AI Agents That Automate Healthcare Operations

Streamline enrollment, claims, prior authorization, provider management, scheduling, and patient engagement with intelligent AI agents built for modern healthcare organizations.

Intelligent AI Agents for Modern Healthcare

Automate eligibility, claims, provider management, scheduling, and care coordination with AI agents built to streamline healthcare operations.

Eligibility & Benefits Verification Bot

Automates insurance eligibility verification for faster patient onboarding.

Insurance Automation
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Provider Data Management Agent

Maintains accurate provider records, credentialing data, and directory information.

Provider Data NLP
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Automated Care Management Outreach

Personalized member outreach with reminders and care engagement workflows.

Patient Engagement AI Outreach
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AI Assistant for Prior Auth Submissions

Automates documentation validation and prior authorization submissions.

Prior Authorization AI Assistant
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Automated Care Coordination & Follow-Up

Coordinates post-visit communication, reminders, and follow-up activities.

Follow-Up Care Coordination
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Conversational Scheduling & Triage Agent

Uses conversational AI to schedule appointments and guide patients.

Scheduling Conversational AI
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AI Claims Agent with Genesys MCP & IVR

Automates claims workflows through Genesys MCP integration and IVR.

Claims Genesys MCP
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We can create a unique Agent tailored to
meet your challenges.

--or--

Explore Our Custom
Agentic AI Development Services

Agent Strategy & Consulting

  • AI readiness evaluation
  • Agent ROI mapping
  • Workflow opportunity discovery
  • Compliance & risk assessment (HIPAA, FERPA, SOC2, etc.)

Custom Agent Development

  • Multi-agent systems
  • Domain-specialized autonomous agents
  • Tool-using agents (APIs, databases, actions)
  • Retrievers, planners, orchestrators, supervisors

Knowledge Engineering

  • Enterprise knowledge graphs
  • Vector stores & domain-specific memory
  • Data pipelines & ETL for grounding agent decisions

Integrations & Tooling

  • EMRs (Epic, Cerner), ERPs, CRMs
  • Construction project management systems
  • LMS, TMS, WMS, POS
  • Email, Slack, WhatsApp, voice systems

Safety, Compliance & Guardrails

  • PII/PHI masking
  • Policy-driven decision making
  • Human-in-the-loop review pipelines

Deployment & MLOps for Agents

  • Monitoring & observability
  • Autonomous action logs
  • Drift detection and improvements
  • Scalability for 10 → 10,000 daily tasks

Ready to Build Smarter Healthcare Operations?

Discover how PegasusOne AI Agents can automate repetitive workflows while improving patient and provider experiences.