Agents/Insurance Agent
Systems Nominal · Demo data
Insurance Agent
Verifies coverage, builds pre-auth packages and flags missing documentation before submission.
Total Requests
140
Pending
47
Approved
61
Rejected
32
Approval Rate
66%
Avg cycle
18h
Auto-built
94%
Missing docs
12
$ Saved
$184k
!
Most denials trace back to missing primary-provider signatures on imaging requests.
Insurance Agent recommends a pre-flight check before submission. Projected approval lift: +9.2%.
Authorization Queue
| Request | Patient | Service | Status | AI Action |
|---|---|---|---|---|
| INS-0001 | Elijah Brooks | Medication | Approved | Packet sent to payer |
| INS-0002 | Hudson Bennett | Sleep Study | Approved | Packet sent to payer |
| INS-0003 | Hudson Carter | Surgery | Pending | Verifying coverage… |
| INS-0004 | Elijah Vance | Medication | Pending | Verifying coverage… |
| INS-0005 | Aiden Nguyen | Surgery | Approved | Packet sent to payer |
| INS-0006 | Noah Ross | Sleep Study | Pending | Verifying coverage… |
| INS-0007 | Logan Chen | Surgery | Approved | Packet sent to payer |
| INS-0008 | Aria Pope | Surgery | Pending | Verifying coverage… |
| INS-0009 | Aria Wood | MRI | Pending | Verifying coverage… |
| INS-0010 | Theo Russo | Physical Therapy | Approved | Packet sent to payer |
| INS-0011 | Julian Cohen | Physical Therapy | Approved | Packet sent to payer |
| INS-0012 | Sophia Bauer | CT Scan | Approved | Packet sent to payer |
| INS-0013 | Jack Ortiz | Sleep Study | Approved | Packet sent to payer |
| INS-0014 | Jack Sutton | CT Scan | Approved | Packet sent to payer |
Requests by Service
Medication28
MRI24
CT Scan23
Physical Therapy19
Surgery18
Infusion15
Sleep Study13
AI Recommendation
Re-route 6 rejected MRI requests through orthopedic-specific BCBS template. Predicted approval probability: 82%.