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Cliente verificado
HEALTH BILLING
Automating insurance authorizations
The agent manages requests, tracking and validation of pre-authorisations with insurers, without losing traceability or deadlines.
Automating insurance authorizations
An agent to automate insurance authorizations matters when your case is healthcare and insurance (pre-authorisations with insurers), with its own regulation and deadlines, not generic portal procedures. Before selecting tools, we define journeys, permissions, data and supervision criteria so the agent operates under your company's control.
We work from Barcelona and Madrid and remotely with teams across Spain, Europe, LATAM and the United States. The process combines discovery, access hardening, verifiable releases and operational documentation.
We hand over code, repositories, configurations, skills and documentation in accounts owned by your company. You can audit, rotate credentials or change supplier without lock-in.
The agent manages requests, tracking and validation of pre-authorisations with insurers, without losing traceability or deadlines. That is why we prioritise a governable, measurable agent ready to evolve without rebuilding its foundations.
THE CHALLENGE
The challenge of automating insurance authorizations
pre-authorisations are handled by phone and email without traceability
Authorisations reviewed by hand
Each authorisation request is reviewed document by document, with ever longer deadlines.
Irregularly applied criteria
Each processor interprets the policies differently and decisions are not uniform.
Incomplete or scattered documentation
Documentation arrives incomplete and data has to be requested over and over.
APPROACH
How we fix managing authorizations with insurers with deadlines and traceability
We move forward with measurable decisions and releases that already add value.
Authorisation process map
We document the flow from request to resolution and its checkpoints.
Rules and exceptions definition
We establish the decision rules and when a case must be reviewed by a human.
Training with the regulation
We configure the AI with the sector policies and criteria for consistent decisions.
Decision supervision
The AI proposes and a processor validates, keeping responsibility with people.
DELIVERABLES
What automating insurance authorizations leaves ready
We deliver an operational foundation your team can govern and keep improving.
Operational authorisation automation
A system that reviews requests and proposes decisions according to the defined rules.
Documented decision rules
The applicable criteria and exceptions, recorded and auditable.
Traceability of each authorisation
A history of each request with its documentation, decision and owner.
Resolution time report
Metrics on deadlines and routed cases to measure the time reduction.
TRUST
Technology applied to real operations
We automate authorizations with insurers with traceability and deadlines since 2008, in Barcelona and Madrid and remote. Access and logging stay under your control.
- Scope, assumptions and risks visible before the deployment is committed.
- Least privilege, secrets and systems of record defined from the design stage.
- A measurable first release before expanding channels or departments.
- Code, configuration and documentation under your company's control.
FAQ
Questions about automate insurance authorizations
Have a project in mind?
Tell us what you need around automate insurance authorizations. We will help you turn it into a clear, viable delivery plan.
