Self-improving agents for payers and providers.
Revenue cycle management, prior authorization, supply chain, and computer-use agents that operate legacy EHRs — all governed on a single, HIPAA-grade control plane.
Where current AI stacks break.
PHI sprawl
Agents touch EHRs, claims, faxes and notes — without a uniform PHI policy or audit.
Hallucination risk
Clinical and billing decisions cannot tolerate non-deterministic drift.
Vendor lock-in
Single-model strategies leave cost and quality on the table for diverse workloads.
Fragmented ops
Pilots in every department; no unified governance, evals or observability.
Sovereignty pressure
Some workloads must run inside the hospital boundary or on-prem.
Talent scarcity
Few teams can stand up production-grade agents safely.
Ship in weeks, not years.
Pre-built, evaluated and governed. Bring them up on Synaptix Cloud or your on-prem appliance.
Revenue Cycle Management Agent
End-to-end RCM: charge capture, coding QA, claim scrubbing, denial triage, appeals drafting and ERA/EOB reconciliation across payers.
Prior Authorization Agent
Reads payer policy, assembles clinical evidence, submits the request and tracks status across payer portals — with escalation to staff on edge cases.
Healthcare Supply Chain Agent
Forecasts demand, monitors par levels, automates PO creation, manages recalls and resolves exceptions across GHX, suppliers and the ERP.
Legacy EHR Computer-Use Agent
Operates legacy EHRs and payer portals through computer use — clicking, typing and reading screens — to reach systems with no modern API.
Clinical Documentation Agent
Drafts notes from ambient audio, codes ICD-10/CPT and routes for clinician sign-off.
Patient Access & Scheduling Agent
Multilingual intake, eligibility checks, scheduling, reminders and follow-up — escalates safely to staff when needed.
Care Gap Closure Agent
Identifies HEDIS / quality-program cohorts, drafts outreach and coordinates with care managers.
Pharmacy Refill Agent
Verifies eligibility, drafts refill requests and surfaces clinical exceptions for review.
Built for regulated workloads
Native systems integration
Resources for healthcare teams
Cutting prior-auth turnaround by 70% across 14 payer plans
Multi-agent prior-auth pipeline on the Agent Platform with full HIPAA audit.
Prior authorization at machine speed
An agent reference architecture for payers.
HIPAA, BAA and PHI handling
Certifications, sub-processors and security architecture.
Ready to operationalize your agents?
Talk to our team about a pilot on Synaptix Cloud or on-prem.