NewNew: The enterprise guide to Agentic AI — 24 min read.

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47 delivered programs · Outcomes measured in production

Illustrative only. Case studies, client identities and metrics may be anonymized, aggregated, generalized or representative of engagements delivered by Pronix or its practitioners; results depend on many engagement-specific factors and are not a guarantee of future outcomes. See our Terms of Use for the full disclaimer.

Customer outcomes

What these programs changed in production.

Aggregated results across the enterprise AI, contact center and automation programs published on this page.

47
Programs delivered

CX, enterprise AI and business automation

38%
Average containment lift

Voice and digital self-service

27%
Average handle-time reduction

With agent assist and knowledge AI live

4.6x
Median first-year return

Against implementation and run cost

Illustrative only. Metrics may be anonymized, aggregated or generalized; results depend on engagement-specific factors and are not a guarantee of future outcomes.

6 of 57 case studies
Case study · Health Payers · Agentic AI

Cutting claim-triage cycle time by 62% at a large US health insurer

A large US health insurer was drowning in claim-triage backlog during open enrollment. pronix.ai designed and shipped an agentic triage workflow that took cycle time from 11 minutes to under 4, tripled throughput, and stayed inside healthcare and CMS auditability guardrails throughout.

-62%Cycle time
*Representative outcome; results vary.
Health PayersKore.aiSalesforce Agentforce
9 min readRead case →
Case study · Health Payers · Agentforce

46% member-services deflection for a Medicare Advantage payer — CMS-safe agentic AI

A regional Medicare Advantage payer was buckling under AEP call volume for benefits, PCP changes, ID cards and prior-auth status. pronix.ai deployed Salesforce Agentforce on Health Cloud with Amazon Connect voice and CMS-safe guardrails — 46% deflection and CSAT flat through AEP.

46%Deflection on top-5 intents
*Representative outcome; results vary.
Health PayersSalesforce AgentforceAmazon Connect
8 min readRead case →
Case study · Health Payers · CCaaS modernization

33% AHT reduction on eligibility calls at a Medicaid MCO — contact center modernization

A state Medicaid MCO was running eligibility and enrollment on an aging Cisco estate with no agent assist and a queue of state audit findings. pronix.ai moved them to Genesys Cloud with Kore.ai agent assist and Health Cloud integration — 33% AHT reduction, clean audits, and a modernization path for the rest of the estate.

-33%AHT on eligibility calls
*Representative outcome; results vary.
Health PayersGenesys CloudKore.aiSalesforce Agentforce
8 min readRead case →
Case study · Health Payers · Agentic AI

82% prior-authorization touchless rate at a national payer — clinical-safe AI automation

Prior authorization was a 6-day process that cost the payer $92M annually and drove providers to public complaint. pronix.ai automated the clinical-review workflow with clinician-in-the-loop — 82% touchless approvals, 4-hour turnaround and full CMS interoperability rule alignment.

82%Touchless approval rate
*Representative outcome; results vary.
Health PayersSalesforce Agentforce
8 min readRead case →
Case study · Health Payers · GenAI

44% faster appeals turnaround at a regional payer — GenAI evidence triage

Member and provider appeals were a paperwork mountain that missed regulatory turnaround windows. pronix.ai built a GenAI evidence-triage workflow with reviewer-in-the-loop — 44% faster turnaround, cleaner first-pass overturn decisions and NCQA-audit-ready evidence trails.

-44%Appeals turnaround time
*Representative outcome; results vary.
Health PayersSalesforce Agentforce
7 min readRead case →
Case study · Health Payers · Dynamics 365 CCaaS

Modernizing member services with Dynamics 365 Contact Center and Copilot at a regional health plan

A regional health plan's member services center was overwhelmed every open enrollment by eligibility, claims-status and ID-card requests. pronix.ai implemented Dynamics 365 Contact Center with Copilot Studio self-service, a unified member-history workspace and Copilot-guided workflows, so routine requests were automated and seasonal agents ramped faster. Client name withheld under confidentiality; outcomes are typical for this scope, not audited client results.

42%Tier-1 eligibility, claims & ID-card requests contained
*Representative outcome; results vary.
Health PayersMicrosoft Dynamics 365Copilot Studio
8 min readRead case →
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