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Lamar Health

Lamar Health provides workflow automation software for specialty pharmacies and infusion organizations, orchestrating prior authorization processes across existing systems. The platform unifies intake from faxes, EHRs, and portals, verifies coverage, and automates submission and tracking to reduce staff time and delays. Customers have documented up to a 97 percent reduction in staff time per prior authorization.

Traction 5/10
San Francisco, United States · HQ
Founded 202291K+ followers
  • Healthcare Technology
  • Digital Health
  • Software Only
  • Artificial Intelligence
  • Enterprise Software
Updated 1 month ago

Funding

Raised to date

$750KRaised to date based on public sources. This may differ from the amount the company actually raised and is based only on what is publicly available on the internet.

across 1 round

P

$750K · Seed

Announced Oct 2022

Disclosed cumulative: $750K

Founders

2 founders

Eesha Sharma

San Francisco, United States

CEO & Founder

Since Jan 2022 · 4 yrs 10 mos

Profile summary: Stanford Genetics Postdoc

Serhiy Shekhovtsov

Co-Founder

Profile summary: ShortPoint Co-founder

Product

Problem

Specialty medication prior authorization processes are often manual, relying on faxes and emails, which leads to significant staff time expenditure and delays in prescription fulfillment. These manual workflows are prone to errors and lack integration with electronic health record (EHR) systems, creating inefficiencies for infusion centers and specialty pharmacies.

Solution

Lamar Health automates prior authorization workflows for specialty medications by extracting data from faxes, emails, and DirectTrust connections, and integrating it directly into EHRs and practice management solutions. The platform verifies patient eligibility and in-network status, surfaces payer requirements, and flags missing information such as incorrect ICD-10 codes or gaps in clinical documentation. By auto-populating prior authorization forms and providing real-time feedback on payer policies, Lamar Health reduces the time and errors associated with the prior authorization process. The system provides a unified dashboard to view all submissions and covers both medical and pharmacy benefits, allowing pharmacists, operations, and sales to collaborate in one view.

Target Audience

Primary customers are high-volume specialty pharmacies, infusion clinics, and home infusion pharmacies that manage complex prior authorization workflows and need better visibility, speed, and control without adding headcount.

Features

  • Data extraction from faxes, emails, EHRs, portals, and DirectTrust connections
  • Direct integration with EHRs and pharmacy management systems without replacing them
  • Automated patient eligibility, in-network verification, and out-of-pocket cost estimation
  • Validation of medical necessity, including identification of missing documentation, incorrect ICD-10s, and clinical gaps
  • Auto-population of prior authorization forms and assembly of PA packets
  • Real-time feedback on payer requirements and approval status tracking
  • Unified dashboard for managing all submissions across medical and pharmacy benefits
  • Proprietary process combining three AI models and multiple datasets to improve approval rates
  • Configurable workflows supporting different teams and locations
This profile is AI-generated and may contain inaccuracies.