Hackensack, N.J. -- September 15, 2026 -- Hindsait, Inc. has been approved for the Electronic Prior Authorization category within the CMS Health Tech Ecosystem, placing the clinical AI firm among organizations working with the Centers for Medicare and Medicaid Services to modernize prior authorization ahead of the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F), which takes effect in 2027.
CMS ecosystem brings payers and providers together on interoperable workflows
The Electronic Prior Authorization initiative unites payers, providers, EHR vendors, and digital health developers to shift prior authorization toward end-to-end interoperable processes before the 2027 deadline.
Hindsait platform cut processing time by 53 percent at WPS Health
Hindsait's technology is live in production at Wisconsin Physicians Service (WPS), a Medicare Administrative Contractor, supporting Medicare Part A and Part B determinations. The deployment demonstrated a 53 percent reduction in prior authorization processing time, according to results published in a joint white paper with WPS Health.
Company says its clinical models, not general-purpose LLMs, drive determinations
Hindsait states its core engine runs on purpose-built clinical models trained on more than 100 million real protected health information (PHI) records from across the U.S. healthcare system, rather than general web text. The company says PHI remains within a secured, client-controlled U.S. environment, enabling forecastable costs and auditable determinations.
Founder and CEO Pinaki Dasgupta said prior authorization has been "one of the most persistent points of friction in American healthcare,