Healthcare admin is one of those areas where AI agents could genuinely reduce burnout and errors — prior authorization is notoriously tedious. This tutorial walks through building an autonomous agent that handles the full workflow while keeping humans in the loop for safety. The emphasis on human oversight in healthcare AI is exactly the kind of responsible design we need to see more of
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How to Build a Safe, Autonomous Prior Authorization Agent for Healthcare Revenue Cycle Management with Human-in-the-Loop Controls
In this tutorial, we demonstrate how an autonomous, agentic AI system can simulate the end-to-end prior authorization workflow within healthcare Revenue Cycle Management (RCM). We show how an agent continuously monitors incoming surgery orders, gathers the required clinical documentation, submits prior authorization requests to payer systems, tracks their status, and intelligently responds to denials through […] The post How to Build a Safe, Autonomous Prior Authorization Agent for Healthc
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