AI agents for the non-clinical work that's drowning healthcare.
AI agents for healthcare operations: prior auth, denials, appeals — the paperwork that decides whether care gets paid is still read by hand. We build agents that do that work, with a clinician in the loop, in production.
The waste is structural, not occasional.
Administrative drag in US healthcare is measured in hundreds of billions a year. Most of it sits in document-heavy workflows that an agent can read, decide on, and draft faster than a queue of overworked staff.
Two workflows. Built for production.
We don't sell a platform and wish you luck. These are scoped agents that handle a specific, high-volume revenue workflow end to end — built, evaluated, and run as a service.
Prior authorization
An agent that reads the order, pulls the chart evidence, matches it to the payer's medical-necessity criteria, and assembles a submission-ready request. Staff review and submit instead of researching from scratch.
Explore solutionDenials & appeals
An agent that triages incoming denials, identifies the root cause, finds the supporting documentation, and drafts a payer-specific appeal letter mapped to the denial reason. Recover dollars that today get written off.
Explore solutionTen agents for healthcare. Pick the one that hurts.
Each one owns a single workflow end to end, with a human on the decisions that matter. Hours below are arithmetic on typical clinic volumes — run it on yours — not results from a named client.
AI Medical Receptionist
Answers every inbound call, books and reschedules, triages urgency, and routes anything clinical to a human. It never puts a patient on hold and never misses the after-hours call.
Prior Authorization
Reads the order, pulls the supporting evidence out of the chart, matches it to that payer’s current medical-necessity policy, and hands your staff a submission-ready packet to approve.
Medical Scribe
Listens to the visit, drafts the note in your own template, suggests the codes, and waits for the clinician to sign. The chart is done before they leave the room.
Patient Intake
Collects history, medications, allergies and insurance before the patient arrives, flags what’s missing, and writes it into the chart instead of onto a clipboard.
Clinic Operations Copilot
Watches the schedule for no-show risk, gaps, and room or staff conflicts — then proposes the fill before the slot is lost. Your manager approves with one click.
Patient Follow-Up
Runs post-visit check-ins, medication adherence nudges, and recall outreach on schedule — escalating anything that sounds clinical to a nurse with the history attached.
Document Analyzer
Reads inbound faxes, referrals, discharge summaries and lab reports, pulls out what matters, and files it to the right chart under the right heading.
Hospital Knowledge
Answers staff questions on policy, protocol and formulary from your own documents, with the source page cited every time. No more hunting the intranet mid-shift.
Claim Validator
Checks every claim against that payer’s rules before it goes out and flags what would come back denied — so the fix happens once, not after a 30-day round trip.
Prescription Companion
Handles refill requests, checks interactions, triggers medication prior-auths early, and sends the patient instructions they can actually follow. Prescribing stays with the prescriber.
Pick an agent above and the brief opens with it filled in — tell us your volumes and we come back within one business day with a scoped plan and a real number. Every agent ships the same way: baseline first, evaluated against your own cases, six weeks running alongside your team, then live. See how a sprint runs.
Built for the constraints, not around them.
Healthcare is regulated, audited, and unforgiving of confident wrong answers. We design for that from the first sprint, not as a compliance bolt-on at the end.
No agent output reaches a payer without a human who can see exactly why the agent decided what it decided.
- HIPAA-aligned deployment. PHI stays inside your environment under a BAA. No training on your data, no PHI leaving the boundary you control.
- Clinician in the loop. The agent prepares the work; a qualified human approves it. Every output is reviewable, editable, and attributable before it ships.
- Evidence mapped to payer criteria. Each decision cites the chart facts and the policy language it relied on — so reviewers verify in seconds, and appeals stand up to audit.
- An eval framework from day one. We measure accuracy against a labeled set before go-live and keep scoring in production — where the agent is right, where it defers, where it improves.
Security, data handling, and our subprocessor posture are documented in full — see Trust & Security and Privacy.
Ask about a health-ops audit.
We map your prior-auth and denials volume, the dollars stuck in each queue, and where an agent pays for itself first. You get a scoped plan, not a pitch.