Example agent · describe your own · Healthcare

Intake & Prior Auth Agent.Prep Done. Judgment Yours.

Reads intake and chart notes with identifiers masked, then assembles a prior-auth packet for clinician sign-off.

Intake & Prior Auth Agent

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  1. Patient intake readPHI masked
  2. Pulled PT notes and imaging history
  3. Matched CPT 72148 to ICD-10 M54.16MRI lumbar
  4. Checked payer criteria: 6+ weeks of conservative careMet
  5. Referring provider NPI missingNeeds review
Packet ready for clinician review

Sample run · fictional data

What Does a Prior Authorization Agent Do in MetaWurks?

A prior authorization agent reads intake and chart notes, matches the CPT and ICD-10 codes against the payer's criteria, assembles the packet and flags anything missing, such as a referring provider NPI. A clinician reviews and signs off; talk to us before processing PHI.

Short answer · Updated
How it works

Brief It Like a New Hire. Review It Like a Partner.

It Asks

  • Which patient?
  • Which payer?
  • Which procedure?

It Always Hands Back

  • The packet before submission
  • Clinical judgment calls
  • Anything flagged missing
FAQ

Intake & Prior Auth Agent: Your Questions.

Can we use this with patient information today?

Talk to us before uploading patient records. We don't claim HIPAA compliance today and will state our BAA position plainly on a 1:1 call. Don't process PHI until that is settled in writing.

Your firm, your setup

Book a 1:1 Call for Your Firm's Exact Setup.

Bring your tool list and your worst admin chore. We'll show you what connects and what runs, live, on your own workflow.

Works with your current tools · Every answer cited · Drafts wait for your OK · Data never sold