Prior Authorization
Faster Approvals. Less Admin. Better Care.
Autonomize's Prior Authorization Copilot reduces review time by 50%, with clinical intelligence from day one. Purpose-built for healthcare, it integrates into existing systems to drive faster decisions, fewer delays, and stronger compliance—using embedded guideline adjudication across Carelon, InterQual, and internal criteria.
- 55% reduction in review time
- 49% decrease in decision turnaround—from 3.65 to 1.80 days
- Up to 76% of cases auto-intaked with human oversight
- 18 minutes saved per case—reclaiming up to 36,000 hours monthly
Care Management Copilot
Personalized Care Plans. Zero Paper Churn.
This Copilot ingests EMRs, faxes, and assessments to generate structured, compliant care plans in seconds—not hours. Care teams act faster, intervene earlier, and avoid redundant work.
- 78% reduction in documentation time
- 150,000+ care plans generated annually per enterprise
- Real-time risk and care gap visibility
Care Gaps Review Copilot
Close Gaps Sooner. Improve Quality Scores.
Built to identify gaps with HEDIS/STAR precision, this Copilot links EMRs, claims, and clinical notes into one clear view—so enterprises intervene sooner and meet performance goals.
- 85% automation of gap detection
- 95%+ alignment to HEDIS/STAR
- Shorter outreach cycles, stronger scores
Complex Document Processing Copilot
From Document Chaos to Structured Clarity
This Copilot uses Compound AI to extract, structure, and validate data across scanned faxes, handwritten notes, PDFs, and images—at enterprise scale.
- 98%+ accuracy in clinical data abstraction
- 93%+ precision in document extraction
- 80% manual workload reduction
- 50% faster intake-to-decision time
Appeals & Grievances Copilot
Faster Resolutions. Defensible Outcomes.
The Appeals & Grievances Copilot reads, structures, and summarizes case data, ensuring complete documentation and alignment with CMS and state mandates.
- 70% cut in prep effort per case
- 93% accuracy in document extraction
- 50% faster turnaround across case types
Medical Record Review Copilot
Clean Data. Faster Audits. Zero Rework.
This Copilot abstracts data from scanned charts and EMRs, delivering structured outputs for HEDIS, quality, and risk adjustment workflows—with audit-ready precision.
- 15–18 minutes saved per chart review
- 98%+ abstraction accuracy
- Immediate audit alignment
Claims Processing Copilot
Fewer Errors. Faster Adjudication. Cleaner Claims.
Autonomize’s Copilot structures and validates claim attachments and notes at intake. It enforces policy rules, boosts accuracy, and lowers downstream appeals.
- 55% reduction in adjudication cycle time
- Strong ROI within 12 months
- Fewer disputes and escalations
Fee Schedule Copilot
Compliance-Ready Fee Schedules—No Spreadsheets.
This Copilot ingests legacy files, flags inconsistencies, and publishes structured schedules aligned to your internal systems and payment policies—ready for reimbursement, reporting, and audit.
- 10x faster publishing
- 95% mapping accuracy
- No version-control issues