Featured engagement
PriorAuth AI — a prior-authorization copilot
Prior authorization is slow, manual and expensive for clinics and payers alike. Modeled on a regional hospital network, the goal was an agent that drafts requests a reviewer can trust — and knows exactly when to hand a case to a person.
- DiscoverSat with clinical and revenue-cycle stakeholders to map the workflow and where time and denials were lost.
- ScopeWrote the Statement of Work: outcomes, success metrics, data access, and the cases the agent must refuse.
- ArchitectAgents read the chart note, retrieve payer policy and medical-necessity criteria, and draft the request with citations.
- BuildOpenAI Agents SDK, AWS Bedrock AgentCore and FastMCP tools, with role-based access, PII protection and audit logging.
- ProveEvery release gated on evaluations — LLM-as-judge, golden sets and regression tests — with observability on every run.
- Hand overA runbook and an escalation path, so the customer runs it without me.