- EnsoAuthAI
End-to-End
and
Impact Delivered
Decrease in prior authorization processing costs
Faster prior authorization approvals
Compliance readiness
Improvement in provider and member satisfaction
Product Capabilities
AI-Powered Prior Auth Decisioning
Uses AI Agents for deterministic, predictive or policy-based prior auth determinations with flexibility for autonomous or augmented human-in-the-loop processing.
Multi-Modal Intelligent Intake
Supports PDFs, images, 278s, and FHIR transactions with built-in validation.
Multi-Layered Eligibility and Coverage Checks
Performs requirement, eligibility, network, and utilization checks to determine approvals.
Policy-Driven Decision Support
Helps create rules, navigate policies, and accelerate clinical reviews using conversational AI agent Poli.
Easy Setup and
Use
Provides prebuilt, configurable agents with minimal set up.
Governance and Transparency
Ensures transparency with explainable, traceable and auditable decisions.
Seamless
Integrations
Integrates and enhances existing utilization management and claims workflows.
From fragmented workflows
to intelligent payments.
Healthcare doesn’t need more systems. It needs better decisions across the entire payment lifecycle. By connecting prior auth, claims, appeals, and integrity into one intelligent value chain, we help healthcare organizations reduce cost, improve trust, and operate with confidence.