Develop Health

An embedded athenaOne integration runs inside the prescribing workflow, and Develop Health connects to Epic and Cerner instances, which take about six weeks to set up. It submits to payers and PBMs, reaches prescribers by email, SMS, fax or Direct messaging, and can transfer a prescription to the chosen pharmacy by NCPDP ID.

Sourcedevelophealth.ai/providerread 2026-09-29

The prior authorization lifecycle branches by state. Review can be delegated or non-delegated, and requests for more information go back to the provider. Outcome validation can send a PA back to follow up, outreach retries and escalates across channels, and a denial is analyzed with an optional appeal. The API exposes all of these as states and events.

Sourcedocs.develophealth.ai/api-reference/prior-authorization/response-handlingread 2026-09-29

The agent reads the payer's rules and requirements for the drug and plan, discovers the right form, and fills each answer from the chart notes and evidence files with a citation to where it came from and a confidence score. Where the chart holds no answer, it leaves the question unanswered and routes it to the office.

Sourcedevelophealth.ai/clearparead 2026-09-29

In the non-delegated model a PA stops at awaiting_review until the customer's authorized reviewer checks the prefilled answers and evidence, edits them and approves submission. Pharmacies choose whether the provider or a pharmacist signs off, and appeals are surfaced for review before they are sent. A delegated model without review before submission is also offered.

Sourcedocs.develophealth.ai/api-reference/prior-authorization/overviewread 2026-09-29

The company states it is HIPAA compliant and holds current SOC 2 Type 2 and HITRUST certifications. Each PA opens only with its own passkey. An organization administrator issues API tokens under user administration, and credentials are scoped per organization. Develop Health names no SSO, roles or permission model. It also runs a Vanta trust center.

Sourcedevelophealth.ai/clearparead 2026-09-29

Each PA exposes an activity log of faxes, calls and follow ups with payers alongside its lifecycle state. Provider outreach events carry the exact rendered message and files sent, checksummed and immutable once sent, with sent, delivered, opened and completed timestamps. Answers carry source citations and confidence scores.

Sourcedocs.develophealth.ai/api-reference/provider-outreach-webhooksread 2026-09-29

Each prior authorization carries its own evidence, and Develop Health names no memory that carries across them. With ClearPA, Develop Health says AI models never train on patients' data.

Sourcedevelophealth.ai/clearparead 2026-09-29

No hosting region is published, and Develop Health names no region choice, customer environment or on premises option. Separate sandbox and production organizations let customers test against the API.

Sourcedocs.develophealth.ai/introductionread 2026-09-29

Benefit verification, prior authorization and PA status checks are separate API products. Prior authorization processing runs eligibility and benefit verification itself, so the three work as stages of one medication access workflow, not as products that stand alone. Develop Health publishes no templates or agent library.

Sourcedocs.develophealth.ai/introductionread 2026-09-29

Work starts from an API request, from the prescribing workflow inside the EHR, or from a partner pharmacy's claim reject. The system then acts on its own. It follows up with payers, schedules outreach retries until the outreach window closes and monitors coverage across the care journey.

Sourcedevelophealth.ai/providerread 2026-09-29

An LLM ensemble reads the chart, and Develop Health names no model provider, model name or way for the customer to choose a model.

Sourcedevelophealth.ai/life-sciencesread 2026-09-29

A public REST API with bearer tokens covers benefit verification, prior authorization (create, retrieve, cancel, feedback), PA status checks and provider authorization, with OpenAPI specs, signed webhooks, rate limits, a changelog and a sandbox with mock results. Programmatic access is enabled per organization.

Sourcedocs.develophealth.ai/introductionread 2026-09-29

The sandbox's mock results test the caller's integration, and the feedback endpoint sends notes to Develop Health's analytics without evaluating the agent. Develop Health names no evaluation harness, test set or quality gate for the agent's answers.

Sourcedocs.develophealth.ai/api-reference/prior-authorization/post_feedbackread 2026-09-29

The agent works through EHR integration, electronic submission, fax, phone and messaging channels. Develop Health names no browser, desktop or computer control. A customer testimonial mentions portal work but names no mechanism.

Sourcedevelophealth.ai/providerread 2026-09-29