Rhyme
Rhyme is a healthcare SaaS company that automates prior authorization between providers and payers. Its platform processes over 4 million prior authorizations annually for 83 large U.S. health systems and 300+ payers, with deep EHR integration and modules for Gold Carding and shared analytics.
- Company typePrivate
- Founded2014
- HeadquartersNew Albany, United States
- Headcount101–250
- GTM typeB2B
- OfferingSoftware
What Rhyme does
Rhyme is a healthcare technology company that operates a SaaS platform automating prior authorization transactions between healthcare providers and payers. Founded in 2014 and headquartered in New Albany, Ohio, the company processes over 4 million prior authorizations annually for 83 of the largest U.S. health systems and 300+ payers. Its core product, Touchless Prior Auth, fully automates existing prior authorization workflows to eliminate manual touchpoints, while two add-on modules — Gold Carding (proprietary data and tools that enable payers and providers to eliminate prior authorizations at the point of care) and Shared Dashboard (a visualization suite providing payer-provider collaboration on workflow waste) — extend the platform into authorization avoidance and analytics.
The Rhyme platform operates entirely within Amazon Web Services, using serverless databases, AES 256-bit encryption, TLS 1.2 in transit, AWS IAM-based role-based access with multifactor authentication, and annual third-party penetration testing. It is designed as a HIPAA-compliant business associate, processes only the limited PHI fields required for prior authorization requests, and integrates directly within provider EHR workflows. The platform covers 100% of procedure types and is supported by integrations such as the October 2025 collaboration with Microsoft's Dragon Copilot ambient AI clinical documentation platform.
Rhyme operates a subscription-based enterprise B2B model with usage-influenced pricing targeting large healthcare provider organizations, health systems, and business process outsourcing firms. The company has raised approximately $57.2 million across seven funding rounds from 2015 through February 2022, with investors including BIP Ventures/Capital, Insight Venture Management, Health2047, Rock Ventures, Detroit Venture Partners, NCT Ventures, Rev1 Ventures, and JobsOhio. The go-to-market motion is direct enterprise sales via website-driven inbound and outreach; pricing is quote-based and not publicly disclosed. The company employs between 101 and 250 people.
Rhyme firmographics
Firmographics- Name
- Rhyme
- Legal name
- Rhyme, Inc.
- Website
- https://getrhyme.com
- Company type
- Private
- Founded year
- 2014
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- Rhyme is a healthcare SaaS company that automates prior authorization between providers and payers. Its platform processes over 4 million prior authorizations annually for 83 large U.S. health systems and 300+ payers, with deep EHR integration and modules for Gold Carding and shared analytics.
- Ownership category
- akta.pro rank
Rhyme industry classification
Industry- Product category
- Healthcare Prior Authorization Automation
- NAICS
- Professional, Scientific, and Technical Services (54)
- SIC
- Services-Prepackaged Software (7372), Services-Computer Programming, Data Processing, Etc. (7370)
- akta.pro primary industry
- Prior Authorization & Utilization Management (HLACACAC)
- akta.pro secondary industries
- Utilization Management & Prior Authorization Analytics (HLACAHAE), Prior Authorization (ePA), Utilization Management & Coverage Verification (HLACAKAE), Utilization Management, Appropriateness Criteria & Prior Authorization CDS (HLACAGAM)
Keywords
Where Rhyme is headquartered
LocationHeadquarters
- HQ city
- New Albany
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Rhyme business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Technology or R&D, Personnel, Infrastructure, Operations, Marketing or Sales
Revenue model
- Prior Authorization Platform Subscription: Rhyme provides a SaaS platform for healthcare providers and payers to automate prior authorization processes. The service is subscription-based, targeting healthcare provider entities such as hospital systems and BPO firms. Processing volume of over 4M prior auths annually indicates a usage-influenced subscription model.
Go-to-market motion1 record
Distribution channels1 record
Marketing channels2 records
Rhyme product offering
Product offeringCore offering
Rhyme provides a SaaS platform that automates healthcare prior authorizations between payers and providers, processing over 4 million prior authorizations annually for 83 of the largest U.S. health systems and 300+ of the largest payers across 100% of procedure types. The core "Touchless Prior Auth" product eliminates manual touchpoints in existing workflows, while Gold Carding and a Shared Dashboard extend the platform to enable point-of-care prior auth elimination and end-to-end visibility of manual effort, friction, and waste.
Product overview
Rhyme offers a unified platform for eliminating prior authorization friction in healthcare. The core product, Touchless Prior Auth, processes over 4 million prior authorizations annually. This platform is augmented by Gold Carding (enabling providers and payers to eliminate prior auths at point of care through proprietary data) and a Shared Dashboard (visualization suite for tracking manual effort, friction, and waste across the prior auth lifecycle). The platform operates within the Amazon Web Services cloud and processes only limited PHI fields required for prior authorization requests.
Differentiator
Problem solved
Functional benefit
Products and services
- Touchless Prior Auth SaaS platform that automates existing prior authorization workflows end-to-end, eliminating manual touchpoints and integrating directly inside provider EHR systems. Designed for large U.S. health systems, payers, and healthcare BPO firms.
- Gold Carding Rhyme offering that uses proprietary data and decisioning tools to enable payers and providers to collaborate on eliminating prior authorizations entirely at the point of care via gold carding programs.
- Shared Dashboard Visualization suite within the Rhyme platform that tracks the end-to-end prior authorization process, surfaces manual effort, friction, and waste, and gives payers and providers a trusted shared view of operational performance.
- Dragon Copilot Touchless Prior Auth Integration Integration of Rhyme's touchless prior authorization technology with Microsoft's Dragon Copilot clinical assistance platform, delivering instant authorization responses to providers at the point of care.
Quantifiable outcome
- Over 4M prior authorizations processed annually
- +4 more outcomes
Companies that use Rhyme
Customer profileNamed customers2 records
Segments3 records
Ideal customer profiles3 records
Rhyme technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration1 record
Feature4 records
Rhyme partnerships and signals
Strategic signalPartnerships
One partnership is on record.
- MicrosoftcoreRhyme has announced a collaboration with Microsoft to integrate Rhyme's touchless prior authorization technology with Microsoft's Dragon Copilot platform. This integration allows healthcare providers to receive instant authorization responses at the point of care, streamlining the prior authorization workflow directly within the Dragon Copilot clinical assistance environment.
Scale indicators4 records
Recent moves6 records
Expansion highlights4 records
Rhyme competitors and assessment
Company assessmentBroad incumbents
- Experian Health: Established RCM and utilization management vendor offering prior authorization as part of a broader portfolio of eligibility, claims, and identity management solutions for healthcare providers.
- Surescripts: Operates the dominant health information network for medication prior authorization and ePrescribing, providing overlapping electronic PA capabilities especially for the medication portion of Rhyme's workflow.
- Optum (UnitedHealth Group): Through Change Healthcare and internal RCM capabilities, Optum operates large-scale PA and utilization management infrastructure serving both payers and providers — a major incumbent competitor.
- MEDITECH: Major EHR vendor that, like Epic and Oracle Health, is building native PA and interoperability capabilities against CMS-0057 — a structural competitive threat to third-party platforms like Rhyme.
Direct peers
- Cohere Health: Specializes in intelligent prior authorization and utilization management for payers and providers, directly competing with Rhyme's touchless PA and gold carding capabilities across health systems and health plans.
- PriorAuthNow (Waystar): Acquired by Waystar, PriorAuthNow automated prior authorization between providers and payers via EHR-integrated workflows — overlapping directly with Rhyme's core PA automation value proposition.
- Infinx Healthcare: Provides AI-driven prior authorization, eligibility verification, and revenue cycle automation for healthcare providers, directly overlapping with Rhyme's PA platform and EHR-integrated workflow.
- Myndshft: Uses AI and workflow automation to streamline prior authorization and utilization management for providers and payers, competing head-on with Rhyme's touchless PA proposition.
- Olive AI (now Healthcare AI): Healthcare automation platform that historically offered prior authorization and revenue cycle automation for hospital systems, providing comparable enterprise workflow automation to Rhyme.
Emerging players
- Avizia (now Amwell): Now part of Amwell, Avizia offered telehealth and care workflow automation; the combined entity is expanding into broader clinical workflow and authorization capabilities that intersect Rhyme's territory.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
Rhyme social profiles
Digital presenceRhyme compliance and trust
Trust signalCompliance1 record
Rhyme financial estimates
Financial estimateRevenue estimate
Valuation estimate
Rhyme leadership team
Management profileNumber of profiles
Profiles3 records
Rhyme funding detail
Funding detailFunding overview
Funding rounds7 records
Investors10 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Rhyme M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Rhyme
What does Rhyme do?
Rhyme provides a SaaS platform that automates healthcare prior authorizations between payers and providers, processing over 4 million prior authorizations annually for 83 of the largest U.S. health systems and 300+ of the largest payers across 100% of procedure types. The core "Touchless Prior Auth" product eliminates manual touchpoints in existing workflows, while Gold Carding and a Shared Dashboard extend the platform to enable point-of-care prior auth elimination and end-to-end visibility of manual effort, friction, and waste.
Is Rhyme a public or private company?
Rhyme is a private company. It is classified as venture growth investor backed and is currently operating.
When was Rhyme founded?
Rhyme was founded in 2014. It employs 101 to 250 people.
Where is Rhyme based?
Rhyme is headquartered in New Albany, United States, in the North America region.
How does Rhyme make money?
One revenue line is on record: prior Authorization Platform Subscription.
Who are Rhyme's main competitors?
Broad incumbents on record are Experian Health, Surescripts, Optum (UnitedHealth Group) and MEDITECH. Direct peers are Cohere Health, PriorAuthNow (Waystar), Infinx Healthcare, Myndshft and Olive AI (now Healthcare AI). Avizia (now Amwell) is listed as an emerging player.
Does Rhyme have an API?
No public API is recorded for Rhyme.
What industry is Rhyme in?
Rhyme's product category is Healthcare Prior Authorization Automation. Its primary akta.pro industry code is HLACACAC, Prior Authorization & Utilization Management, with a secondary code of HLACAHAE, Utilization Management & Prior Authorization Analytics. Its NAICS code is 54 and its SIC code is 7372.