Features
Streamlined reviews to ensure effective,
appropriate care delivery
Leverage AI-driven policy management to automate approvals, ensure compliance, and optimize decision-making with precision.
Automate workflow rules to streamline processes, reduce manual effort, and improve operational efficiency in real time.
Empower smarter, automated determinations that drive consistency, policy accuracy, and administrative efficiency in utilization management.
Optimize intelligent routing to ensure the right tasks reach the right teams, accelerating reviews and enhancing collaboration.
Jumpstart your request intake processes with ready-to-use, customizable templates.
Efficiently manage appeals and grievances with streamlined workflows that ensure compliance and timely resolutions.
Empower providers with a user-friendly portal to submit, track, and manage authorization requests seamlessly.
AI-powered fax automation extracts, structures, and auto-generates UM requests, reducing manual work and speeding up processing.
Seamless peer-to-peer MD review scheduling—letting providers self-schedule Outlook-integrated appointments to accelerate UM decisions.
Take a Closer Look
Agent Spotlight
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.
AgentFoundry is our healthcare native Agentic AI Platform with a library of pre-built agents.
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