/healthcare
Agentic workflows for healthcare
Administrative and operational agents built for a regulated setting — the paperwork, eligibility and coordination load around care, with compliance designed in.
Healthcare is a domain Vyom Tech Sol builds agentic systems for, focused on administrative and operational workflows rather than clinical decision-making. Typical work includes prior authorisation and eligibility verification, claims intake with coding support and denial management, summarisation of clinical documentation for administrative use, patient scheduling and intake, revenue cycle management support, and referral and care-coordination workflows. Because the data is protected health information and the setting is regulated, these builds treat privacy and auditability as design constraints from the start: least-privilege data access, complete audit trails, PHI handling boundaries, and human review on anything affecting care or payment. Vyom does not position agents as clinical decision-makers; the value is in removing administrative load from clinicians and staff so people spend time on care instead of paperwork.
What we build in healthcare
- →Prior authorisation & eligibility checks
- →Claims intake, coding support & denials
- →Clinical documentation summarisation
- →Patient scheduling and intake
- →Revenue cycle management support
- →Referral and care-coordination workflows
One agent, in depth
// agent deep-diveThe Prior Authorization AgentPrior auth is the administrative tax on care — payer-specific rules, clinical evidence buried in notes, and a fax machine at the end of it. An agent that assembles the packet without ever making the clinical call.read the deep-dive →Common questions
Do your healthcare agents make clinical decisions?
No. They handle administrative and operational workflows only — determining whether authorization is required, finding payer criteria, locating supporting evidence, assembling and submitting packets. Medical necessity is a clinical and payer determination, and an AI system inserting itself into it is both an ethical and a regulatory problem.
Which healthcare workflows do you automate?
Prior authorization and eligibility verification, claims intake with coding support and denial management, administrative summarisation of clinical documentation, patient scheduling and intake, revenue cycle support, and referral and care coordination.
How do you handle PHI?
As a design constraint from day one, not a later review. Least-privilege access scoped to the task in flight, every access logged with purpose, explicit PHI boundaries covering what leaves the environment and which model processes it, and bounded retention. Where a client's posture requires it, we build so PHI never transits a third-party model.