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SparkChange

Finds missing auths and fixes them before denials

Our take

SparkChange builds automation for the authorization problem health systems actually have: services slipping through without a required auth. Its platform identifies auth requirements upstream, validates them pre-service, detects discrepancies after the visit, initiates retro-authorization before billing, and automatically assembles appeals for historical auth denials by attaching the authorization and queuing the appeal to the payer. Around that sit claims statusing automations, the Spark360 analytics suite, and revenue cycle services. The founders are former Cerner revenue cycle engineers and architects, and the product runs deepest in Oracle Health Millennium environments.

The Kansas City company, started by four co-founders without outside capital, publishes named health system results: Centra cut claim processing from 20 days to 5, an academic health system logged 638,000+ automated eligibility actions and 18,800 FTE hours saved, and University Health Kansas City and LMH Health provide public references. It competes with auth vendors like Valer and Rhyme but differentiates on the post-service side (retro-auth and denial repair) that most prior auth tools ignore.

What it does

  • Detects auth-required services upstream of scheduling
  • Flags and corrects auth discrepancies after service
  • Automates retro-authorization before claims go out
  • Auto-builds appeals for historical auth denials
  • Eligibility verification automation at health system scale
  • Spark360 analytics for AR and payer performance

Where it's strong

  • Handles the full auth lifecycle including retro-auth and denial appeals, not just submission.
  • Founding team of Cerner revenue cycle engineers knows Millennium workflows from the inside.
  • Published health system results, including 18,800 FTE hours saved at an academic system.

What buyers should weigh

  • Depth is on Oracle Health (Cerner); Epic shops should probe fit carefully.
  • Part platform, part consulting firm, so scope and staffing shape what you actually get.
  • Self-funded regional company; smaller footprint than national auth vendors.

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