Agadia

Name: Prior-authorization utilization-management workflow data at case level across pharmacy and medical PA programs operated on behalf of health plans, PBMs and TPAs: submission intake, routing path, clinical-review assignment, decision outcome (approve / deny / overturn on appeal), turnaround and cycle-time stamps, queue aging, auto-authorization vs manual-review routing, and issued-notice records — the full PA lifecycle from creation to sign-off
Creator: Agadia

AGADIAManage supplier listing

Prior-authorization utilization-management workflow data at case level across pharmacy and medical PA programs operated on behalf of health plans, PBMs and TPAs: submission intake, routing path, clinical-review assignment, decision outcome (approve / deny / overturn on appeal), turnaround and cycle-time stamps, queue aging, auto-authorization vs manual-review routing, and issued-notice records — the full PA lifecycle from creation to sign-off

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Coverage

Universe, instruments and categories.

Industry: Health Care TechnologyHealth Insurance
Instruments: equities
Categories: AlternativeOperationalReference
Regions: US
Sample tickers: UNHELVCVSHCACAHMCKLLYNVOABMDISRG

Dataset card

Type: not stated
Format: Tabular case-level transactional records behind a BI/analytics layer — dashboards, drill-down/drill-through views and ad-hoc report exports. Data is delivered as hosted analytics inside the customer's PAHub instance rather than as extractable files
Volume: Very large case archive: every PA case processed by Agadia's pharmacy and medical UM programs retains a full lifecycle record with per-step timestamps, routing history, decision and notice text. Estimate tens of millions of adjudicated cases accumulated across the client book, each with multiple event rows — so a hundred-million-plus event-level archive
Users: N/A as a consumer metric — enterprise UM platform licensed to health plans, PBMs and TPAs. Scale is better measured as PA cases adjudicated: Agadia operates PA programs for a plan/PBM/TPA client base, plausibly handling millions of PA cases annually (est. from ~150 staff and ~$47.5M revenue at typical per-case processing economics)
History: 15 years
Update frequency: not stated
Growth: Active — actively marketing AI-powered PA automation alongside the analytics line, current-dated product assets, and both the analytics and pharmacy-PA product pages maintained. Automation-rate metrics (auto-PA share) are a live product focus
Launched: not stated
Delivery: not stated
Entity mapping: not stated
Sample: not stated
Point-in-time: not stated
Licence: not stated

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