The Back Office, Automated.
Prior auth. Intake. Claims. Refills. Follow-ups. Curely’s healthcare-grade workflow agents handle the work that quietly eats clinical time — auditable, reversible, and always under clinician control.
Prior Auth · run #PA-87241
Pulled chart, last 12 mo of imaging
completed in 0.6s
Matched payer rule · Aetna MRI lumbar
verified policy v2.4
Drafted PA letter w/ supporting notes
4 citations
Submitting via portal · awaiting receipt
queued · #PA-87241
Track status → notify ordering provider
auto-escalate at 48h
The Problem
The back office buries the clinic
- Prior auth is the #1 driver of clinician burnout
- Manual claims and follow-up calls swallow 30%+ of admin hours
- Generic RPA breaks the moment a portal updates
- Existing automations have no audit trail clinicians can defend
The Solution
Reasoning agents that ship the work
- Per-payer prior-auth agents that submit, track, and escalate
- Voice + SMS outbound for reminders, follow-up, and care-gap closure
- Versioned playbooks — built once, reusable across your network
- Every action logged, attributable, reversible — built for audit
Capabilities
Workflows You Can Trust
Prior Authorization
Auto-assembled prior auth packets, tuned per payer. The agent pulls the right notes, generates the letter, submits, tracks status, and only escalates the exceptions.
Patient Intake
Demographics, insurance, consent, ROS, allergies, medications — captured by a guided agent before the patient even sits down. Writes back to the EHR cleanly.
Claims & RCM
Codes encounters, scrubs claims, predicts denials, files appeals — all auditable, all reversible, all clinician-overridable.
Outbound Reminders & Follow-up
Voice + SMS + WhatsApp follow-up for appointments, refills, results, and care-gap closure. In English, French, Luganda, Swahili, and growing.
Reusable Playbooks
Build a workflow once — referral routing, lab review, patient onboarding — and let it run reliably across your entire system. Versioned and reviewable.
Built for Audit
Every step the automation takes is logged, attributable, and reversible. SOC 2, HIPAA, and ISO 27001 controls baked into the runtime.
Agent Architecture
Trigger / EHR Event
Context Assembly
Reasoning + Policy
Execute Step
Audit & Report
Where It Ships
Prior Auth
The single biggest source of clinician burnout. Curely takes the chart, the payer guideline, and the order — assembles a defensible packet, submits it, and only pulls a human in when there’s a genuine medical-necessity question.
Learn how it works78%
Touchless rate
4.1 days
Faster turnaround
23%
Denial reduction
Ready to Redefine Healthcare with AI?
Book a 45-minute working session with our team. Bring a real workflow — leave with a plan to deploy Curely AI in your environment.