Every healthcare workflow, transformed by agents.
Replace fragile scripts and manual queues with healthcare-native agents that listen, decide, and act - across utilization management, care management, member services, and provider operations. Live in days, not quarters.
Six functions. One platform. Real outcomes.
Each agent is a configurable starting point - not a closed black box. Your team owns the policy. Our agents do the work.
Prior Auth Triage Agent
Reads the request, gathers missing clinical context, routes routine approvals, and prepares full clinical rationale for nurse review on the rest.
Outreach & Intake Agent
Calls high-risk members, conducts structured assessments, books appointments, and hands warm transfers to care managers with full context.
24/7 Member Concierge
Eligibility, claims status, benefit lookup, ID card, find-a-doc, nurse-line triage. Voice or chat. Multilingual. Escalates with full context.
Credentialing & Disputes Agent
Drives credentialing intake, resolves provider data discrepancies, and triages claim disputes - turning 30-day SLAs into same-week resolution.
Gap Closure Agent
Identifies open gaps, prioritizes by Stars impact, conducts member outreach, books closures, and updates supplemental data - all year, not just Q4.
Coding & Chart Review Agent
Reviews charts at scale, surfaces suggested HCC codes with evidence, and supports coder workflows. Compliant, auditable, RADV-ready.
From contract to live, in weeks.
Agents deploy on top of your existing systems - no rip-and-replace. Most customers are in production on the first workflow within 6–8 weeks.
Connect
Read-only integration with your claims, EHR, telephony, and CRM stack. SOC 2 + HIPAA from day one.
Configure
Pick from workflow templates. Encode your policies. Co-design with our clinical solutions team.
Run
Agents work alongside your team. Real-time monitoring, weekly outcome reviews, continuous tuning.
Show me what's possible for my organization.
Tell us your top three operational pain points. We'll map them to live use cases and show you outcome curves from comparable organizations.
Book a working session