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Cliente verificado
CLINICS
AI agent for insurance authorisations in clinics
Every authorisation stops depending on a forgotten email: the agent prepares the paperwork, submits it and chases the answer until the insurer resolves it.
AI agent for insurance authorisations in clinics
An AI agent for insurance authorisations in 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.
Every authorisation stops depending on a forgotten email: the agent prepares the paperwork, submits it and chases the answer until the insurer resolves it.
THE CHALLENGE
insurance authorisations in clinics
In insurance authorisations in 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.
Different agreements per insurer
Each company has its own authorisation requirements and the clinic handles every case differently.
Unauthorised diagnostic tests
Complementary tests are requested without prior authorisation and are then not paid or are denied.
Paperwork that slows care
Staff spend time on authorisations instead of patients, and errors delay discharge.
APPROACH
insurance authorisations in clinics
An agent with rules, exceptions and milestone control, adapted to your sector.
Checking the applicable agreement
The agent identifies the patient's insurer and agreement and applies its authorisation requirements.
Preparing the clinical request
It gathers diagnosis, tests and medical justification into a file ready to send.
Processing and tracking
It sends the authorisation and monitors its status, chasing up delays.
Logging the result
It records approvals and denials in the clinical file and alerts the responsible team.
DELIVERABLES
insurance authorisations in clinics
An operational, traceable agent under your control.
Agreements applied per patient
Each insurer's requirements identified to process without errors.
Complete clinical requests
Files with diagnosis and tests, without rejections for missing data.
Authorisation tracking
The status of each request monitored until resolution.
Resolution history
An auditable record of approvals and denials per patient.
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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