AutoGo Precert
Prior Authorisation Preparation
Assembles clinical documentation, payer-specific PA forms, and medical necessity narratives for scheduled procedures, ready for clinician review and submission.
At a Glance
What it does
AutoGo Precert compiles the clinical documentation, the specific payer's prior authorisation form, and the medical necessity narrative needed for a PA submission on a high-cost procedure. The clinician team reviews and submits, rather than assembling from scratch. Prior authorisation submission itself stays under human sign-off - the agent never submits autonomously.
Key benefits
- Clinicians review a prepared package instead of assembling from scratch
- Payer-specific requirements captured per submission
- Clinical documentation pulled from the EHR, not re-typed
- Human clinician still signs off before submission
What sits inside this agent
Other agents on Healthcare EHR / Payer portals
Deployed alongside AutoGo Precert for the same class of enterprise finance workflows.
AutoGo Verify
Eligibility Verification Agent
Queries corporate insurance, TPA, and GLC medical panel portals through bounded MCP tools for eligibility and benefits confirmation before care.
ViewAutoGo Intake
Patient Intake Automation
Extracts patient demographics, insurance card data, and referral notes into a structured intake record ready for reception staff to confirm.
ViewAutoGo Adjudicate
Claim Denial Classifier
Reads denied claims, classifies denial reasons against a taxonomy, cross-references clinical documentation, and proposes appeals for a claims officer to sign off.
ViewWant AutoGo Precert in your healthcare operation?
Tell us your systems and the workflow. We will scope AutoGo Precert for your operation in a six to eight week pilot, reviewer-in-the-loop from day one.