DENTAL CLINICS

AI agent for insurer authorisations in dental clinics

An approved treatment should not wait weeks: the agent checks coverage and processes each authorisation until the insurer resolves it.

AI agent for insurer authorisations in dental clinics

An AI agent for insurer authorisations in dental clinics integrates with your tools and current flow, with human supervision and traceability. Before automating we define the task, exceptions and success criteria.

We work from Barcelona and Madrid and remotely across Spain, Europe, LATAM and the United States. The agent adapts to your sector and real process, not the other way round.

We hand over the agent, its configurations, repositories and documentation in accounts owned by your company, without lock-in and with the ability to audit or rotate credentials.

An approved treatment should not wait weeks: the agent checks coverage and processes each authorisation until the insurer resolves it.

THE CHALLENGE

insurer authorisations in dental clinics

In insurer authorisations in dental clinics, manual work is slow, depends on staff and leaves room for error; automating it without knowing the sector's flow is a risk. The difference is an agent with rules, exceptions and control, built for your operation.

  • Changing insurer coverage tables

    Each insurer covers different treatments and the clinic does not know which authorisation to request each time.

  • Incomplete requests that get rejected

    X-rays or reports are missing and the insurer denies or asks for more data, delaying treatment.

  • Waits without status tracking

    Pending authorisations are not chased and the patient does not know when treatment will start.

APPROACH

insurer authorisations in dental clinics

An agent with rules, exceptions and milestone control, adapted to your sector.

  1. Reading the coverage table

    The agent checks what the patient's insurer covers for the prescribed treatment.

  2. Preparing the file

    It gathers the required clinical documentation and completes the request before sending.

  3. Sending and tracking

    It sends the authorisation to the insurer and monitors its status until resolution.

  4. Alerting the patient and team

    It reports the approval or denial and logs the result for clinical traceability.

DELIVERABLES

insurer authorisations in dental clinics

An operational, traceable agent under your control.

  • Coverage verified per patient

    Which authorisation to request based on each patient's insurer coverage table.

  • Complete files sent

    Requests with all clinical documentation, without rejections for missing data.

  • Status of ongoing authorisations

    Tracking of each request until approval or denial.

  • Recorded results

    Evidence of each resolved authorisation to audit the treatment.

TRUST

AI applied to real sector processes with supervision

AI agents adapted to your sector's real operations since 2008, with human supervision, traceability and milestone control in Barcelona, Madrid and remote. Code and documentation under your control, without lock-in.

  • Adapted to your sector's real operation.
  • Human supervision with milestone and exception control.
  • A measurable first release before expanding scope.
  • Code, configurations and documentation under your control.

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