Intake agents
Ingests new orders and applies payer requirement logic.
Request order • code matches PA libraryDigital agents coordinate every step, keeping your team informed and in control along the way. Watch each auth move from order to decision to action - every event, every minute, every case.
Ingests new orders and applies payer requirement logic.
Request order • code matches PA libraryExtracts relevant evidence from available clinical documentation for review.
NSCLC IIIB confirmed • PD-L1 80% • ECOG 1 • Tx-naïveCompares available evidence with payer criteria and clinical references.
NSCL-1 • NSCL-G • 12 references attachedRoutes request through the configured payer submission channel, with confirmation captured.
Confirmation AUTH-7841 • Method: Portal · SMARTChecks payer status sources and surfaces changes in the clinic queue.
Status moved Pending → Under Review (32 min later)Records payer decision, updates supported systems, and notifies clinic teams.
APPROVED • Auth # 8821-PA-NSC • Valid 90 daysDrafts appeal support with payer rationale, source evidence, and reviewable citations.
Grow overturn rate • pre-loaded policies + peer-reviewed citesLogs workflow events, system actions, source references, and review checkpoints for auditability.
Total elapsed 9 m 12 s • 47 events logged • HIPAA-cleanSpeed isn't magic
It's architecture and algorithms.
Agents that share context, hand off cleanly, and prove their work - every keystroke logged, every decision cited, every payload reviewable. Powered by hidalga's proprietary algorithm engines.
We'll model your top 3 PA categories live. You see the pipeline, the timing, the savings.
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