Claims Acceleration Suite for Prior Authorization (Myndshft)
Claims Acceleration Suite expedites prior authorization submission and review by transforming unstructured documents into structured datasets. It uses Document AI and Healthcare NLP API to extract essential clinical and demographic data, then stores structured data in BigQuery, Firestore, and Cloud Healthcare API (FHIR) for near-real-time payer/provider exchange. The solution supports providers in preparing prior authorization requests, activating review workflows, and expediting manual review through Pega Care Management on Google Cloud Marketplace.
- Organization
- Myndshft
- Industry
- Healthcare
- Location
- United States
- Published
- June 2026
Reported outcomes
Strategic outcomes
Why do we believe this deployment?Customer identity, provider attribution, maturity, and source checks
- Customer
- Myndshft
- Provider
- GCP
- Maturity
- Unknown
- Linked source
- Google Cloud
No explicit deployment-stage evidence found.
Primary read
Use case focus
Showing 3 of 3
- 1Document Processing
- 2Workflow Automation
- 3Healthcare Claims Automation
- Prior authorization submission and review were slow because data arrived in unstructured documents.
- Providers needed faster time-to-decision, fewer errors, and lower processing costs.
- Manual review workflows created workload pressure for clinical teams.
- Myndshft built an application and API on Google Cloud to determine whether prior authorization is required and to populate requests with patient clinical and demographic information from the EMR.
- Claims Data Activator ingests prior authorization forms and medical documents from Cloud Storage.
- Document AI and Healthcare NLP API extract essential data elements from those documents.
- Extracted data is stored as structured records in BigQuery, Firestore, and Cloud Healthcare API (FHIR data store) to support interoperable exchange and analytics.
- Pega Care Management Application is used to support human-based manual review workflows.
- The solution expedites prior authorization submission and review.
- It improves access to care and time-to-decision.
- It reduces data processing errors and costs.
- It helps providers redeploy clinical resources to care management.
- It eases physician workload through a faster clinical review process.
Architecture
Claims Data Activator ingests prior authorization forms and medical documents from Cloud Storage, extracts data with Document AI and Healthcare NLP API, and stores the structured output in BigQuery, Firestore, and Cloud Healthcare API (FHIR). The solution also includes an application and API for submission and uses Pega Care Management Application to support manual review workflows.
Sources & evidence1
- Customer explicitly identified
- Technical implementation details available
AI-generated summary. Verify important details with the linked sources before relying on this case.
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