Rhyme

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.

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

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

• Prior authorization automation
• Healthcare interoperability
• Payer-provider network
• Clinical workflow automation
• EHR prior auth

Headquarters

HQ city

New Albany

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

Technology or R&D, Personnel, Infrastructure, Operations, Marketing or Sales

Revenue model

1. 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

Core 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

Named customers2 records

Segments3 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Feature4 records

Partnerships

One partnership is on record.

• MicrosoftcoreTechnology or Integration · 16 October 2025Rhyme 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

Broad 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

• LinkedInlinkedin.com/company/getrhyme

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 records

Funding overview

Funding rounds7 records

Investors10 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Rhyme