Healthcare

Less paperwork between clinicians and care.

Authorisation, documentation, navigation and revenue-cycle agents that work inside your EHR, with clinical review wherever a patient is affected.

Prior Authorization Agent

Payer-aware prior authorisation and appeals

Prior authorisation delays care by days, and staff cannot keep pace with each payer's changing criteria.

The agent gathers evidence from the chart, applies MCG or InterQual criteria with each payer's overlays, submits through the payer portal or X12 278, and appeals denials with a full clinical narrative.

  • Evidence extraction from the chart
  • Payer criteria tracked by version
  • Submission by portal or X12 278
  • Appeals drafted automatically
Authorisation turnaround
−71%
First-pass approvals
+38%
Missed appeal windows
0

Works with Epic, Cerner, Availity, Change Healthcare, MCG, InterQual

Clinical Ambient Scribe

Notes, orders and coding, drafted during the encounter

Documentation consumes hours of every clinician's day and is a leading driver of burnout.

A specialty-aware scribe drafts the note, suggests orders and codes, and lets the clinician review in 30 seconds rather than 30 minutes.

  • Note templates for each specialty
  • Order and referral suggestions
  • E/M and HCC coding support
  • A complete, HIPAA-grade audit trail
Saved per clinician per day
72 min
RVU capture
+22%
Burnout score
−31%

Works with Epic, Cerner, athenahealth, eClinicalWorks, Dragon

Care Navigator Agent

Ongoing outreach for chronic and rising-risk patients

Care gaps close only when staff have time to call, and rising-risk patients decline unnoticed between visits.

The agent personalises outreach by risk and language, closes HEDIS gaps, and passes deteriorating patients to a clinician with structured context.

  • Outreach cadence set by cohort
  • Multilingual voice and SMS
  • HEDIS gap closure
  • Escalation to the clinical team in SBAR format
Adherence
3.2×
Gap closure
+27%
Avoidable admissions
−18%

Works with Epic, Salesforce Health Cloud, Twilio, Redox

RCM Denials Agent

Denial rework and appeals, handled end to end

Denial write-offs erode net revenue, and rework is manual, payer by payer, and always behind.

The agent triages 835 remittances, gathers evidence from the chart, and files appeals or corrected claims, learning each payer's denial patterns as it goes.

  • Native parsing of 835 and 837 transactions
  • Appeal templates for each payer
  • Evidence retrieval from the chart
  • Recovery tracked to the dollar
Recovered per 100 beds
+$4.1M
Denial write-offs
−52%
Faster accounts receivable
12 days

Works with Epic, Cerner, Change Healthcare, Waystar, Availity

Trial Eligibility Agent

Protocol-grade patient matching for clinical trials

Many trials struggle to meet enrolment targets, and coordinators screening by chart review miss eligible patients.

The agent maps each protocol's inclusion and exclusion criteria to structured data and clinical notes, and ranks candidates for the principal investigator with cited evidence.

  • Parsing of inclusion and exclusion criteria
  • Evidence retrieval from structured data and notes
  • Investigator review with citations
  • Ongoing eligibility monitoring
Match yield
7×
Enrolment rate
+42%
Time to full enrolment
−6 months

Works with Epic, OnCore, REDCap, ClinicalTrials.gov

Every agent above runs under the same security practice.

Deployed inside your perimeter, on zero-retention models under your keys, red-teamed before every release, with a person approving every consequential action and every step on the audit trail.

Tell us about the workflow.

We reply to every enterprise enquiry within one business day. Bring your security team; we will walk them through the architecture and every control.