Transform Healthcare Operations with Governed AI Workflows

elsai brings governed agentic workflows to healthcare teams already running on Epic, Cerner, Athena, and the systems they depend on. No rip-and-replace. Production-ready in weeks.

Transform Healthcare Operations with Governed AI Workflows

elsai brings governed agentic workflows to healthcare teams already running on Epic, Cerner, Athena, and the systems they depend on. No rip-and-replace. Production-ready in weeks.

Trusted by enterprises worldwide

The administrative burden in healthcare is not a people problem. It is an operations problem.

The administrative burden in healthcare is not a people problem. It is an operations problem.

Healthcare teams are overloaded by operational complexity, not commitment or lack of effort.

01

Prior Authorization
80-90% still handled manually through payer portals, calls, and incomplete packets.

02

Patient Intake
Staff repeatedly re-enter the same patient information across disconnected systems.

03

Safety Reporting
Most operational safety data is never analyzed before incidents occur.

Governed agentic workflows that run where your teams already work.

Real-Time Observability

Capture prompts, tool calls, retrieval steps, model responses, timing, and token-level cost across any agentic workflow.

ARMS

Tokens

Cost

Compliance By Design

Pinpoint failure points across models, prompts, tools, memory, orchestration logic, or external dependencies.

HIPAA

PHI Redaction

Policy-as-code

Human Judgment Protected

Every borderline case routes to human review. Automation thresholds you define. Nothing runs without the oversight your compliance teams require.

Human-in-the-loop

Thresholds

Oversight

Works On Your Infrastructure

Epic · Cerner · Athena · Meditech · Availity · Change Healthcare. Runs on AWS, Azure, or on-premise.

Epic

Cerner

Athena

Lightweight to integrate. Broad in coverage. 

Each agent runs inside your existing systems, governed end-to-end, and designed to start with one workflow and scale.

Prior Authorization

Prior Intake

Safety Culture Analytics

Coming Soon

Prior authorization, done in hours - not days.

THE PROBLEM IT SOLVES

80–90% of PA checks are still manual and payer-specific. 20–40% of packets go out incomplete. 30–50% of cases get an additional information request, adding 2–5 days per cycle.

WHAT IT DOES

Monitors your EHR and RCM for new PA tasks.

Pulls orders, eligibility, and clinical info automatically.

Verifies payer rules and flags genuine gaps only.

Builds clean submission packets.

Tracks every case to resolution.

Explore the prior authorization agent →

Governance: Every action logged. Explainable. Human review on low-confidence cases. Powered by Agent Resource Management System. 

Prior Authorization

Prior Intake

Safety Culture Analytics

Coming Soon

Prior authorization, done in hours - not days.

THE PROBLEM IT SOLVES

80–90% of PA checks are still manual and payer-specific. 20–40% of packets go out incomplete. 30–50% of cases get an additional information request, adding 2–5 days per cycle.

WHAT IT DOES

Monitors your EHR and RCM for new PA tasks.

Pulls orders, eligibility, and clinical info automatically.

Verifies payer rules and flags genuine gaps only.

Builds clean submission packets.

Tracks every case to resolution.

Explore the prior authorization agent →

Governance: Every action logged. Explainable. Human review on low-confidence cases. Powered by Agent Resource Management System. 

Prior Authorization

Prior Intake

Safety Culture Analytics

Coming Soon

Prior authorization, done in hours - not days.

THE PROBLEM IT SOLVES

80–90% of PA checks are still manual and payer-specific. 20–40% of packets go out incomplete. 30–50% of cases get an additional information request, adding 2–5 days per cycle.

WHAT IT DOES

Monitors your EHR and RCM for new PA tasks.

Pulls orders, eligibility, and clinical info automatically.

Verifies payer rules and flags genuine gaps only.

Builds clean submission packets.

Tracks every case to resolution.

Explore the prior authorization agent →

Governance: Every risk score traceable. Reasoning logged. Human review on all escalated cases. 

Prior authorization, done in hours - not days.

THE PROBLEM IT SOLVES

80–90% of PA checks are still manual and payer-specific. 20–40% of packets go out incomplete. 30–50% of cases get an additional information request, adding 2–5 days per cycle.

WHAT IT DOES

Monitors your EHR and RCM for new PA tasks.

Pulls orders, eligibility, and clinical info automatically.

Verifies payer rules and flags genuine gaps only.

Builds clean submission packets.

Tracks every case to resolution.

Explore →

Governance: Every risk score traceable. Reasoning logged. Human review on all escalated cases. 

Patient intake without paperwork bottlenecks.

THE PROBLEM IT SOLVES

Disconnected intake sources - paper, fax, digital - create data chaos. Staff chase missing information instead of focusing on patient experience. Delays ripple through eligibility, enrolment, and authorisation.

WHAT IT DOES

Collects data from any intake source

Identifies documents and links them to the right patient.

Extracts and maps demographics, clinical history, and insurance data.

Flags gaps and routes only true exceptions for review.

Writes structured data back into your EHR.

Explore →

Governance: All actions logged through Agent Resource Management System. Escalated for human review when risk or uncertainty arises.

73% of safety data goes unread. elsai acts on all of it.

THE PROBLEM IT SOLVES

Safety survey data is collected. It is rarely analysed at the unit level. Risk accumulates undetected. Adverse events follow - not because no one cared, but because no one had the operational capacity to act.

WHAT IT DOES

Converts every survey response into unit-level risk scores.

Auto-generates action plans without manual analysis.

Surfaces risk before it reaches an incident report. 

Talk to us →

Governance: Every risk score traceable. Reasoning logged. Human review on all escalated cases. 

Integrate with what you have. Run on what you trust.

01

Your existing systems

What you already operate

EHR

Epic

Cerner

Athena

Meditech

RCM & PAYER

Availity

Change Healthcare

Waystar

CLINICAL CRITERIA

MCG

InterQual

Milliman

PATIENT & COMMS

Twilio

DocuSign

eFax

02

elsai orchestration layer

Governed automation in the middle

elsai

Live · Governed

Governed AI Layer

Agentic Workflow Orchestration

Policy & Criteria Validation

Documentation Intelligence

Human-in-the-loop Controls

03

Workflow outcomes

What it produces

Prior Auth Submission

Documentation Validation

Denial Risk Reduction

Approval Tracking

RCM Updates

RUNS ON

Your choice of infrastructure

AWS

Azure

On-premise

Your models

Pick one workflow. Prove it. Expand.

ARMS integrates via lightweight SDK connectors and framework-level instrumentation. No redesign of how agents are built or deployed - just a consistent observability layer added on top.

01

STEP 1

Identify the workflow where delays, denials, or documentation gaps cost the most. Start there.

02

STEP 2

Connect your EHR, RCM, and payer systems. Set automation rules and human review points. Run a focused pilot with real cases.

03

STEP 3

Review performance with your team. Expand across service lines, payers, or locations once results are clear.

AI experimentation is easy. Operational transformation is hard. We close that gap - one workflow at a time.

Ready to upgrade your environment with agentic workflows?

Talk to elsai healthcare team. We'll show you the workflow that fits your operation first.

Book a healthcare demo →

Talk to us →

elsai

Enterprise AI governance platform for agentic workflows. Transform your operations with confidence.

Offices

USA

UK

Australia

UAE

India

© 2026 elsai. All rights reserved.

elsai

Enterprise AI governance platform for agentic workflows. Transform your operations with confidence.

Offices

USA

UK

Australia

UAE

India

© 2026 elsai. All rights reserved.

elsai

Enterprise AI governance platform for agentic workflows. Transform your operations with confidence.

Offices

USA

UK

Australia

UAE

India

© 2026 elsai. All rights reserved.

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