0001675297-20-000001.txt : 20201006 0001675297-20-000001.hdr.sgml : 20201006 20201006112037 ACCESSION NUMBER: 0001675297-20-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20201006 DATE AS OF CHANGE: 20201006 EFFECTIVENESS DATE: 20201006 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PriorAuthNow, Inc CENTRAL INDEX KEY: 0001675297 IRS NUMBER: 812335644 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-377164 FILM NUMBER: 201225933 BUSINESS ADDRESS: STREET 1: 200 EAST CAMPUS VIEW BLVD STREET 2: SUITE 200 CITY: COLUMBUS STATE: OH ZIP: 43235 BUSINESS PHONE: 614-300-5850 MAIL ADDRESS: STREET 1: 200 EAST CAMPUS VIEW BLVD STREET 2: SUITE 200 CITY: COLUMBUS STATE: OH ZIP: 43235 D 1 primary_doc.xml X0708 D LIVE 0001675297 PriorAuthNow, Inc 100 EAST CAMPUS VIEW BLVD SUITE 140 COLUMBUS OH OHIO 43235 888-213-3728 DELAWARE None None Corporation true 2016 Joe Anstine 100 East Campus View Blvd. Suite 140 Columbus OH OHIO 43235 Executive Officer Director Amol Arora 100 East Campus View Blvd. Suite 140 Columbus OH OHIO 43235 Director Mike Blackwell 100 East Campus View Blvd. Suite 140 Columbus OH OHIO 43235 Executive Officer Director Mark Buffington 100 East Campus View Blvd. Suite 140 Columbus OH OHIO 43235 Director Rich Langdale 100 East Campus View Blvd. Suite 140 Columbus OH OHIO 43235 Director Other Technology Decline to Disclose 06b false 2020-06-15 false true true true true false 0 Indefinite 10000000 Indefinite false 7 0 0 300000 true false PriorAuthNow, Inc /s/ Mark K. Stansbury Mark K. Stansbury Company Counsel 2020-10-06