AI agent that speeds up prior authorizations for health plans, without issuing denials
claritycare.ai/blog/series-a-new-electra
Electra is ClarityCare's AI agent for health plan prior authorization and utilization management. It checks each request against clinical guidelines and member benefits, keeps a full audit trail of how it reached each recommendation, and can approve or escalate cases but never issues a denial, with nurses in the loop. It works directly in fax inboxes, creates cases in utilization management systems, and sends letters and outbound faxes to close out authorizations.