AI agents for healthcare administration

Revenue cycle, outpatient, hospitals, pharmacy, dental, and home health — eliminate the $265 billion administrative burden so clinicians can focus on care.

Administrative waste is healthcare's most treatable condition

Incorrect CPT and ICD-10 codes trigger denials on first submission, creating rework loops that delay revenue by 30-90 days. Payers require clinical documentation for prior authorization, meaning patients wait days for care that should begin immediately. Fragmented EHR data leads to duplicated tests and preventable readmissions.

Conviction agents attack administrative waste at every touchpoint — from charge capture to payer negotiation — so your clinical teams can focus on patients.

CPT Coding
98.5%
ICD-10 Validation
97.2%
Prior Auth
94.8%
Claims Processing
96.1%

By the numbers


Annual admin waste addressed
$265B
Sub-sectors covered
7
Tasks automatable
70%
Compliant by design
HIPAA

How agents transform healthcare

Tiered autonomy across the revenue cycle and beyond

Three levels of agent intelligence — from fully autonomous charge capture to human-augmented clinical documentation — each calibrated for patient safety.

1

Autonomous Revenue Cycle

Charge capture, coding validation, eligibility verification, and appointment scheduling run hands-free with rule-based precision.

2

Supervised Clinical Admin

Prior authorization document assembly, claim denial root-cause analysis, and patient intake extraction — all queued for clinical review.

3

Augmented Strategic Ops

Clinical documentation improvement suggestions, revenue cycle bottleneck diagnosis, and payer contract negotiation prep powered by AI insight.

Agent capabilities

Purpose-built for healthcare workflows

Deep domain agents that understand medical coding, payer rules, and clinical documentation requirements across every care setting.

Revenue Cycle

Coding accuracy and claims processing at scale

CPT/ICD-10 coding validation — 98.5% first-pass accuracy

Eligibility verification and benefits check

Claim denial root-cause analysis and appeal drafting

Clinical Operations

Prior auth, intake, and care coordination

Prior authorization document assembly

Patient intake form extraction and EHR population

Clinical documentation improvement suggestions

Start with one denial workflow.

Deploy an agent on claim denials or prior auth. Measure the impact on days in A/R before expanding.