AI agents that run utilization management and cost containment work inside health plans
ClarityCare deploys AI agents inside health plans, payers and third-party administrators to automate the administrative and clinical work behind cost containment, from intake to closed case. Its agents organise incoming requests from portals, faxes and calls, check medical criteria and benefits, draft cited recommendations with an audit trail for clinician review, and generate provider letters. The company says it is SOC 2 Type II and HIPAA compliant. It announced a Series A in October 2026; reports cite $16.5 million led by Headline, and its website says it has raised $20 million.