AI Admin Agents for Providers and Plans
AI for
Health Ops Intake, Benefits, Prior Auth, Billing and more
12,847
PAs decided today ↑ 4.2%
94%
Auto-approve rate
11.2s
Median TAT ↓ 38%
$2.40
Cost / PA ↓ 89%
Modules online.
/03 · automated-rcmlive
Order pipeline
01Intake
Fax · email · portal
RX ▢
02Extract
CPT · ICD-10 · member
{ }
03Verify
Eligibility · coverage
≡ ✓
04Authorize
Submit · poll · approve
⌥ A#
05Claim
837P · payer · paid
$ →
DME-4781FAX · 14:02
SOURCESleep Rx · 2pg
PARSED— pending
DME-4781EXTRACT
CPTE0601
DXG47.33
DME-4781VERIFY
PAYERAetna PPO
ELIGACTIVE ✓
DME-4781AUTH
PA #A4-7791
STATUSAPPROVED
DME-4781CLAIM
837Psubmitted
BILLED$1,847.00
DME-4782EMAIL · 14:03
SOURCEMobility Rx
PARSED— pending
DME-4782EXTRACT
CPTE0143
DXM17.11
DME-4782VERIFY
PAYERBCBS FEP
ELIGACTIVE ✓
DME-4782AUTH
PA #A4-7792
STATUSAPPROVED
DME-4782CLAIM
837Psubmitted
BILLED$312.40
DME-4783PORTAL · 14:05
SOURCEeRx · JSON
PARSED— pending
DME-4783EXTRACT
CPTK0001
DXI69.354
DME-4783VERIFY
PAYERHumana MA
ELIGACTIVE ✓
DME-4783AUTH
PA #A4-7793
STATUSAPPROVED
DME-4783CLAIM
837Psubmitted
BILLED$698.00
processing847 orders today98.2% straight-through
14:06:22 · live
AI Automated RCM
80% touchless intake and order management for revenue cycle teams. Fax, email, portal — all parsed, classified, routed.
80%
Touchless
18
Suppliers
3d
Onboard
For RCM teams/ explore →
/04 · full-service-rcmlive
$182,420+ $1,240
MonTueWedThuFriToday
Full-service RCM
End-to-end revenue cycle. We run it; you keep the margin. Claims out the door, dollars in the account.
95%
FPA
40%
↓ DSO
24/7
Service
For providers and DMEs/ explore →
/01 · ai-automation-for-health-planslive
Receive
Extract
Match
Decide
Notify
Member
M-7821 / 47F
CPT
27447
Policy
CG-OS-32 · 0.97
✓ Approved · 11.4s
AI Automation for Health Plans
Augment existing vendors across intake, eligibility, claims, prior auth, denials, and appeals.
72h
Urgent
7d
Standard
0057F
CMS Rule
For health plans/ explore →
/05 · medical-policylive
⌕
AetnaKnee arthroplasty · CG-OS-32v4.2 · 2025
UHCTotal knee replacementv6.1 · 2025
CignaKnee arthroscopy / OSv3.8 · 2025
AnthemJoint arthroplasty guidelinev2.0 · 2025
Policy & Coverage
1,000+ payer medical policies, searchable, refreshed nightly. The reference layer behind every PA decision.
1.2k
Plans
24h
Refresh
Free
Tier
For everyone/ explore →
One model.
Five places it shows up.
The same Large Medical Model that approves a knee replacement also audits a payer's 2026 PA file, tells a DME supplier what's reimbursable, and serves a thousand payer policies as the reference layer underneath.