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AI Agents for Healthcare

We build multi-agent systems for the administrative side of care: prior authorization, claims and documentation, with a human in the loop.

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Trusted by enterprises across Europe and the US.

Siemens
Siemens Healthineers
PwC
Toyota
Geberit
Rainbow
Chooose
Omnipack
Lexolve

What is a multi-agent system in healthcare?

A multi-agent system in healthcare is a set of specialised AI agents for intake, coding, payer rules and documentation that read and write through FHIR and HL7 interfaces, coordinate under an orchestrator, and require clinician or reviewer approval at every point where a decision affects care or reimbursement.

The problems worth automating first

Prior authorization burns days per case

Incomplete submissions bounce, payer rules change quarterly, and the people assembling the paperwork are the same ones patients are waiting for.

Denials are fought by hand, or not at all

Many denied claims are appealable with the documentation you already hold. Assembling the appeal takes hours nobody has, so revenue leaks quietly.

Documentation eats the visit

Notes written after hours, coding queries days later, and a record that's complete for billing but late for the next clinician who needs it.

An example agent team: who does what

A multi-agent system works like a team with clear roles. Here's an example lineup for a healthcare operation:

Case event

Orchestrator

Specialised agents

Intake

Payer rules

Coding

Documentation

Appeals

Clinician / reviewer approval gate

Clinical systems

EHR (FHIR/HL7) · RCM · payer APIs

Audit trail: every decision, input and rationale is logged

Intake Agent

Assembles case documentation and flags what's missing before submission: the difference between a clean prior auth and a bounce.

Payer Rules Agent

Maintains current payer requirements and validates every submission against them, attachment by attachment.

Coding Agent

Proposes medical coding (ICD-10, CPT) with its reasoning and the source passage from the record, for a coder to accept or correct.

Documentation Agent

Drafts clinical notes with sources cited. Nothing enters the record without clinician sign-off. No exceptions.

Appeal Agent

On denial, assembles the appeal case from payer rules and the existing record.

Orchestrator

Routes the work, keeps the order of operations, and writes the audit trail for every decision: inputs, rationale, approver, timestamp.

Not every deployment needs the full lineup. Discovery tells you which two or three earn their keep first.

Orchestration, approval gates and audit trails work the same way in every system we ship.

See how multi-agent systems work

Use cases

What this looks like in your operation

What the agents do

Prior authorization

Assemble documentation → validate against payer rules → submit → track status

Claims & appeals

Analyse denial → assemble justification → draft appeal

Clinical documentation

Draft note with sources cited → clinician approves → write

Revenue cycle

Detect billing gaps → propose correction → escalate

Clinical trial matching

Screen inclusion criteria → candidate list with reasoning

Systems touched

Prior authorization

EHR (FHIR), payer API, RCM

Claims & appeals

RCM, payer API, EHR

Clinical documentation

EHR (FHIR), dictation

Revenue cycle

RCM, ERP, EHR

Clinical trial matching

EHR, CTMS

What we measure

Prior authorization

Time to decision; denial rate for missing info; FTE hours per request

Claims & appeals

Denial rate; appeal success rate; days in A/R

Clinical documentation

Documentation time per visit; note completeness

Revenue cycle

Days in A/R; clean claim rate

Clinical trial matching

Screening time; qualified candidates per cohort

What the agents do

Systems touched

What we measure

Prior authorization

Assemble documentation → validate against payer rules → submit → track status

EHR (FHIR), payer API, RCM

Time to decision; denial rate for missing info; FTE hours per request

Claims & appeals

Analyse denial → assemble justification → draft appeal

RCM, payer API, EHR

Denial rate; appeal success rate; days in A/R

Clinical documentation

Draft note with sources cited → clinician approves → write

EHR (FHIR), dictation

Documentation time per visit; note completeness

Revenue cycle

Detect billing gaps → propose correction → escalate

RCM, ERP, EHR

Days in A/R; clean claim rate

Clinical trial matching

Screen inclusion criteria → candidate list with reasoning

EHR, CTMS

Screening time; qualified candidates per cohort

From first call to production

01

Architecture Discovery (2 weeks)

We map your process, systems and constraints. You get a reference architecture for your case, a recommended autonomy level per step, and a prioritised roadmap ranked by business value, whether you build with us or not.

02

Pilot in shadow mode (6-8 weeks)

The system runs in parallel with your current process, on live data, writing nothing. Agents assemble and validate real cases alongside your team, nothing is submitted without review, and you measure completeness and turnaround side by side.

03

Production (8-12 weeks)

Integration with your systems through a controlled layer (MCP where possible), approval gates wired to your roles, audit trail switched on, security review passed.

04

AgentOps (ongoing)

Evaluation suites run on every change. We monitor accuracy, latency and cost per task, and re-evaluate the whole system when a model version changes, because a silent model update should never silently change a coding proposal.

01

Architecture Discovery (2 weeks)

We map your process, systems and constraints. You get a reference architecture for your case, a recommended autonomy level per step, and a prioritised roadmap ranked by business value, whether you build with us or not.

02

Pilot in shadow mode (6-8 weeks)

The system runs in parallel with your current process, on live data, writing nothing. Agents assemble and validate real cases alongside your team, nothing is submitted without review, and you measure completeness and turnaround side by side.

03

Production (8-12 weeks)

Integration with your systems through a controlled layer (MCP where possible), approval gates wired to your roles, audit trail switched on, security review passed.

04

AgentOps (ongoing)

Evaluation suites run on every change. We monitor accuracy, latency and cost per task, and re-evaluate the whole system when a model version changes, because a silent model update should never silently change a coding proposal.

See how we've helped our clients

Embedded AI in a cybersecurity platform serving Fortune 500 clients: by embedding a conversational AI layer into the platform, we cut customer onboarding time by 95% and turned a quarterly reporting tool into a daily decision-support system.

Why us

Why enterprises choose us

We're a 50-person, cross-functional software development team based in Warsaw, Poland, building technology that delivers ROI, strong governance, and real adoption.

10

years delivering digital products

est. 2016

100+

products shipped

web & mobile

50+

experts on board

Product & UX designers, Software engineers, AI specialists, PMs

75

client NPS

Praised for communication, pace and quality

5

continents served

North America, South America, Europe, Asia, Africa

Frequently asked questions

Minimisation and boundaries: only the fields a task needs reach the model, identifiers are pseudonymised where feasible, and deployments can run inside your cloud tenancy or on models hosted within your compliance boundary. The data flow is documented per use case, and your privacy officer sees it before anything runs.

Every output that affects care or reimbursement: yes, by design, with the approval recorded. Purely administrative steps (assembling documents, tracking a submission) can run autonomously. The line between the two is drawn in discovery, in writing.

Whichever your environment actually supports; most deployments end up hybrid. Agents work through your existing integration engine and its audit path. We don't build side doors into the record.

A dedicated payer-rules agent maintains requirement sets per payer and flags rule changes that affect in-flight cases. When a payer updates requirements, you see which pending submissions are affected before they bounce.

Parts of health-workflow AI fall into the high-risk category, which brings documentation, oversight and traceability duties. Our architecture produces those artefacts as a by-product of operation (decision logs, named approvers, model versioning) rather than as a compliance project bolted on afterwards. Even outside the high-risk category, transparency obligations may apply. We map the applicable duties during discovery.

Yes. Every recommendation carries its inputs, sources, rationale, approver and timestamp, exportable in a reviewable form. We'll show you a sample trail in the first call.

Which workflow is costing you the most clinician hours?

Tell us how prior authorization, appeals and documentation run through your organisation today. We'll tell you which process agents should take first, which autonomy level is safe, and what the pilot would look like.

Book a free consultation

Work with a team trusted by Siemens, PwC, and Toyota.

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Startup Development House sp. z o.o.

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