{"schemaVersion":"2.0","industry":{"slug":"healthcare","name":"Healthcare","headline":"More capacity for care","summary":"Help providers improve care access, reclaim clinician time and recover earned revenue with AI agents embedded in existing workflows.","image":"/images/industry-healthcare-v1.webp","imageAlt":"Illustrative healthcare analysts studying service demand and capacity in a violet-lit hospital operations workspace","workflows":[{"title":"Move authorizations forward","detail":"AI agents gather existing clinical evidence, draft payer responses and track requests through review and follow-up.","output":"Complete authorization requests, ready for submission.","authority":"Clinicians and authorized staff approve content.","sourceIds":["hc-epic"],"pain":"Incomplete requests and repeated payer questions delay access to ordered care.","businessValue":"Support timely care access with less authorization rework.","aiCapability":"Retrieve clinical evidence and draft payer-specific authorization responses.","capabilityLimits":"Access, data quality, output testing and human authority are qualified during implementation."},{"title":"Complete clinical documentation","detail":"AI captures authorized encounter content, drafts notes and prepares follow-up documents for clinician review and filing.","output":"Clinician-approved records with less documentation effort.","authority":"Clinicians retain signing and treatment decisions.","sourceIds":["hc-microsoft"],"pain":"Clinicians spend valuable appointment time rewriting notes and completing documentation after visits.","businessValue":"Return clinician time to patient care and capacity.","aiCapability":"Create draft clinical documentation from authorized encounter content.","capabilityLimits":"Access, data quality, output testing and human authority are qualified during implementation."},{"title":"Work through revenue-cycle denials","detail":"AI agents review denial reasons, retrieve supporting records and draft appeal packets for revenue-cycle specialists to validate.","output":"Approved appeals with evidence and tracked status.","authority":"Specialists approve coding and external submissions.","sourceIds":["hc-epic"],"pain":"Denied claims leave earned revenue waiting while specialists rebuild appeal evidence.","businessValue":"Recover earned revenue with more efficient denial follow-through.","aiCapability":"Interpret denial reasons and assemble source-grounded appeal drafts.","capabilityLimits":"Access, data quality, output testing and human authority are qualified during implementation."}],"story":{"framing":"Encounter records, payer requirements and billing information live apart, delaying care access and payment. Agents connect the work so providers can serve patients and complete revenue recovery.","painPoints":[{"title":"Move authorizations forward","detail":"Incomplete requests and repeated payer questions delay access to ordered care."},{"title":"Complete clinical documentation","detail":"Clinicians spend valuable appointment time rewriting notes and completing documentation after visits."},{"title":"Work through revenue-cycle denials","detail":"Denied claims leave earned revenue waiting while specialists rebuild appeal evidence."}],"dataSources":[{"name":"Encounter records and care plans","detail":"Qualify ownership, permitted access, quality and business context before connecting."},{"name":"Orders and payer requirements","detail":"Qualify ownership, permitted access, quality and business context before connecting."},{"name":"Claims, remittances and denials","detail":"Qualify ownership, permitted access, quality and business context before connecting."},{"name":"Appointment and provider schedules","detail":"Qualify ownership, permitted access, quality and business context before connecting."}],"metrics":[{"name":"Time to authorization submission","definition":"Elapsed time between the agreed start and accepted completion of the workflow.","unit":"Time","why":"Compare with the baseline while preserving quality and required review."},{"name":"Time to signed encounter note","definition":"Elapsed time between the agreed start and accepted completion of the workflow.","unit":"Time","why":"Compare with the baseline while preserving quality and required review."},{"name":"Denial-to-appeal turnaround","definition":"Elapsed time between the agreed start and accepted completion of the workflow.","unit":"Time","why":"Compare with the baseline while preserving quality and required review."}],"spotlight":{"title":"From bottleneck to working agents","summary":"Custom AI agents, team enablement and accelerated delivery turn a redesigned workflow into a working service. The implementation is tested against your systems, controls and acceptance standard.","inputLabel":"Your core data, existing systems and a valuable operating bottleneck.","outputLabel":"An implemented agent workflow, enabled people and measured operating outcomes.","steps":[{"id":"discover-redesign","label":"Simplify the workflow","detail":"Find the bottleneck. Remove waste and agree the baseline.","records":"Current work, policies and baseline.","owner":"Process owner and Elygent team.","output":"A simpler workflow with agreed success measures."},{"id":"connect-foundation","label":"Connect the foundation","detail":"Make your data, knowledge and systems usable by agents.","records":"Approved data, knowledge and system access.","owner":"Data owners and implementation engineers.","output":"Trusted context and qualified system connections."},{"id":"deploy-enable","label":"Deploy and enable","detail":"Build agents, test exceptions and train the people using them.","records":"Test cases, review paths and working methods.","owner":"Elygent engineers and your team.","output":"A validated agent workflow and an enabled team."},{"id":"operate-improve","label":"Operate and improve","detail":"Measure completed work, improve throughput and expand what works.","records":"Accepted outputs, turnaround and exceptions.","owner":"Service owner and Elygent team.","output":"A measured operating service with approved improvements."}]},"faq":[{"question":"Do we need to replace our systems?","answer":"Start with your existing workflow and qualify the connections. Data and context are prepared around it; system access and supported actions are agreed before deployment."},{"question":"How do we know the work improved?","answer":"Baseline turnaround, completed work and review effort. Test the new workflow, measure accepted output in operation and expand only after the result is validated."}],"sources":[{"id":"hc-epic","title":"Epic — Penny for Revenue Cycle and Operations","url":"https://www.epic.com/software/penny/","publishedAt":null,"accessedAt":"2026-10-05","evidenceType":"Documented product workflows with a named customer example","note":"Current undated page describes prior-authorization document search and drafted answers, coding suggestions and denial-appeal drafts. It also reports a specific Advocate Health specialty-pharmacy example; vendor and customer results are not Elygent outcomes."},{"id":"hc-microsoft","title":"Microsoft — Dragon Copilot intended use cases","url":"https://learn.microsoft.com/en-us/industry/healthcare/dragon-copilot/whitepapers/use-cases","publishedAt":null,"accessedAt":"2026-10-05","evidenceType":"Current official intended-use documentation","note":"Date is the documented last update. Describes draft encounter notes, summaries and referral letters for qualified care-team users; customers retain review, approval and EHR filing responsibility. This supports documentation assistance, not autonomous clinical decisions.","updatedAt":"2026-08-21"}]},"businessStory":{"context":"Encounter records, payer requirements and billing information live apart, delaying care access and payment. Agents connect the work so providers can serve patients and complete revenue recovery.","outcomes":["Time to authorization submission","Time to signed encounter note","Denial-to-appeal turnaround"],"coreData":["Encounter records and care plans","Orders and payer requirements","Claims, remittances and denials","Appointment and provider schedules"],"coreValue":"Give providers more time to deliver care and recover earned revenue.","implementationBridge":"Elygent connects approved clinical and billing systems, builds agents around care-team workflows and manages delivery with the required human review."},"heroKind":"photo","imagePosition":"40% center","path":"/industries/healthcare","url":"https://elygent.ai/industries/healthcare","notice":"Illustrative AI implementation opportunities. Scope, access, controls and acceptance are agreed per engagement; these are not verified Elygent customer results.","formats":{"json":"https://elygent.ai/api/industries/healthcare","markdown":"https://elygent.ai/api/industries/healthcare/markdown"}}}