Prior-authorization agent that submits and follows up
Problem. Prior auth is payer-specific, multi-step work that consumes clinical time and delays both care and reimbursement.
Agent design. Multi-agent system: an intake agent assembles the clinical packet, a payer-rules agent applies the right criteria, a submission agent files it, and a follow-up agent tracks status — clinicians approve before submission.
Outcome. Submission and chasing run autonomously; clinical staff review exceptions only.
Acts in. EHR · Payer portals · Utilization management
