PRIOR AUTH AI
CASE PA-2026-04871
INITIALIZING
Pipeline Stages
Intake
webhook → extract → validate
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Pre-Process
dedup + urgency routing
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Enrich
policy + clinical + eligibility
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Agent 1 — Policy
retrieving payer guidelines
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Agent 2 — Evidence
matching clinical notes
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Agent 3 — Decision
rendering verdict
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Confidence Gate
threshold ≥ 70%
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Output
letter + audit + anomaly
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READY
awaiting case
Live Processing Log
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Citation Accuracy
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Hallucinated Approvals
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Per Decision
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Confidence Score
APPROVED
CONFIDENCE: 94.2% — DECISION TIME: 3.2s
cited:
Clinical Note §4.2
→
Policy CMS-2026-R41 ¶3.1.b
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