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Prior authorization

Payer rules searched, clinical evidence gathered and the packet ready to submit within minutes of the order.

Healthcare

Prior authorization

SUPERVISORAGENTSSYSTEMSPrior Auth Supervisorplan · route · approveOrder Agentaginies-vision-oss-72bon-premPayer Rules Agentaginies-large-c5Submission Agentaginies-medium-oss-120bon-premEHR (HL7/FHIR)Payer Policy VectorStorePayer PortalExchange / M365 Mail
Audit trail00:00.00
run #128,610elapsed 0 mstokens 0cost $0.000status Approval rule: Surgical procedure or cost > 25,000 TL → utilisation management nurse approval

Simulation · derived from real agent definitions · every agent can be built by dialogue with the Autonomous Agent and validated with a test corpus

Trigger

A procedure order requiring prior authorisation is placed in the EHR

Outcome

Complete packet submitted to the payer, auth number written to the EHR, team informed

Agents

SUPERVISOR

Prior Auth Supervisor

Decomposes the objective, delegates to agents, manages approval points, merges the result.

aginies-vision-oss-72b · on-prem

Order Agent

Extracts fields from the order and clinical documents

extract_order_fieldsextract_clinical_notes
aginies-large-c5

Payer Rules Agent

Searches payer policy and assesses medical necessity

search_payer_policycheck_medical_necessity
aginies-medium-oss-120b · on-prem

Submission Agent

Assembles the packet, submits it and updates the record

build_auth_packetsubmit_prior_authupdate_encountersend_email

Steps

#KindAgentWhat happensSystemmstok
01 ingest Prior Auth Supervisor Order OR-58213 for lumbar fusion received from the EHR, patient identity matched 200
02 reason Order Agent CPT 22612 · ICD-10 M43.16 · Physician: Dr Yılmaz · Payer: Plan A · Cost 185,000 TL 720 640
03 plan Prior Auth Supervisor Plan: clinical notes → payer rule → necessity check → submit 300 210
04 retrieve Order Agent Last 6 months of notes, MRI report and 8 weeks of physiotherapy records pulled EHR (HL7/FHIR) 460
05 retrieve Payer Rules Agent Payer policy SP-L-2026 §4.2 found: ≥ 6 weeks of conservative treatment required Payer Policy Vector Store 520 880
06 verify Payer Rules Agent Necessity: 8 weeks PT documented, neurological deficit present → criteria met (0.93) 840 1,100
07 approval Prior Auth Supervisor Surgical procedure → utilisation management nurse reviewed and approved the packet 2,600
08 write Submission Agent Packet (12 pages) submitted to the payer portal, reference PA-2026-118402 received Payer Portal 900
09 write Submission Agent Authorisation number and 90-day validity written to the encounter EHR (HL7/FHIR) 380
10 notify Submission Agent Physician office and surgical scheduling informed, decision trail stored Exchange / M365 Mail 240

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