Healthcare

Where a licensed clinician has to own the decision.

A growing number of states now require a named, licensed clinician to own any AI-assisted adverse determination — with a record identifying the reviewer, their licence and their specialty. HumanAgent routes the decision to a qualified clinician and returns exactly that record.

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How it works.

Your workflow or AI agent sends the decision

We route it to a qualified reviewer

They decide in a structured form

You get the decision plus a verifiable record

Use cases.

Medical necessity denial review

AI drafts the determination. A licensed physician reviews and owns it.

Reviews the clinical record against coverage criteria
Evaluates whether the individual case warrants an exception
Confirms or overturns the recommendation
Signs with name, licence state and specialty attached

Typical budget $50–200 per determinationTalk to us →

Prior authorization exception review

Requests outside standard criteria, decided inside the regulatory clock.

Reviews requests that don't cleanly match criteria
Evaluates supporting documentation
Issues approve, deny or request-more-information
Cites the criteria applied

Typical budget $35–150 per requestTalk to us →

Downcoding review

A recommended code change confirmed before the claim is repriced.

Typical budget $20–75 per claimTalk to us →

Clinical documentation sign-off

AI-drafted clinical content approved into the record with attribution.

Typical budget $15–75 per documentTalk to us →

Regulatory

A growing number of states require a named, licensed clinician to own any AI-assisted adverse determination, with a tamper-resistant record identifying the reviewer, their licence and their specialty.