Itiliti Health

Itiliti Health is a healthcare software company based in Eden Prairie, Minnesota, that builds technology to modernize prior authorization for health plans and the providers that interact with them. Its platform communicates payer medical policy rules to providers and uses interoperability standards and automation to move toward a touchless prior authorization workflow, with the stated aim of improving patient care while cutting administrative cost.

The product suite is built on an open-API framework and can be bought as a full automation solution or as individual components. Named products include PA Checkpoint (an "is auth required?" and policy transparency capability positioned as a CRD solution for CMS rulemaking), Policy Management, Prior Authorization Routing, Auto Auth, and Clinical Assistant. The company describes its solutions as HIPAA certified, based on modern APIs and standard data structures, implementable in 90 days, and compliant with CMS-0057-F. Preqin's profile characterizes the offering as including PA Checkpoint, Policy Management, and Automatic Authorization Rules, serving health plans and providers in the United States.

Company messaging and published content center on helping payers meet CMS-0057 interoperability and prior authorization mandates, including structured policy management, applicability logic, delegated vendor oversight, and the use of AI in prior authorization.