Confirm eligibility
Check coverage across member and payer systems before the appointment.
Healthcare
More time for care. Less time chasing records.
Monarch puts AI to work across clinical, claims, and administrative systems, including the legacy applications with incomplete APIs. Agents gather records, prepare submissions, and carry approved actions through the process.
Example workflow
A prior authorization, ready to submit.
Give your coordinator a complete submission to review, with the supporting records already attached.
The request
“Prepare this patient's prior authorization.”
Gather the records
Match the patient, coverage, and clinical documentation across the EHR and payer portal.
Check the requirements
Compare the requested service with submission requirements and flag missing evidence.
Prepare the submission
Assemble the form and supporting documents for your coordinator's review.
Complete the handoff
After approval, submit through the permitted system and record its confirmation.
The result
The submission moves forward. Your team retains clinical judgment and approval.
Connected systems
- EHR
- Member records
- Payer portal
- Document system
Across the business
From appointments to claims.
Follow up on claims
Retrieve claim status, identify missing information, and prepare the next action.
Keep provider records current
Carry approved changes into directories, portals, and internal records.
People in the loop
Care teams keep the judgment.
Monarch prepares the record and carries approved actions into the permitted systems. Clinicians and coordinators keep the judgment and final approval.
Why Monarch
Use AI across the systems you already have.
Reach beyond public APIs
Discover and verify operations inside legacy and internal applications, using the access your connected accounts already have.
Complete work across teams
Give people shared workflows or personal agents that can take action across the systems behind a business process.
Keep workflows working
Self-healing access repairs and re-verifies affected operations when applications change, reducing the connector maintenance your engineers carry.
Enterprise controls, built in.
Scope access to the records each workflow needs, require approval for consequential actions, and retain a record of what the agent did.
- Access
- Your roles and permissions
- Deployment
- Hosted or customer-cloud options
- Models
- Your approved models
Further reading
Practical guides
Give your team time back for patients.
Tell us which administrative workflow is slowing your team down. We'll show you how Monarch can work across the systems behind it.
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