Industries · Healthcare & Life Sciences
Agentic AI for Healthcare Operations
HIPAA-aware agents for prior auth, scheduling, intake, clinical documentation triage and revenue-cycle workflows. PHI stays in your environment.
Where the closed loop pays back fastest
- ›Prior-auth packets that take 4–10 business days to assemble
- ›Schedulers re-keying data between EHR, payor portal and CRM
- ›Clinicians documenting after hours instead of seeing patients
- ›Denials piling up in revenue cycle with no closed-loop learning
High-ROI use cases
Prior-authorization agent
Pulls chart, payor policy and clinical guidelines; drafts the medical-necessity packet; routes to clinician for sign-off.
4–10 days → < 1 day on 60–80% of cases
Patient intake & triage
Conversational intake that fills the EHR template, flags red-flag symptoms, books the right appointment type.
12+ min intake → < 4 min
Clinical-note assist
Ambient capture + structured SOAP draft, fully reviewed before signature. Never auto-files.
60–90 min/day reclaimed per clinician
Denial-loop closure
Closed-loop agent classifies denial reasons, drafts the appeal, and feeds the pattern back into the prior-auth agent.
15–25% recovery uplift
Reference stack
- MCP servers for Epic / Cerner / Athena bridges
- PHI-safe retrieval — embeddings on a HIPAA-eligible store
- Eval harness using clinician-graded golden sets
- BAA-covered model providers only
Guardrails
- Mandatory human approval before any payor or clinical action
- PHI never leaves your tenant boundary
- Full provenance in every generated artifact
- Bias monitoring on cohort-level outcomes
Healthcare engagements run under BAA. We deploy in your VPC or on the model gateway of your choice.