DECISION WORKFLOWS
Starting with insurance claims — triage, coverage reasoning, and subrogation. Expand to prior auth and logistics with audit-ready decision trails.
Each workflow targets a high-stakes decision path — built from real expert knowledge with measurable pilot design targets.
Expert reasoning for the modern claims department
Expert reasoning engine for claim triage, coverage reasoning, and subrogation signals. Built from real adjuster expertise, designed for audit-ready decisions.
Key Capabilities
40%
reduction in handling time
85%
coverage determination accuracy
2×
subrogation signal detection (pilot target)
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Prior authorization that thinks like your best clinician
Expert reasoning engine for prior authorization decisions, medical necessity determination, and appeal intelligence. Reduces denials, accelerates approvals.
Key Capabilities
60%
reduction in PA processing time
35%
improvement in first-pass approvals
100%
documentation compliance
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Exception handling that learns from your best dispatchers
Expert reasoning engine for shipment exceptions, carrier selection, and delivery optimization. Proactive problem-solving that captures operations expertise.
Key Capabilities
50%
reduction in exception resolution
25%
fewer customer escalations
15%
cost savings on rerouting
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Generic AI tries to do everything and excels at nothing. Decision workflows go deep into your domain with cited policy provisions and audit-ready rationale.
Purpose-built for regulated industries from day one. Not a generic AI retrofitted with industry jargon.
HIPAA-ready, SOC 2 aligned, state insurance regulation aware. Audit trails for every decision.
Built from real SME expertise—adjusters, clinicians, dispatchers—not just training data.
Start with a 90-day claims pilot on your stack. Verify KPIs before broader rollout.
Every workflow is powered by a policy-native knowledge engine — fusing domain expertise, policy rules, and your operational context into auditable decision infrastructure.
Start with a 90-day design partner pilot — or book a demo to walk through decision paths.