This solution is powered by the same technology that powered our AI Agents EVA and PAULA. We have combined the advanced AI technology behind our AI Agents with a first-of-its-kind orchestration layer that optimizes how AI and human experts work together. This new architecture allows us to train on millions of real RCM transactions and handle every edge case with human-in-the-loop oversight—so automations continuously learn and improve.
The result is the first fully managed RCM transformation, where AI runs the processes and brings in human experts only when needed. The outcome is a more accurate, more comprehensive solution that goes live in a fraction of the time—now strengthened by deeper industry knowledge and expert human judgment.
The Complete Prior Authorization Solution
A fully managed prior authorization solution that combines intelligent automation with expert oversight. From data gathering to approvals, every request moves faster, cleaner, and more accurately—turning a major bottleneck into a predictable, high-performance workflow.
Automated Submissions
Submit with Confidence and Stay Up-to-date on Every Payer's Rules
Automated agents extract the right data, complete payer forms, and validate medical necessity criteria across every payer’s rules.
Experienced authorization specialists review and verify complex or clinical cases, ensuring every request is accurate before submission.
The result: consistent, compliant authorizations that move from request to approval in record time.
Tracking and Appeals
Prior Authorization Tracking and Appeals Made Easy
Once submitted, the system monitors each authorization in real time, checking payer portals, flagging delays, and updating statuses automatically.
When denials occur, the platform generates complete appeal packets with supporting documentation and medical evidence, reviewed and finalized by specialists before resubmission.
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Join leading healthcare providers and:
- Collect more money, faster
- Higher capacity, less headcount
- Acquire and retain more patients