Features
Healthcare native
Agentic AI Platform
User-friendly platform that enables administrators to build, configure, and manage AI agents with minimal technical expertise.
Comprehensive governance and risk management for enterprise AI deployments.
Proven methodologies for successful AI integration and adoption.
Enterprise-grade data infrastructure for AI workloads.
Seamless integration across your healthcare technology ecosystem.
HIPAA-compliant security with ethical AI guidelines.
Ready-to-deploy AI models trained on healthcare-specific data.
AgentFoundry Library
A powerful library of pre-built AI agents that automate clinical and operational
workflows to delivery medical value and elevate efficiency.
Care Plan Recommendation
Boost care team efficiency and reduce avoidable costs through personalized, evidence-based guidance.
Generates evidence-based, personalized care plans that improve clinical outcomes and care coordination.
Call Review
Drive operational efficiency by automating call analysis to uncover high-impact care opportunities.
Analyzes call transcripts to surface care management opportunities, ensuring timely intervention and better member engagement.
Program Advisor
Improve program ROI and population health by directing members to the most effective care pathways.
Recommends optimal care programs by analyzing claims, clinical, and engagement data to drive improved health outcomes.
Medical Summary
Cut review time and enhance program recommendation accuracy with a unified, AI-driven view of member data across the platform.
Delivers an integrated member clinical summary with next-best-action insights to guide more informed, efficient care decisions.
Prior Authorization Review
Accelerate medical review cycles and reduce administrative costs through intelligent automation.
Evaluates clinical records against medical policies to determine medical necessity, highlight key evidence, and accelerate authorization decisions.
Document Review
Reduce processing time and rework by automating document validation and completeness checks.
Automates validation of submitted clinical documents to ensure completeness, reduce delays, and support faster, compliant reviews.
Gap Closure
Improve quality scores and incentive performance through proactive, data-driven gap identification.
Identifies open care gaps and recommends targeted actions to boost quality scores, compliance, and member outcomes.
Risk Adjustment Coding
Increase reimbursement accuracy and coding compliance while reducing manual review burden.
Detects and applies accurate risk codes to improve documentation integrity, compliance, and reimbursement accuracy.