AuthNet
- Company typePrivate
- Founded2017
- HeadquartersWesley Chapel, United States
- Headcount51–100
- GTM typeB2B
- OfferingServices
AuthNet firmographics
Firmographics- Name
- AuthNet
- Legal name
- AuthNet, LLC
- Website
- https://auth-net.com
- Company type
- Private
- Founded year
- 2017
- Operating status
- Operating
- Headcount range
- 51–100 employees
- Ownership category
- akta.pro rank
AuthNet industry classification
Industry- Product category
- Healthcare Revenue Cycle Management
- SIC
- Services-Misc Health & Allied Services, Nec (8090)
- akta.pro primary industry
- Prior Authorization (ePA), Utilization Management & Coverage Verification (HLACAKAE)
- akta.pro secondary industry
- Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment) (HLACABAK)
Keywords
Where AuthNet is headquartered
LocationHeadquarters
- HQ city
- Wesley Chapel
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
AuthNet business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales
Revenue model
- Prior Authorization Outsourcing Services: AuthNet generates revenue by providing outsourced prior authorization and precertification services to healthcare providers. Healthcare facilities pay for the service to handle their insurance preauthorization workflows, eliminating in-house administrative burden. Pricing is quote-based with free ROI analysis offered. The company claims clients save 50-60% per authorization compared to processing in-house.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Other | Pay-as-you-go | Managed Prior Authorization Services - Custom Pricing |
Go-to-market motion2 records
Distribution channels4 records
Marketing channels6 records
AuthNet product offering
Product offeringCore offering
AuthNet provides outsourced prior authorization and precertification services to hospitals, physician practices, labs, radiology facilities, and ancillary healthcare providers. Services include benefits verification, prior authorization submission, tracking, follow-up, appeals management, and expedited request handling. Delivery combines the proprietary Auggie virtual assistant (connecting to hundreds of payers) with experienced authorization specialists working through a HIPAA-compliant secure portal.
Product overview
AuthNet offers a unified prior authorization platform combining automation and specialist support. The core offering includes prior authorization/precertification services, eligibility and benefits verification, delivered through a secure HIPAA-compliant portal integrated with a virtual assistant named Auggie. Services are available as full outsource or supplemental support, targeting hospitals, health systems, physician practices, labs, and radiology facilities.
Differentiator
Problem solved
Functional benefit
Brands
- Auggie: Virtual assistant that connects to hundreds of payers for automated benefits and authorization data, backed by experienced authorization specialists.
Products and services
- Prior Authorization / Precertification Services Core outsourced service handling medical prior authorizations, insurance pre-certifications, and precertification requests for healthcare providers including hospitals, physician practices, and ambulatory surgical centers. Includes submission, tracking, follow-up, appeals management, and both standard and expedited response options with 24-48 hour follow-up approval status guarantees.
- Eligibility & Benefits Verification
Quantifiable outcome
- Saves 50-60% per authorization compared to in-house processing
- +5 more outcomes
Companies that use AuthNet
Customer profileSegments3 records
Ideal customer profiles3 records
AuthNet technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
AI capability1 record
Feature4 records
AuthNet partnerships and signals
Strategic signalScale indicators4 records
Recent moves5 records
Expansion highlights5 records
AuthNet competitors and assessment
Company assessmentBroad incumbents
- Waystar: Waystar provides end-to-end revenue cycle management software including prior authorization capabilities within a broader platform. It is an incumbent SaaS competitor that overlaps with AuthNet on PA while addressing many adjacent workflows.
- R1 RCM: R1 RCM is a large revenue cycle management outsourcer for hospitals and health systems. While it covers a broader RCM scope, prior authorization and patient access are within its service portfolio, making it a competitor for the same enterprise hospital clients.
- Surescripts: Surescripts operates the dominant e-prescribing and clinical network, with prior authorization as one of multiple service lines. It is an incumbent in the same payer-provider data exchange space that AuthNet's Auggie targets.
- Experian Health: Experian Health offers eligibility, benefits verification, and prior authorization solutions as part of a broad healthcare RCM portfolio. It serves the same provider buyers as AuthNet but competes inside a much larger product suite.
- Optum (Change Healthcare): Optum, through the acquired Change Healthcare business, offers broad RCM, eligibility, and prior authorization solutions to providers and payers. It is a dominant incumbent across the same buyer base and workflow AuthNet serves.
Direct peers
- Infinx: Infinx provides prior authorization, medical coding, and patient access outsourcing for healthcare providers. It is a direct competitor to AuthNet with a hybrid technology-plus-specialist model targeting hospitals, physician practices, and labs.
- Cohere Health: Cohere Health operates an AI-powered prior authorization platform serving health plans and providers. It overlaps with AuthNet's provider-facing PA workflow but is payer-side-led, making it a direct functional peer in the PA value chain.
- AKASA: AKASA builds AI-powered automation for revenue cycle operations including prior authorizations, claims, and denials for hospitals and health systems. It targets the same provider pain points as AuthNet with a stronger software-first positioning.
- Myndshft: Myndshft automates prior authorization and utilization management workflows for providers and payers using AI agents. It competes with AuthNet on the same PA problem with a more technology-native (less human-led) approach.
Emerging players
- Anterior: Anterior is an AI-driven prior authorization company serving providers and payers, with payer-side clinical AI for authorization decisions. It is an emerging competitor narrowing the same problem from a more AI-native angle than AuthNet.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks6 records
Key highlights7 records
Customer concentration
AuthNet social profiles
Digital presenceAuthNet compliance and trust
Trust signalCompliance1 record
AuthNet financial estimates
Financial estimateRevenue estimate
Valuation estimate
AuthNet leadership team
Management profileNumber of profiles
AuthNet funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
AuthNet 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 AuthNet
What does AuthNet do?
AuthNet provides outsourced prior authorization and precertification services to hospitals, physician practices, labs, radiology facilities, and ancillary healthcare providers. Services include benefits verification, prior authorization submission, tracking, follow-up, appeals management, and expedited request handling. Delivery combines the proprietary Auggie virtual assistant (connecting to hundreds of payers) with experienced authorization specialists working through a HIPAA-compliant secure portal.
Is AuthNet a public or private company?
AuthNet is a private company. It is classified as unknown and is currently operating.
When was AuthNet founded?
AuthNet was founded in 2017. It employs 51 to 100 people.
Where is AuthNet based?
AuthNet is headquartered in Wesley Chapel, United States, in the North America region.
How does AuthNet make money?
One revenue line is on record: prior Authorization Outsourcing Services.
Who are AuthNet's main competitors?
Broad incumbents on record are Waystar, R1 RCM, Surescripts, Experian Health and Optum (Change Healthcare). Direct peers are Infinx, Cohere Health, AKASA and Myndshft. Anterior is listed as an emerging player.
Does AuthNet have an API?
No public API is recorded for AuthNet.
What industry is AuthNet in?
AuthNet's product category is Healthcare Revenue Cycle Management. Its primary akta.pro industry code is HLACAKAE, Prior Authorization (ePA), Utilization Management & Coverage Verification, with a secondary code of HLACABAK, Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment). Its SIC code is 8090.