- EnsoAuthAI
Intelligent
Automate submission by validating completeness and gathering missing information for accurate submissions.
Impact Delivered
Reduction in manual submission time
Reduction in administrative cost per auth
Decrease in care delivery delays
Transactions processed per day per customer
Product Capabilities
Multi-Source Clinical Data Extraction
Digitizes, extracts, and structures patient charts, lab results, imaging reports, and physician notes directly from EMR and scheduling systems using clinical NLP.
AI-Driven Authorization Determination
Cross-references planned CPT/HCPCS codes against dynamic, real-time payer medical policies to instantly determine if an authorization is required and predict approval likelihood.
Integrated Evidence Packet Assembly
Automated Omnichannel Submission
Submits complete authorization requests directly into payer portals or via X12 278 EDI transactions, triggering automated status checks and real-time EMR workqueue updates.
Native EMR & Clearinghouse Interoperability
Easy Setup &
Use
Provides prebuilt, configurable agents with minimal set up.
Explainable AI & Policy Traceability
Ensures transparency by linking every AI determination directly back to the specific payer policy guideline and highlighting missing clinical markers prior to submission.
Seamless
Integrations
Integrates and enhances existing workflows without any disruption.
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.