AI handles routine authorizations. A clinician reviews the ones that fall outside criteria.
Volume and enterprise pricing available · you set the budget per task
Federal rules now require standard prior authorization decisions within seven days and urgent ones within seventy-two hours. Your AI clears the requests that match criteria cleanly. The ones that don't still need a clinician — and the clock is already running.
Via form, API, or SDK. From any workflow or AI agent.
AI clears requests that match criteria cleanly, flags exceptions for clinical review
Licensed clinical reviewer reviews flagged items within your SLA. Credential requirements vary by task.
Structured decision. SHA-256 audit hash. Tamper-proof record.
Reviews requests that fall outside standard criteria
Evaluates supporting clinical documentation for completeness
Issues an approve, deny, or request-more-information decision within the regulatory window
Cites the specific criteria applied in the decision
Produces an attributed record with timestamp for the compliance file
Verified professionals matched to the Healthcare category
Credential requirements vary — some tasks require specific certifications, others are open to all verified operators
Every review includes a SHA-256 audit hash for verification
Preferred credential for this use case: Licensed clinical reviewer
This use case was built with the HumanAgent API. You can build your own version — customize the workflow, set your own pricing, integrate your own AI, and choose your operators.
Operator credential requirements vary by task. Some tasks are open to all verified operators.