Agentic workflows redefine what patient access can be, replacing a chain of manual handoffs with intelligent orchestration. AuthIQ and Authentic8 together deliver a true end to end agentic patient access solution, from intake through appeal.
A named specialist rules on every agent output before anything is filed
AuthIQ is an engine, not a fixed feature set. Agents can be defined for any point in patient access.
Custom agents can be built and added at any stage.
Every agent on AuthIQ follows the same shape, whatever it is doing. This walkthrough follows one of them through all five stages.
Provider offices submit through the portal or by fax. Patient, procedure, provider, and facility detail is captured on the case from the start, so nothing has to be re-entered downstream.
Every document on the case is read as it arrives: clinical notes, the psychological evaluation, diagnostic studies, the treatment plan.
AuthIQ resolves which policy actually governs the case and loads its full criteria set. The library spans commercial medical policies, Medicare Advantage plan policies, and national and local coverage determinations, so the criteria applied are the ones that plan will actually apply.
AuthIQ works through each criterion individually against the record. Where one is met, it cites the page and passage that supports it. Where it isn't, it says so. Each finding carries a confidence level so reviewers know where to look hardest.
Your assigned specialist agrees with or overrides AuthIQ on every criterion, attaching a note where it matters. AuthIQ learns from every decision, becoming more intelligent over time.
An agent can do more than report what it found. Business rules encode the decision itself: what happens when a requirement is missing, where a denial routes, which cases hold and which proceed. Written once, applied identically on every case.
Stop a submission that will predictably be denied, and let the rest through without a second look.
Send a denial straight to the appeal agent with the stated reason already isolated.
Move a case to a lead when the payer misses its own published turnaround.