Develop Health

Develop Health is an AI-powered platform built specifically for healthcare providers and their support staff. Its core function is to tackle the time-consuming, paperwork-heavy process of prior authorizations. Instead of manually checking formularies and filling out pages of questions, clinicians can use Develop Health to check coverage and requirements for multiple medication options at once. The system then automatically selects the correct forms, pulls necessary patient data from integrated EHR systems, and uses AI to generate answers for the provider to review before submission.

What makes Develop Health stand out is its focus on integration and automation within existing clinical workflows. It connects directly with major EHR and pharmacy software, aiming to reduce handling times significantly. The platform doesn't just submit forms; it also manages the entire follow-up process with insurance payers, making calls and tracking submissions until a determination is received. This removes a major administrative burden from clinical teams. The company states it covers over 99% of insurance plans by submitting through various channels like electronic portals, fax, or phone.

The tool is designed for medical practices, specialty clinics, and pharmacy teams that deal with frequent prior authorizations. It benefits clinical support specialists and operations managers by freeing up hours of administrative work, allowing staff to focus more on patient care. Real-world use includes a specialty practice quickly comparing covered medications for a patient or a clinic streamlining its submission process to achieve a higher first-pass approval rate and get patients on necessary treatments faster.