Development Platform

Design, deploy, and scale
agentic AI workflows — fast.

Our platform gives large healthcare enterprises everything they need to build, operate, and govern custom agentic AI workflows — without starting from scratch.

50+
Production-ready agents
4B+
Transactions processed
$1.5B+
Cost savings and revenue recovered

Built for teams that need
full control and customization.

Build agentic workflows using pre-built assets or custom components as needed, and configure and train them on your data, policies, and operating model.

Platform capabilities

Everything you need to build
production-grade agentic AI.

Decision modeling and orchestration

Design and orchestrate real-time, multi-agent decision workflows that collaborate across validation, retrieval, reasoning, and execution.

Agent orchestration

Execute agents across decision flows — real-time or batch — across three modes: support, augmentation, and automation.

Composability

Combine ML, NLP, GenAI, and optimization techniques to replicate complex human decisions at scale.

Rules + AI engine

Configure decision logic across rules, probabilistic models, and generative AI — governed through a deterministic control plane. Auditable, explainable, compliant.

Document and policy intelligence

Turn complex, unstructured policies and documents into structured, machine-readable logic — instantly.

Decision actor collaboration

Seamless agent-to-agent and agent-to-human interactions — shared memory, contextual continuity, and human-in-the-loop validation where it matters most.

Extensibility and flexibility

Extend with custom code. Configure agents to align with enterprise policies and governance. Pre-built connectors to payer, provider, and enterprise systems. Deploy on cloud, on-prem, or hybrid.

Monitoring and governance

Track, audit, and control every decision, agent, and workflow — end to end.

Continuous learning

Learn from every decision and outcome to continuously improve performance and adapt to change.

Sales and implementation accelerators

Assess fit and value upfront
before you commit.

Discover

Run rapid fit-gap assessments on real healthcare datasets to evaluate AI readiness.

Insights

Feature engineering and model training across a broader dataset to demonstrate business value before full deployment.

Pre-built agents

Start fast. Scale faster.

Production-ready agents configurable to your data and policies, deployable in days.

Claims
Claims Intake
Ingests claim data from source systems for clean downstream processing.
Claims PA Match
Matches claims to prior authorizations and assigns a confidence score.
Claim Anomaly Detection
Identifies suspicious claims, groups them into outlier categories, and accelerates resolution.
High Dollar Claims Fast Track
Classifies high-dollar pended claims as high- or low-risk for examiner prioritization.
Claims Likely to Deny
Identifies claims likely to be denied by payer pre-submission.
Duplicate Claim Classifier
Identifies duplicate claims before they enter processing.
EDI 837 Extraction
Extracts, validates, and normalizes data from EDI 837 claim files into structured inputs.
Clinical
Prior Auth Requirement Check
Determines whether a claim requires prior authorization based on payer rules and policies.
Prior Auth Accuracy Check
Validates prior authorization details and flags missing or incorrect information.
Prior Auth Digitization
Digitizes prior authorization forms across formats for instant downstream use.
Prior Auth Approval
Makes near real-time prior authorization approval decisions.
Clinical Review
Enables instant policy lookup and supports clinical reviews for greater accuracy and efficiency.
Medical Record Extraction
Turns unstructured documents into digital documents, key value pairs, and rules.
Revenue cycle
RCM Claims Denial Prediction
Evaluates claims for denial risk across eligibility, authorization, documentation, and coverage.
RCM Claim Appeal Automation
Automates claims appeal drafting and evidence alignment.
RCM Claims Appeals Prediction
Predicts denial overturn probability and automates appeal generation in real time.
RCM PA Denials Prediction
Predicts prior authorizations at risk of denial pre-submission.
RCM PA Submission Automation
Automates eligibility checks, policy validation, evidence packaging, and submission generation.
RCM PA Appeal Automation
Automates PA appeal drafting, clinical justification mapping, and evidence alignment.
Documents and policy
Document Classification
Classifies structured data from provider and payer documents into the Document Well.
Document Extraction
Extracts structured data from provider and payer documents into the Document Well.
Policy to Rules
Turns complex policies and unstructured documents into structured rules.
Coordination of benefits
COB Primacy Determination
Determines the correct primacy of a member’s coverage.
COB Identification
Identifies whether a claim has a Coordination of Benefits issue.

Impact

30+
Solutions built on the platform

Faster than previous build cycles

80%
Built by the client’s own team

Weeks
Not months, to first ROI

A Fortune 50 health plan came for one solution. They stayed for the platform. Thirty solutions built in eighteen months — 80% by their own team, three times faster than before.

Fortune 50 Health Plan
Enterprise AI Program

Ready to build?

Trusted by the largest health plans to build and run custom agentic AI solutions.

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