Autonomous AI agents that process claims, handle prior authorizations, and support members for health insurers and TPAs. No hiring. No training. No burnout.
The largest tech-forward insurers built proprietary AI stacks. Everyone else is stuck with manual workflows, legacy clearinghouses, and growing backlogs. PayerOS levels the playing field.
Providers wait. Patients suffer. Your team drowns in paperwork that AI should handle.
Simple benefit questions consume 20+ minutes each. Agents burn out. CSAT drops.
Manual review queues grow. Denials get appealed. The cycle never ends.
Reads clinical documentation, applies benefit rules, and adjudicates claims in seconds. Flags edge cases for human review. Processes the rest while your team sleeps.
Ingests auth requests, cross-references clinical guidelines, and issues determinations. Cuts turnaround from days to minutes. CMS 2027 mandate ready.
Answers benefit questions, explains EOBs, schedules appointments, and routes complex cases to human agents with full context already prepared.
The top insurers spend billions on proprietary AI. Regional plans, TPAs, and self-insured employers get the same fax-and-phone infrastructure from decades ago. PayerOS gives every payer access to intelligence that used to require a thousand-person engineering team.
The systems exist. The data exists. What's missing is intelligence that acts on its own, learns from every interaction, and never clocks out. That's PayerOS.