Trusted by leading healthcare organizations
AI-powered tools for prior authorization, benefits verification, fraud detection, and compliance — designed for clinics, pharmacies, and health systems.
Prior Authorization
Benefits Verification
Program Detection
Fraud Detection
Four purpose-built tools covering every critical workflow in healthcare administration.
AI-driven prior authorization that calls payers, gathers requirements, and submits approvals — automatically.
Real-time insurance eligibility and benefits verification. Confirm coverage instantly before patient visits.
Identify patients enrolled in maximizer programs or using copay cards — before it impacts your plan. Using Rx insurance and demographic signals, we flag patients at 90%+ confidence at enrollment and monitor claims on an ongoing basis as program status changes.
Medicare and Medicaid fraud detection. Identify claim anomalies and provider irregularities before they cost you.
We're a focused team building automation and AI tools that eliminate the manual burden from healthcare administration. Our products integrate directly into existing workflows — no rip-and-replace.
From pharmacies to health systems, we help teams move faster, reduce errors, and stay fully compliant.
Cut authorization and verification time from days to minutes.
HIPAA-compliant by design, in-house data only.
Works with your existing EHR and pharmacy systems. FHIR-compatible APIs available on request.
Dedicated onboarding and 24/7 technical support.
Purpose-built workflows for each part of the healthcare ecosystem.
Automate prior auth and eligibility checks so your front office spends less time on hold and more time with patients.
Verify benefits, submit claims, and track accumulator limits — all integrated into your dispensing workflow.
Detect patients enrolled in maximizer programs at 90%+ confidence using Rx and demographic data — at enrollment and on every claim.
Identify members actively using copay cards so you can adjust formulary strategy, flag accumulator bypass risk, and protect plan economics.
Fraud detection and compliance tooling built for high-volume Medicare and Medicaid claim environments. Our team has FHIR expertise and can deliver FHIR-compatible API integrations — contact us to scope your requirements.
Tell us about your team and we'll find the right fit.
Whether you're looking to automate a specific workflow or want to see a full demo — reach out and we'll get back to you within one business day.
Brooklyn, NY
(347) 470-9115
info@tekrata.com
9:00 AM – 6:00 PM EST