Prior-Auth Agent
Reduces prior-auth turnaround from 7 days to under 24 hours with full evidence packets.
Industry · HealthcareProduction-ready
Agentic AI for payers,
providers, and life sciences
HIPAA-compliant agents that handle the operational work clinical and administrative teams shouldn't have to - prior auth, member services, claims, and clinical research support.
<24hPrior-auth turnaround (was 7 days)60+AI agents in healthcare production
Why Techimax
The work shouldn't break the people doing it.
Prior authorizations take 7 days. Member calls drop the same questions 100 times an hour. Clinical staff spend half their day in EHR documentation. Researchers chase the same trial protocols across 30 systems.
Techimax ships HIPAA-compliant agents that automate the operational work - so your clinical and research teams can focus on the people and the science.
- HIPAA-compliantBAA-covered, encrypted at rest and in transit, with full audit trail per session.
- EHR integrationsConnectors for Epic, Cerner, Athena, and FHIR-compliant systems.
- Clinically groundedAgents cite policy, formulary, and clinical guidelines on every response.
- Human-in-loopClinicians always have final say. Agents draft, humans approve.
Agents we ship
Production agents for healthcare workflows
Built for the realities of clinical and operational work - interoperable, compliant, and clinician-friendly.
Member Service Agent
Handles benefits, claims, and provider lookups 24×7 with human handoff.
Clinical Documentation Copilot
Drafts SOAP notes, discharge summaries, and referral letters from clinical context.
Claims Agent
Adjudicates routine claims with full audit trail, escalates complex cases.
Clinical Research Agent
Searches and synthesizes literature, trial protocols, and patient eligibility criteria.
Care Coordination Agent
Schedules, reminds, and follows up across the care team and patient.
Med Rec Agent
Reconciles medications across providers, flags interactions and dosing issues.
Onboarding Agent
Member enrollment, document verification, and benefits orientation in minutes.
Outcomes
Measurable wins across healthcare engagements
<24h
Prior-auth turnaround (was 7 days)
60+
AI agents in healthcare production
HIPAA
Compliant by default
5×
Increase in member self-service
Customer wins
Stories from production.
A Fortune 100 life-sciences leader
60+ production AI agents
Across research, medical, commercial, and manufacturing - multi-language, audit-traceable, and shipped on a cadence the company couldn't have imagined with traditional development.
A national health insurer
Prior-auth in under 24 hours
An end-to-end prior-authorization agent that pulls clinical context, applies medical policy, and produces an audit-ready evidence packet - cutting turnaround from 7 days to under 24 hours for routine requests.
FAQs
Frequently asked questions about AI in healthcare
What decision-makers ask before greenlighting an engagement.
We sign a BAA with every healthcare customer. PHI is encrypted at rest and in transit, never used to train models, and access is role-based with full audit trails. We deploy in your environment or in a HIPAA-compliant managed environment depending on your preference.
Yes. We have production integrations with Epic, Cerner, Athena, and FHIR-compliant systems. We use SMART-on-FHIR where possible for context-aware launches inside the EHR.
Always. Healthcare agents are designed to support clinicians, not replace them. Every clinical action requires human review, and clinicians have one-click override on any draft. We measure clinician trust as a primary outcome.
We track FDA guidance on AI/ML SaMD and Good Machine Learning Practice continuously. For agents that touch clinical decisions, we follow risk-stratified controls and partner with your regulatory affairs team. We don't ship anything that requires 510(k) without a clear pathway agreed in writing.
We ship agents for literature review, trial design, patient eligibility, regulatory submissions, and medical writing. All life sciences agents are designed with model card documentation and version control suitable for audit by quality teams.
Free working session with a forward-deployed engineer
Show us the problem. We'll send back a written plan to fix it.
In 60 minutes with a senior engineer, you walk away with the gaps mapped, the agent worth building first, a risk read on what your team has already shipped, and a reference architecture - at zero cost, no obligation.
- Workflow map
Where the work breaks down today and which gap an agent should close first - calibrated to your business.
- Velocity diagnostic
Where engineering and ops hours actually go - and where forward-deployed delivery takes you next.
- Risk & rescue read
An honest view of what your team has already vibe-coded and what it needs to survive production.
- Architecture sketch
Reference architecture for your runtime, evals, RAG, and integrations - vendor-agnostic.
60-minute working sessionSenior forward-deployed engineerTwo follow-ups + written summaryFree of charge for qualified businesses
Most teams walk away with a fixed-scope plan in a single session.
Book your free assessment
Reserve a 60-minute working session with a senior AI engineer and practice lead.
Ship a HIPAA-compliant agent in 8 weeks.
Tell us about your highest-friction healthcare workflow. We'll come back with a HIPAA-aligned plan and a path to production.