Automate prior authorization decisions with your criteria
Banjo Health reads prescriber notes directly from the EHR and applies your payer criteria using AI. Faster decisions, less staff time.
Automation that reads the actual chart
Most prior authorization tools just digitize the paperwork. Banjo Health reads the prescriber's notes and matches them to your specific criteria in seconds.
EHR-native data extraction
We pull directly from the prescriber's electronic health record. No faxes. No manual entry. No lost details.
Criteria-driven decisions
The platform applies your payer-specific criteria automatically. Every decision is consistent with your formulary and policies.
Notes-based intelligence
Our machine learning reads the context in prescriber notes, not just structured fields. It understands the clinical story behind the request.
Reduced staff workload
Your team stops chasing paper. The platform handles the data extraction, the comparison, and the decision logic automatically.
Faster time-to-decision
Minutes instead of days. Members get answers sooner, and your clinical outcomes improve when treatment isn't delayed.
Faster prior authorization decisions, no manual review needed
Health plans and PBMs using our platform report measurable reductions in time-to-decision and administrative overhead.
Our prior authorization volume increased 20% year over year, but we didn't add a single reviewer. The platform reads the notes and drives the decision automatically. That's the only way to scale.
Testimonial A
Director of pharmacy, regional health plan
The integration with our EHR was the key. We don't ask providers to fill out extra forms. Banjo Health pulls the clinical data from where it already lives. That alone cut our decision time in half.
Testimonial B
VP of clinical operations, national PBM
The accuracy surprised me. Our manual review team had a 12% disagreement rate with the platform's initial determinations. In every case, the machine learning model was right. It listens to the provider's own words.
Testimonial C
Chief medical officer, independent health plan
We were skeptical about AI in prior authorization. Most vendors overpromise. Banjo Health showed us the data on our own claims before we signed. That transparency made the decision easy.
Testimonial D
Director of network strategy, regional health plan
Decisions pulled from prescriber notes, not manual review
Our platform extracts data directly from EHRs to automate prior authorization decisions against your specific payer criteria.
50%
Less staff time
Automated data extraction cuts administrative work per request.
95+%
Criteria accuracy
Decisions align with payer-specific rules from prescriber notes.
<1hr
Median time-to-decision
From submission to automated determination in under an hour.
Plans aligned to your payer criteria
Every deployment is custom-configured to match your prior authorization rules. No guesswork, no one-size-fits-all tiers.
Foundation
Contact us
EHR-integrated decision support for a single line of business.
Advanced
Contact us
Multi-line support with custom rules and performance dashboards.
Enterprise
Contact us
Full platform with dedicated support and tailored deployment.
4 common questions about prior authorization
Straight answers to the questions payers ask most often.
How does Banjo Health integrate with our existing EHR?
We connect directly to the provider's electronic health record system. Our platform extracts data from the prescriber's notes, so no new data entry workflows are needed for your team or theirs.
Can the platform handle complex, multi-step prior authorization criteria?
Yes. We use machine learning to customize decision logic to each payer's specific criteria, including multi-step or condition-dependent rules. The platform evaluates every factor your criteria requires.
Does this reduce the workload for our prior authorization staff?
It automates the data extraction and initial decision steps that currently require manual chart review. Your staff reviews exceptions rather than processing every single case from scratch.
How long does implementation typically take?
Implementation timelines vary by the complexity of your criteria and existing systems. Most integrations complete within a few weeks to a couple of months, with dedicated support throughout the process.
Is Banjo Health HIPAA compliant?
Yes. The platform is built with security and compliance as core requirements. We follow industry-standard data protection protocols to safeguard member information.
What kind of clinical outcomes can we expect?
By reducing time-to-decision, members get answers faster, which supports better engagement with their prescribed therapies. Faster decisions also reduce administrative friction for providers and payers alike.
Still have questions?
Send us a message, and our team will get back to you as soon as possible.