Current reimbursement logic, one API away.
Give your systems and agents current coverage, PA, coding, documentation, and rate logic over the API, MCP, or a custom integration, without maintaining any of it by hand.
Agents grounded in yourreimbursement logic.
Your agents should not guess from PDFs. They should act from approved reimbursement logic: the same policy, contract, and billing rules your team controls in Converus.
01 We build agents for your workflows
Co-pilots for prior auth, appeals, coding, claim scrubbing, and payer-requirement capture, each one acting from the rule layer your team reviews and approves.
- Prior auth co-pilotchecks payer criteria, identifies missing evidence, prepares submission
- Appeals co-pilotfinds the policy or contract term behind a denial, drafts a grounded appeal
- Coding co-pilotmaps test, indication, diagnosis, payer, and documentation to coding logic
- Claim scrubbingflags PA, documentation, coding, and contract issues before claims go out
- Custom capturecaptures payer requirements from portals, calls, and operational workflows
02 Your agents read your data and logic
Already building your own? Connect them through MCP or the API and they query your current policies, contracts, and billing rules, cited and always current.
Turn payer policy into logicyour systems can execute.
A 30-minute walkthrough with your codes, your payers, and the policies behind last quarter's denials.