🎉 HealthEdge^® and Case Health AI partners to bring AI to health plan operations 🥳View announcement

Prior Authorizations

Intake AgentAutomate request capture, classification, and case creation.Medical Necessity ReviewEvaluate clinical documentation against your coverage criteria.Provider OutreachAI voice agent that contacts providers for missing documentation.Explore more capabilities

Care Management

Member OutreachAutomate high-volume member touchpoints across care programs.Health Risk AssessmentsConduct and document HRAs with AI-assisted member outreach.Care CoordinationSupport care teams with case summaries and next steps.Explore more capabilities

Case Studies

Reducing Prior Auth Volume by 50%How a Medicare Advantage plan automated half their daily prior authorization workload.

PayersAI automation for health plans and Medicare Advantage payers.

System StatusCheck the uptime and status of Case Health AI services.Trust CenterSecurity, compliance, and data privacy documentation.AI Policies & GovernanceOur approach to responsible AI in healthcare.

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Risk & HCC Capture

Coming soon.

Prior Authorization

Intake Agent
Medical Necessity Review
Provider Outreach
Appeals & Grievance

Care Management

Member Outreach
Health Risk Assessments
Care Coordination
Risk & HCC Capture

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