Patient Access
Agents execute referral intake, eligibility verification, prior authorization and scheduling within the authority limits you define.
Healthcare
Patient access, clinical operations and revenue cycle run as one governed system across every facility.
Governed AI agents for hospital operations
Shorter time to treatment
Systems run referral intake, eligibility checks and prior authorization, so patients are scheduled sooner.
Higher first-pass claim rate
Agents check coding, documentation and payer policy before submission, so fewer claims are denied.
Higher throughput per FTE
Agents absorb intake, eligibility and billing volume, so revenue cycle teams scale without added headcount.
- (01)
Patient intake
Agents assemble referral documents, verify coverage and complete the intake record before each appointment.
- (02)
Claim validation
Every claim is checked against payer policy before submission, and each denial reaches its owner with the cause.
- (03)
Discharge planning
Agents plan each discharge from admission and coordinate beds, transport and follow-up care with the unit.
The Instract platform for healthcare
Patient access, clinical operations and revenue cycle run on one platform, with one rule set, one permission model and one audit trail across every department.
Prior Authorization
Systems submit requests to payers with clinical documentation attached.
- Clinical documentation attached, complete
- Submitted to payer, complete
- Determination pending, waiting
Bed Management
Applications track bed status, admissions and discharge flow in real time.
Ward 4B
22 of 24 beds
- Bed 12
- Occupied
- Bed 14
- Cleaning
- Bed 15
- Admitting
Revenue Cycle
Agents validate claims, route denials and post adjustments under policy.
Claims activity
Today
- Claim 88213 validatedCoding agent, rule CODE-04
- Denial CO-197 routed to UMDenials agent, rule DEN-02
- $1,240.00 adjustment approvedR. Okafor, revenue cycle, rule FIN-12
HIPAA Controls
Systems map the HIPAA Security Rule to every application, enforce each safeguard continuously and export audit evidence on demand.
HIPAA Security Rule
Export evidence, Q3 2026| Section | Safeguard | Status |
|---|---|---|
| §164.312(b) | Audit controls | Enforced |
| §164.308(a)(4) | Access management | Enforced |
| §164.312(a)(2)(iv) | Encryption and decryption | Enforced |
| §164.308(a)(1)(ii)(D) | Activity review | Due Oct 30 |
Why health systems choose Instract
Strategists and engineers work on site with your patient access, clinical and revenue cycle leaders. The agreed design reaches production within days, under your policies from day one.
Process mapping at your site
Strategists map each department's processes on site and configure the system to your policies and protocols.
Governance in each process
Delegation of authority, segregation of duties and audit logging are enforced in every workflow before it goes live.
Data and system ownership
The system runs on infrastructure you approve, your data stays yours and you can export every record at any time.
Built for health systems
Strategists begin on site with a single process, such as prior authorization, and take it to production within days.
