What does FHIRant automate?

FHIRant automates document-heavy healthcare workflows including prior authorization intake, payer policy matching, oncology documentation review, specialty pharmacy intake, and FHIR-native evidence packaging.

How does FHIRant use payer policies?

FHIRant ingests payer medical and drug policies, normalizes coverage criteria into a Policy Graph, and maps patient evidence against documentation and medical necessity requirements.

Does FHIRant support CRD and DTR workflows?

FHIRant can support CRD-ready coverage checks and DTR-style documentation guidance by turning policy criteria into structured tasks, questionnaires, missing-evidence prompts, and PAS-ready outputs.

Agentic AI for healthcare operations

Prior auth, policy, and specialty pharmacy workflows - automated.

FHIRant turns PDFs, faxes, medical policies, and clinical records into structured, explainable workflows for payer, provider, and specialty medication teams.

Request a pilot Explore Sidekicks Open Policy Graph page

Built for document-heavy healthcare decisions.

FHIRant combines AI-assisted intake, policy reasoning, graph intelligence, and interoperability to reduce administrative burden across complex authorization workflows.

DOC

Document intelligence

Parse PDFs, scans, faxes, and clinical documents into structured data ready for review and automation.

MAP

Policy reasoning

Map payer-specific criteria, documentation rules, step therapy, and medical necessity requirements.

Policy graph

Connect procedures, diagnoses, drugs, evidence, payer rules, and documentation criteria into a queryable decision graph.

FHIR

FHIR-native outputs

Generate structured FHIR/JSON workflows for integration with PAS, UM, intake, and review systems.

Focused Sidekicks for oncology and specialty Rx.

FHIRant Sidekicks target complex medication workflows where policy criteria, clinical evidence, benefits, and reimbursement details need to come together quickly.

PAS Sidekick Oncology

Oncology

Supports oncology authorization workflows where treatment history, pathology, biomarkers, staging, and regimen rules all matter.

Extracts clinically relevant evidence from notes, pathology reports, labs, imaging summaries, and treatment plans.
Compares patient context against oncology-specific payer criteria before authorization submission.
Helps teams catch missing biomarkers, prior therapies, dosing context, and regimen documentation earlier.

Specialty Pharmacy Sidekick

Coordinates specialty medication intake, benefits verification, prior authorization support, and reimbursement workflows.

Organizes prescriptions, benefits data, clinical evidence, payer requirements, and patient status in one workflow.
Surfaces coverage barriers and next-best actions for pharmacy, hub, and access teams.
Reduces manual status chasing by producing structured, explainable workflow artifacts for each case.

Workflow modules that create measurable ROI.

Start with one narrow workflow, then expand across intake, Policy Graph ingestion, oncology, pharmacy, appeals, and utilization management.

Specialty Pharmacy Sidekick

AI-assisted specialty medication intake, benefits verification, prior authorization support, and reimbursement workflow automation.

Oncology Sidekick

Review pathology, biomarkers, treatment history, payer policies, and missing evidence before oncology authorization submission.

Policy Graph + CRD/DTR

Transform fragmented payer policies into connected criteria that can drive coverage checks, documentation guidance, Policy Graph ingestion, and PAS-ready outputs.

Launch a focused prior authorization automation pilot.

FHIRant helps healthcare teams reduce manual review, catch missing documentation earlier, and generate structured outputs that are easier to audit, integrate, and scale.

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