Payer Policy Search Agent
Answers staff questions about coverage with up-to-the-day policy citations.
RAGComplianceCitations
Payer Policy Search Agent
Polished agent demo — preview
Agent running
Agent thinking
- 1Reading inputs and pulling relevant context across systems…
- 2Building a plan: 4 steps, 2 tools, 1 human approval gate.
- 3Executing steps with progress streaming back to the user.
- 4Decision made. Drafting summary and queuing for review.
This demo is a polished preview. Book a build to see the production version.
The problem
Coverage policies change weekly across hundreds of payers. Front-office staff guess wrong and patients get surprise bills.
What the agent does
- Ingests payer policy PDFs and bulletins on a daily cadence
- Answers natural-language coverage questions with direct citations
- Flags policies that recently changed and impact in-flight authorizations
Business value
Cuts coverage-question wait times from days to seconds and reduces surprise-billing complaints by 65%.
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