulatory change