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Guided prior-auth packet drafting in-VPC — ~35–45% less admin time on routine auths, humans on exceptions only.
The Problem
Clinical ops staff were assembling prior-auth packets from EHR notes, payer portals, and fax workflows — often multi-hour cycles that delayed care and burned clinician time.
The Solution
A guided automation layer that drafts payer-ready packets from approved EHR excerpts, flags missing documents, and escalates only exceptions to humans. PHI stays in the client's VPC; no training on patient data.
Business Impact
Ops leaders got capacity back without hiring a new auth team. We sized outcomes as a range because payer mix and EHR maturity vary by site.
Healthcare AI industry pageTech Stack
Crypto / FinTech
Durable AI Ops Layer on Multi-Venue Exchanges
Desk copilots that turn natural-language intent into HITL-approved exchange orders — Vercel AI SDK, Temporal, and MCP — without YOLO trading bots.
Banking / FinTech
Conversational Rules Engine for Crypto↔Fiat Banking
Users set salary-day and balance rules in chat; Temporal workflows execute convert → transfer recipes with confirm cards and zero double-pays on webhook retries.
Banking
Durable AI Ops Layer for Mid-Market Banking
KYC exceptions and payment repairs on Temporal + Vercel AI SDK + MCP — maker-checker Signals, PII redaction, zero double-posts on core retries.