Avintra brings governed agentic AI to healthcare — from prior authorization and medical record summarization to claims, denials, revenue cycle, and patient access. Reduce administrative burden, speed up care, and protect revenue for payers and providers.
From patient access and care management to claims, revenue cycle, and compliance — Avintra automates the workflows that determine healthcare performance.
Automate clinical evidence gathering, validate medical necessity against payer-specific rules, bundle complete documentation, and track approval status in real time. Payers and providers reduce delays and deliver care faster.
Detect incomplete patient information, missing pre-authorizations, and credentialing gaps before claims are submitted. When denials occur, agents analyze root causes, draft compliant appeals, and orchestrate corrections.
Convert complex medical records into concise, citation-backed summaries with human review, template control, and measurable ROI. Clinicians and process owners get evidence-based outputs tuned to their workflows.
Streamline the entire revenue cycle lifecycle — from patient access and eligibility verification through charge capture, billing, payment posting, and denials resolution. Accelerate cash flow and protect margins.
Simplify how patients enter and move through the care system. Automate scheduling, registration reminders, referral coordination, and post-visit follow-up across voice, chat, and web channels.
Turn clinical and operational data into audit-ready evidence for HEDIS, STAR, HIPAA, and other quality programs. Track measures, identify gaps, and generate regulatory filings with full traceability.
Pre-built agents for prior auth, claims, denials, revenue cycle, and patient access — grounded in clinical and payer terminology.
Connect with Epic, Cerner, MEDITECH, Allscripts, payer portals, clearinghouses, and CRMs via native connectors and APIs.
Role-based access, PII masking, encryption, consent management, and immutable audit trails for healthcare compliance requirements.
Start with one high-impact process — prior auth or denials — and scale across the revenue cycle and patient journey on the same platform.
Conversational, multilingual interfaces for patients, providers, and staff across web, mobile, voice, and email channels.
Measure prior-auth turnaround, denial rate, cost to collect, cash acceleration, and patient satisfaction with built-in analytics.
Start with one high-impact process — prior authorization, denials, or medical record summarization — and scale across the care and revenue lifecycle on the same governed platform.