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02 / RCM and prior authorization

Days of waitingon hold with payers.Now measuredin dollars per call.

Six voice agents that navigate payer IVRs in parallel for prior auth status, eligibility, claim follow-up, and denial capture. Built to run hundreds of concurrent calls. Built to fail loudly to humans when the line stops being deterministic. Engineered to be cheaper per call, faster per resolution, and fully audited end-to-end.

The benchmark

Send us 100 of your real calls. We'll run them through our agents at no charge and publish the unit economics back to you in a week.

Agents we deploy

Six agents.
Each scoped to a single payer-facing job.

01

prior_auth_status

Prior auth status check

Does

Calls payer IVRs, navigates menus, captures status, reference numbers, and required next actions. Hands you a structured event.

Does not

Doesn't initiate new auths. Doesn't argue with the rep. Hands off to a human when the line gets non-deterministic.

Outcome

PA turnaround: days → hours

02

eligibility_check

Eligibility and benefits verification

Does

Confirms active coverage, captures plan details, copay, deductible status, in-network provider check.

Does not

Doesn't make medical-necessity calls. Doesn't fabricate plan details that the IVR didn't surface.

Outcome

~92% first-call resolution

03

claim_status

Claim status follow-up

Does

Calls payers for claim disposition, captures paid amount, denial codes, pending reasons, expected next action dates.

Does not

Doesn't dispute, appeal, or rebill. Captures the truth and routes it.

Outcome

10x throughput vs human agent

04

denial_capture

Denial reason capture

Does

Pulls denial reasons in structured form. Categorizes against your taxonomy. Routes to the right work-queue or appeals path.

Does not

Doesn't write appeals. Doesn't make legal or coding judgments.

Outcome

100% denial-reason coverage

05

patient_balance

Patient balance outbound

Does

Calls patients about outstanding balances. Offers payment plans within your policy. Captures intent and routes to collections only when needed.

Does not

Doesn't pressure or threaten. Compliant with TCPA and state-level rules. Always offers human handoff.

Outcome

~30% of balances resolved on first call

06

appeals_status

Appeals status tracking

Does

Periodic outreach to payers for appeals progression. Captures decision dates, escalation paths, supplemental info requested.

Does not

Doesn't prepare or submit appeals. Doesn't argue clinical necessity.

Outcome

Appeals follow-up at zero marginal labor cost

The hard part

IVRs are
where most agents die.

Anyone can build a chatbot. Building an agent that reliably navigates a UnitedHealthcare or Aetna IVR — with mid-call menu changes, dynamic prompts, hold-music with periodic interruptions, and human reps who pick up at unpredictable points — is hard engineering.

Our agents are built to detect when the line stops being deterministic and hand off to a human with full context instead of guessing. We measure ourselves on three numbers: first-call resolution rate, average handle time, and handoff-quality (does the human get the context they need to finish without asking).

Concurrency

200+

FCR

~92%

Handoff context

100%

Payers navigated

UnitedHealthcareAetnaCignaHumanaAnthem BCBSBCBS TexasBCBS FloridaKaiserCentene / WellCareMedicare AdvantageMedicaid MCOsTricare

RCM platforms

WaystarAvailityChange / OptumAdvancedMDKareoathenaCollectorEpic ResoluteeClinicalWorks RCM

Run the unit economics

Type your
payer-call volume.

Conservative defaults. We benchmark against a 100-call sample of your real traffic before committing to a contracted unit cost.

Type your numbers · the model recalculates live

Annualized savings

$1,476,000

Cost / call

$7.00 → $0.85

AHT

14 → 4.5 min

Turnaround

68%

Monthly run-rate savings

$123,000

Hours reclaimed / month

3,167

Agent unit cost of $0.85/call assumes a typical payer-IVR navigation mix at our 4.5-minute average handle time. Pricing varies with concurrency, retries, and the complexity of your payer set. We benchmark against a 100-call sample of your actual calls before committing to a number.

Built for audit

Full recordings

Every call captured at the platform layer with full bidirectional audio, retained per your retention policy and payer requirements.

Structured outputs

Every call resolves into a typed event your platform can ingest. Auth status, reference numbers, denial reasons, next actions, and confidence scores.

Queryable logs

Every prompt, tool call, and decision logged. Customer-queryable via API for compliance, payer audits, or internal QA.

Pilot in progress

Pilot 02 · American Infusion Care · Florida

Mid-size RCM running prior auth across orthopedics and cardiology. Three agents live: PA status, eligibility, and claim follow-up.

Calls / month

22,000

FCR

91%

Cost / call

$0.85

PA turnaround

−84%

The benchmark, on us

100 of your calls.
One week. The numbers, published back.