How to Build a Safe, Autonomous Prior Authorization Agent for Healthcare Revenue Cycle Management with Human-in-the-Loop Controls
In this tutorial, we demonstrate how an autonomous, agentic AI system can simulate the end-to-end prior authorization workflow within healthcare Revenue Cycle Management (RCM). We show how an agent continuously monitors incoming surgery orders, gathers the required clinical documentation, submits prior authorization requests to payer systems, tracks their status, and intelligently responds to denials through […]
