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.
At a Glance
What it does
AutoGo Verify is our recommended first Malaysian hospital healthcare AI pilot. It queries corporate insurance, TPA, and GLC medical panel portals through bounded MCP tools, pulls back a structured eligibility record, and posts it into the hospital admission system. High-confidence checks post automatically. Ambiguous cases route to a coordinator with the full verification trace attached. The agent runs on Azure OpenAI in a Malaysian or Singapore region, with PDPA-ready audit trail.
Key benefits
- Front-desk and admissions staff stop retyping eligibility responses
- Consistent verification result regardless of which payer portal is queried
- Reviewer-in-the-loop on ambiguous or high-value cases
- Full audit trail for PDPA and payer-audit review
What sits inside this agent
Other agents on Healthcare EHR / Payer portals
Deployed alongside AutoGo Verify for the same class of enterprise finance workflows.
AutoGo 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.
ViewAutoGo Precert
Prior Authorisation Preparation
Assembles clinical documentation, payer-specific PA forms, and medical necessity narratives for scheduled procedures, ready for clinician review and submission.
ViewWant AutoGo Verify in your healthcare operation?
Tell us your systems and the workflow. We will scope AutoGo Verify for your operation in a six to eight week pilot, reviewer-in-the-loop from day one.