AI agents that protect hospital revenue
Agents that check claims before submission, chase pre-authorisations and answer patients, built by the team behind Drapto. Clinicians and billing staff approve every decision that matters.
Where healthcare teams lose time
Claims rejected after submission
Missing documents, tariff mismatches and coding gaps surface only when the payer replies, which delays cash and adds rework for the billing desk.
Pre-authorisations stall
Requests sit in inboxes and portals while patients wait, and nobody owns the follow-up until an admission is already at risk.
Front desks overloaded
Appointment, cost and document questions arrive on phone and WhatsApp all day, pulling staff away from patients at the counter.
Contracts not applied to bills
Payer tariffs live in PDFs, so bills undercharge or overcharge and nobody notices until an audit or a dispute.
Agents built for healthcare
Each agent does one job well, connects to the systems you already run, and stops for a person at the decisions that matter.
Claim Pre-Check Agent
Scores every claim against payer rules, documentation needs and tariffs before submission. Lists what is missing and drafts the fix.
Pre-Auth Follow-Up Agent
Tracks each pre-authorisation through its lifecycle and chases the payer or TPA on schedule. Assembles documents when a query arrives.
Patient Enquiry Agent
Answers appointment, estimate and document questions on WhatsApp and web chat, and books slots against live doctor calendars.
Tariff Monitoring Agent
Turns payer contract PDFs into structured tariffs and flags bills that do not match the agreed rates.
Denial Appeal Agent
Assembles appeals with the clinical and contractual evidence for each denied claim and drafts the covering letter.
Discharge Summary Checker
Checks discharge summaries and bills for completeness against payer requirements before the file closes.
From first call to agents in production
Pick one payer group or department and share recent claims and outcomes.
We configure the agent on XDQ AgentOS with your rules and approval gates.
Billing staff run it in parallel with the current process and approve its output.
Review the KPIs together and decide on scale-up, with a fixed quote.
- Claims passing pre-check on first submission
- Pre-authorisation turnaround time
- Denials overturned on appeal
- Patient enquiries resolved without staff handling
- Billing variance against contracted tariffs
Patient data is handled in line with India's DPDP Act, HIPAA for US engagements and the data protection laws of each Gulf market. Agents support billing and administration only and leave clinical decisions with clinicians.
AI agents for healthcare: common questions
Can AI agents reduce hospital claim rejections?
Yes. A claim pre-check agent reviews each claim against payer rules, documentation requirements and contracted tariffs before it leaves the hospital. It lists what is missing and drafts the correction, and the billing desk approves it. This is the same approach that runs inside Drapto, our hospital revenue integrity product. A pilot on one payer group typically runs 2 to 6 weeks, and every check is logged on XDQ AgentOS for audit.
Do we need to replace our HIS or EMR?
No. The agents sit alongside your existing HIS and EMR and read data through APIs, HL7 or FHIR interfaces, or scheduled exports. Your clinical systems remain the system of record. Outputs come back as drafts, flags or tasks for your staff to approve. Where a system has no API, we work from exports and structured reports, and add direct integration later if the pilot proves its value.
Is this clinical decision support?
No. Our healthcare agents focus on revenue, administration and patient communication. They check claims, chase approvals, answer logistics questions and assemble documents. Any clinical question is routed to a clinician, and nothing clinical is sent to a patient without review. Guardrails on XDQ AgentOS block the agent from giving medical advice, and every interaction is recorded in the audit log.
What does a healthcare agent cost?
A focused agent such as claim pre-checks or patient enquiry handling usually sits in the USD 5,000 to 20,000 band. A connected set covering claims, pre-authorisation and appeals with HIS integration typically falls between USD 20,000 and 50,000. Hospital-group platforms can reach the USD 50,000 to 200,000 band. Small proofs of concept start from USD 1,000. We give a fixed quote after reviewing a brief and sample data.
From USD 49 or INR 2,999 a month. A person approves every step.