Solutions
Three areas, one connected system — here’s every agent running inside each one, what it replaces, and the numbers it delivers.
01 · Intake
6+ hrs/day
Saved per team*
−85%
Missed referrals*
Prior Authorization
Drafts payer-ready PA requests from clinical documentation, tracks status, and prepares appeals for staff review.
Referrals
Reads and routes inbound faxes and referrals, matching each case to the right service line and provider.
Verification of Benefits
Checks eligibility and coverage in real time across payers, and returns a plain-language benefits summary before the visit.
More intake agents in development.
02 · Patient Flow
−50%
Concurrent auth turnaround*
−30%
Avoidable denied days*
Utilization Review
Generates UR documentation, predicts denials, and manages concurrent review and appeals.
Scheduling
Optimizes provider scheduling, resource utilization, and care-plan milestone tracking.
Patient Engagement
Delivers proactive outreach, reminders, and conversational support across the patient journey.
| Patient | Level of care | Day | Status |
|---|---|---|---|
| M.R. | Inpatient | 4 | Review drafted |
| T.K. | PHP | 9 | Due today |
| L.S. | Inpatient | 2 | Approved +3 days |
| J.D. | IOP | 14 | Step-down flagged |
More patient flow agents in development.
03 · Revenue-Cycle Management
+25%
Clean claims rate*
−40%
Denied claims*
Coding Verification
Checks CPT/ICD-10 codes and modifiers against clinical documentation and payer rules before a claim goes out.
Claims, Denials & Resubmission
Scrubs and submits claims, analyzes denials by root cause, and prepares corrected claims for resubmission.
More RCM agents in development.
See how these agents are configured for each care setting →
*Illustrative figures and product views for this mockup — not live screenshots or customer data. Replace with verified pilot data and real product UI before publishing.
Configurable Workflows
CareChord’s agents, review controls, and integrations aren’t limited to the three core areas. They can be configured around other healthcare workflows. Two examples:
Example workflow
From test order to payment, with fewer errors along the way.
Example workflow
Help outreach and sales teams prepare, personalize, and follow through.
CareChord — An Extensible Platform
Talk to us about the issues you need to solve, and we can build AI agents that address your specific workflow and automation needs.