Solutions Healthcare
Automate healthcare operations. Focus on patients, not paperwork.
Avintra brings governed agentic AI to healthcare, from prior authorization and medical record summarization to claims, denials, revenue cycle, and patient access. Reduce administrative burden, speed up care, and protect revenue for payers and providers.
Governed on Avintra, with human review where it matters
- 50%
- Faster prior auththrough automated evidence gathering
- 40%
- Fewer claim denialswith pre-submission validation
- 30-60%
- Lower cost to collectvia AI-enabled revenue cycle
- 90%
- Faster record summarieswith traceable AI extraction
Use cases
Orchestrate AI agents across the healthcare lifecycle
From patient access and care management to claims, revenue cycle, and compliance, Avintra automates the workflows that determine healthcare performance.
Prior Authorization & Care Management
Automate clinical evidence gathering, validate medical necessity against payer-specific rules, bundle complete documentation, and track approval status in real time. Payers and providers reduce delays and deliver care faster.
- 01
Clinical evidence collection and policy rule matching
- 02
Complete documentation bundling and submission
- 03
Real-time status tracking and stakeholder alerts
- 04
Gaps-in-care outreach and follow-up automation
Why Avintra
Built for the safety, compliance, and speed healthcare requires
Healthcare-trained agents
Pre-built agents for prior auth, claims, denials, revenue cycle, and patient access, grounded in clinical and payer terminology.
EHR & payer system integration
Connect with Epic, Cerner, MEDITECH, Allscripts, payer portals, clearinghouses, and CRMs via native connectors and APIs.
HIPAA, GDPR, and DPDP ready
Role-based access, PII masking, encryption, consent management, and immutable audit trails for healthcare compliance requirements.
Live in weeks, not quarters
Start with one high-impact process (prior auth or denials) and scale across the revenue cycle and patient journey on the same platform.
Built for clinicians and patients
Conversational, multilingual interfaces for patients, providers, and staff across web, mobile, voice, and email channels.
Outcome-backed business case
Measure prior-auth turnaround, denial rate, cost to collect, cash acceleration, and patient satisfaction with built-in analytics.
Ready to reduce healthcare administrative burden?
Start with one high-impact process (prior authorization, denials, or medical record summarization) and scale across the care and revenue lifecycle on the same governed platform.