ArchitectureHIDALGA TECHNOLOGIES

From intake,
to submission.
to decision.

Digital 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.

The pipeline

The optimized authorization,
step by step.

01
TRIGGER2.1 min

Intake agents

Ingests new orders and applies payer requirement logic.

PayloadRequest order • code matches PA library
SourceEHR FHIR feed
02
EVIDENCE4.0 min

Document agents

Extracts relevant evidence from available clinical documentation for review.

PayloadNSCLC IIIB confirmed • PD-L1 80% • ECOG 1 • Tx-naïve
SourceEncounter notes · Path · Imaging
03
GUIDELINES1.2 min

Knowledge agents

Compares available evidence with payer criteria and clinical references.

PayloadNSCL-1 • NSCL-G • 12 references attached
SourceGuideline 6.2024 • ASCO
04
FILE0.8 min

Submission agents

Routes request through the configured payer submission channel, with confirmation captured.

PayloadConfirmation AUTH-7841 • Method: Portal · SMART
SourcePayer provider portal
05
WATCHContinuous

Tracking agents

Checks payer status sources and surfaces changes in the clinic queue.

PayloadStatus moved Pending → Under Review (32 min later)
SourcePayer status API
06
DECISION9 min total

Decision agents

Records payer decision, updates supported systems, and notifies clinic teams.

PayloadAPPROVED • Auth # 8821-PA-NSC • Valid 90 days
SourcePosted to EHR
07
IF DENIED≤ 15 min

Appeal agents

Drafts appeal support with payer rationale, source evidence, and reviewable citations.

PayloadGrow overturn rate • pre-loaded policies + peer-reviewed cites
SourceOptional · auto-drafted
08
COMPLIANCEAlways on

Audit agents

Logs workflow events, system actions, source references, and review checkpoints for auditability.

PayloadTotal elapsed 9 m 12 s • 47 events logged • HIPAA-clean
SourceImmutable audit log
Total time, intake to decision9 min 12 s
vs. 4–11 days industry baseline
⌁ Co-founder note

Speed 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.

Jeejo PallayiCo-Founder & CITO
Hidalga TechnologiesSpringdale, AR · est. 2024
By the numbers

A typical day on HaloPA.

AUTHS
217
filed
TIME
3min
median
APPROVAL
90%+
first-pass ready
AUTOMATED
95%+
staff capacity released
Ready when you are

Map it to your workflow.

We'll model your top 3 PA categories live. You see the pipeline, the timing, the savings.

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