Every plan 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.
Measured in production, not pilots.
Numbers from live deployments across regional and national plans powered by Diagnostic Robotics.
Health plans are paying a hidden tax on broken operations.
The average plan spends 15–20% of premium on administration. Member NPS sits below 30 industry-wide. Care managers spend more than half their day on documentation and phone tag. Prior auth backlogs run weeks deep.
Most "AI" promises haven't met the reality of regulated, clinically-nuanced workflows. Until now.
- Member services$32 PMPM
- Utilization mgmt$24 PMPM
- Care mgmt outreach$18 PMPM
- Provider ops$15 PMPM
Providers are scaling AI faster than payers can respond.
The 2026 Oliver Wyman Healthcare RCM Survey put numbers on what your CFO is already seeing: 80% of health systems are deploying generative AI in revenue cycle today - up 38 percentage points in under two years. Every claim now arrives more thoroughly documented, more aggressively coded, and submitted faster than any human team can review.
AI enablement isn't optional anymore. It's the price of admission.
- Health systems deploying GenAI in RCM80%
- Adoption increase since 2024+38pp
- Providers growing AI spend through '2870–90%
- Reduction in coding time, complex cases46%
- "No-regret" AI investments per CFOs92%
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.
Reads the request, gathers missing clinical context, routes routine approvals, and prepares full clinical rationale for nurse review on the rest.
Calls high-risk members, conducts structured assessments, books appointments, and hands warm transfers to care managers with full context.
Eligibility, claims status, benefit lookup, ID card, find-a-doc, nurse-line triage. Voice or chat. Multilingual. Escalates with full context.
Drives credentialing intake, resolves provider data discrepancies, and triages claim disputes - turning 30-day SLAs into same-week resolution.
Identifies open gaps, prioritizes by Stars impact, conducts member outreach, books closures, and updates supplemental data - all year, not just Q4.
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.
Read-only integration with your claims, EHR, telephony, and CRM stack. SOC 2 + HIPAA from day one.
Pick from workflow templates. Encode your policies. Co-design with our clinical solutions team.
Agents work alongside your team. Real-time monitoring, weekly outcome reviews, continuous tuning.
Works with the systems you already run.
Built for healthcare. Governed end-to-end.
Show me what's possible for my plan.
Tell us your top three operational pain points. We'll map them to live use cases and show you the outcome curves from comparable plans.
Book a working session