Skip to main content
Connect with Us
Meet AssureCare at HLTH USA 2026 · Nov 15–18 · The Venetian, Las VegasLearn More
NewReady for CMS-0057-F prior auth APIs

We handle the work of care.
You handle the care.

AssureCare connects the entire care workflow, from intake through follow-up, for health plans and pharmacies, freeing clinicians, pharmacists, and care teams to focus on what matters most: the decisions that demand their judgment and the conversations that need their humanity.

AI identifies what needs attention and moves the work forward. You make the call.

Connect with Us
✓HIPAA-compliant✓Human-in-the-loop by design✓FHIR & Da Vinci native
AI-enabled Prior Authorization
assurecare://prior-auth/PA-48213● agent running
PA
MRI lumbar spine w/o contrast
CPT 72148 · Member MA-20931 · Urgent
In review
✓Request received via FHIR PAS from provider EHR0.2s
✓Eligibility, benefits & network status verified0.6s
✓14 clinical pages read → 37 facts extracted6.1s
✓Mapped to plan medical policy · 6 / 6 criteria met3.4s
✓Determination letter drafted with cited evidence1.9s
RecommendationApprove · auto-determination
Evidence confidence0.96
End-to-end turnaround12.2 seconds
HITRUST CSF Certified
AICPA SOC
ONC Health IT Certified by Drummond
NCQA Prevalidated Population Health Management
URAC Accredited
ISO Certified
NIST
FedRAMP

Ask AssureCare

Instant answers about our solutions, drawn from this site
Ask

Ask AssureCare

Close
Starting the assistant…

Powering care programs across

Medicare Advantage plansMedicaid MCOsBlue Cross Blue Shield plansIntegrated delivery networksACOs & value-based groupsCommunity pharmaciesPBMs & MTM providersState health agenciesMedicare Advantage plansMedicaid MCOsBlue Cross Blue Shield plansIntegrated delivery networksACOs & value-based groupsCommunity pharmaciesPBMs & MTM providersState health agencies
Our platforms

Platforms built around one idea: the next action, in the right hands.

Point solutions fragmented the data care depends on, and that fragmentation now constrains our healthcare system. AssureCare runs UM, CM, pharmacy and analytics on a single member record and a single AI layer, so every agent sees the whole person, and every insight becomes action.

MedCompass

For payers

One connected system for the care of your members.

Your clinicians shouldn’t have to stitch a decision together from several systems. MedCompass connects utilization management and care management on one member record, so your people see the whole member and know what to do next.

Utilization management Care management Business analyticsMedication therapy management Member engagement Nutrition
Review queue
Meets criteria clearlycleared
Needs a closer looknurse review
Could lead to a denialclinician decides

AI finds what needs attention and moves the work forward. A clinician reviews every denial.

A national health plan runs all of its utilization management on our platform.

Explore MedCompass →

AssureRx

For pharmacies

One connected system for clinical workflow at your pharmacy.

Your pharmacists do more than fill prescriptions. AssureRx connects your data, outreach and clinical opportunities in one system, so pharmacists can act while the patient is still at the counter, and the work gets documented and paid for.

Medication therapy and care management Analytics Revenue cycle and billing Credentialing and enrollmentPatient Engagement Specialty pharmacy (iPC) Nutrition
Next step at the counter
Refill due, cost concern flaggedsuggested
Start the copay conversationpharmacist
Documented and ready to billdone

AI finds which patients need attention and recommends the next step. Your pharmacists make the call.

More than 19 million clinical opportunities enabled with patients in pharmacies since 2023.

Explore AssureRx →
Finds what needs attention Recommends the next step Moves the work forward People make the call.
Also serving ACOs and health centers →
Proven in production

Three decades of clinical workflow. Now agentic.

30yrs

Nearly three decades building care, UM and pharmacy software

100+

Patient identification algorithms for CMS, Stars, HEDIS & PQA

100+

Role-based KPIs available out of the box in Akumen

24/7

Agent coverage across voice, SMS, chat and back-office queues

See it in action

Show us where the work stalls.

Bring one workflow: a prior authorization, a transition of care, a refill gap, a vaccine opportunity. In 30 minutes we’ll show you how the next action reaches the right person.

Connect with Us