SamaCare

Authorizations are submitted to all major US payers from inside the platform. With NextGen Enterprise, an API based integration moves demographics and the clinical documents an authorization needs both ways between the EHR and SamaCare, so staff stop entering the same data twice. McKesson, Cencora and WeInfuse are named as platform partners, and an integration partner program connects EMR and revenue cycle systems.

Sourcesamacare.com/resources/samacare-announces-integration-with-nextgen-r-healthcare-connecting-its-prior-authorization-management-platform-with-nextgens-ehrread 2026-10-09

Each authorization runs from creation through submission to follow up. Policy intelligence surfaces the right forms, documentation and requirements before submission, intelligent alerts flag a request that is stalling, and a case that needs judgment moves from the AI to a person. Requests are created and submitted one at a time or in bulk, and the same records feed the practice's performance reports and the access insights drug brands buy.

Sourcesamacare.com/providersread 2026-10-09

SamaCare keeps a dataset of more than 2 million medical benefit authorizations built over eight years across tens of thousands of practices, covering outcomes, payer policy changes, how policies are enforced in practice and which interventions worked. It is refined with every new request and applied before submission to surface the forms, documentation and requirements each payer expects for a given drug.

Sourcesamacare.comread 2026-10-09

Built in checkpoints make sure nothing goes out without the practice's approval, so staff stay in control of every submission. Cases the AI cannot settle escalate to a person through what SamaCare calls AI to human escalation, and its automation is built to support rather than replace human expertise, with post submission follow up handled in the same loop.

Sourcesamacare.com/providersread 2026-10-09

SamaCare keeps its security documentation in a gated trust center at trust.samacare.com, so its certifications and access controls are not visible from outside. The product itself is pitched on workflow and data, with no certification, sign in option or user roles in view.

Sourcetrust.samacare.comread 2026-10-09

Every authorization is tracked in one interface across payers, and practices see their own performance by payer, therapy and submission route against benchmarks from the wider network. Drug brands get approval and denial trends, denial reasons and time to resolution for their products by payer, plan and site of care. There is no step by step log of what the AI did on each request.

Sourcesamacare.com/providersread 2026-10-09

The intelligence improves with every authorization processed across the network, but no memory is kept for a practice or user beyond the authorization records themselves, and a practice's requests and documents live in the platform as ordinary records.

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SamaCare is a cloud platform that practices sign into at provider.samacare.com, used by tens of thousands of specialty providers. There is no region choice or option to run it in a customer environment.

Sourcesamacare.com/resources/samacare-secures-17m-series-b-investment-to-scale-specialty-drug-prior-authorization-platformread 2026-10-09

Practices get one authorization system, and drug brands buy insights and sponsored support on top of the same platform. No separate agents, templates or library are offered for a customer to choose from.

Sourcesamacare.com/providersread 2026-10-09

SamaCare creates and submits authorizations automatically, singly or in bulk, follows up after submission and raises intelligent alerts early when a request stalls, so staff can act before the delay holds up treatment. What sets off a new authorization, such as an order arriving from the EHR, is unclear.

Sourcesamacare.com/providersread 2026-10-09

The models behind SamaCare's AI are undisclosed, and practices have no choice of model. The company puts the weight on its data instead, describing AI that turns messy payer data into guidance while keeping human expertise in the process.

Sourcesamacare.comread 2026-10-09

Technology partners can build medical benefit prior authorization into their EMR and revenue cycle products through an integration partner program, which has already produced an API based connection to NextGen Enterprise. There is no public API reference, SDK or developer site.

Sourcesamacare.com/ecosystemread 2026-10-09

The AI learns constantly from frontline prior authorization specialists, and drug brands get closed loop measurement of whether sponsored support lifts approval rates, time to resolution, patient starts and churn. There is no test set or evaluation harness a practice can use to check the AI before or after a change, so quality shows up in outcomes rather than in a test a practice runs.

Sourcesamacare.com/life-sciencesread 2026-10-09

Submission across payers is automated, so staff stop clicking through forms and chasing payer portals, and submissions, tracking and follow up run in one place for every payer and physician administered drug. Whether those submissions travel through payer portals in a browser, electronic transactions or fax is unclear.

Sourcesamacare.com/providersread 2026-10-09