Want to learn more, see a demo, or speak to an expert?

Your privacy is important to us. Please review our Privacy Policy for details.

AgentFoundry

Healthcare agents you can configure, trust & scale.

What makes agentfoundry different

Built for the work your team actually does

The challenge

Your staff’s expertise is being spent on the wrong things.

Fragmented operations: Staff waste time hunting data and manually checking policies instead of managing care.

Moving compliance: Shifting compliance deadlines add constant pressure to strained teams.

The AI bottleneck: Custom automation is stalled by months of slow, rigid engineering cycles.

our solution

Agents that work where your team already does.

Embedded AI: AgentFoundry is built directly into daily workflows—no new tools required.

Instant automation: Prebuilt agents handle manual grunt work while teams can build custom workflows with zero engineering.

Clinician-led: Staff stay in complete control of every decision, with AI completing the groundwork beforehand.

Your agent options

Two ways to put agents to work

Pre-built

Ready on day one.

Six agents pre-configured for the clinical and operational workflows you already run. Care management, utilization management, risk coding, quality gaps. Each agent is embedded in the platform, understands your data, and is ready to work without configuration or onboarding from your team.

Build your own

Your workflows. Your rules.

Every health plan has processes that don’t fit a pre-built template. The Agent Builder lets your operations team configure, test, and launch custom agents in plain language, without engineering involvement. When a regulation changes or a new clinical pathway rolls out, you move without waiting on a release cycle.

Pre-built agents

Six agents, pre-configured for the workflows you already run

Care Plan Recommendation Agent

Boost care team efficiency and reduce avoidable costs through personalized, evidence-based guidance. 

  • Generates evidence-based, personalized care plans that improve clinical outcomes and care coordination. 

Prior Auth Review Agent

Accelerate medical review cycles and reduce administrative costs through intelligent automation. 

  • Evaluates clinical records against medical policies to determine medical necessity, highlight key evidence, and accelerate authorization decisions. 

Document Review Agent

Reduce processing time and rework by automating document validation and completeness checks. 

  • Automates validation of submitted clinical documents to ensure completeness, reduce delays, and support faster, compliant reviews. 

Benefits Review Agent

Enhance member value and reduce unexpected costs through real-time tracking and optimization of insurance benefits.

  • Processes claims and benefits documents to monitor deductibles, copayments, and out-of-pocket limits, improving cost transparency for both members and payers.

Gap Closure Agent

Improve quality scores and incentive performance through proactive, data-driven gap identification. 

  • Identifies open care gaps and recommends targeted actions to boost quality scores, compliance, and member outcomes. 

Risk Adjustment Coding Agent

Increase reimbursement accuracy and coding compliance while reducing manual review burden. 

  • Detects and applies accurate risk codes to improve documentation integrity, compliance, and reimbursement accuracy. 

Agent Builder

Need something that doesn’t exist yet? Build it.

Describe it

Tell the Builder what the agent should do, what data it works with, and when it should act. No technical spec required.

Configure and test

Set trigger conditions, scope of recommendation, and the human review checkpoint. Test against real workflows before launch.

Launch and adjust

Run agents on demand, on a schedule, or triggered by a condition. Your ops team makes adjustments, not engineering.

Own your own roadmap

Your team knows your operations better than any vendor does. Now they can act on it.

When a new regulation drops, when a delegated vendor changes their format, when you want to operationalize a new clinical pathway, you don’t have to wait on a release cycle. Your ops team can configure a solution in a weekend.

Trust & safety

Audit-ready by design

AI adoption in healthcare stalls not because of the technology, but because of the accountability questions that come with it. Who’s responsible? What happens when it’s wrong? AgentFoundry was built with those questions already answered.

Humans make the final decisions

Agents surface, draft, and flag. Your team reviews and decides. Nothing moves forward without a person behind it. That’s the architecture, not a setting. Every action is logged and traceable.

Recommendations are explainable

Reviewers can see exactly why an agent flagged something, not just what it flagged. When an auditor asks questions, the record is already there.

PHI controls are foundational, not add-ons

Access controls, data handling rules, and compliance guardrails are built into the platform architecture. Not layered on after deployment.

Continuous monitoring, out of the box

Track agent activity, review response patterns, and course-correct when something isn’t performing as expected. No engineering required.

Want to learn more, see a demo, or speak to an expert?

Your privacy is important to us. Please review our Privacy Policy for details.

Scroll to Top