Intensive and time-consuming work

The private hospital in Brazil wanted to decrease the number of claims denied by insurance companies. It also wanted to decrease the time it took for these claims to be approved.

Redesign workflows and launch the agentic platform

Clinical copilot with audio capture that structured draft and suggested CPT/ICD codes for review; triage messages with safe drafts; Prior Authorization Assistant who assembles letters/forms with payer guidelines.

Results

Charting = 70% reduction in completion time

Prior Authorization Requests = 60% reduction in completion time

Claim Denials = 44% reduction in denials

Clinical copilot with audio capture that structured draft and suggested CPT/ICD codes for review