Intelligent Processing Pipeline

Watch how our AI transforms complex medical requests into instant decisions

INPUT

PA Request

Document Intake

PA Requests Flow Into basys Engine

Multiple prior authorization requests processed simultaneously

EHR Integration
Fax & Portal Intake
Multi-format Processing

PROCESSING

Basys Agentic AI

Real-time Processing

Medical Necessity Matching

PA requests matched against patient charts and policy requirements

Policy Criteria Extraction
Patient Chart Analysis
Evidence Correlation

OUTPUT

Decisions

Instant Decision Output

Matched Criteria Results

Automated decisions with complete audit trails and reasoning

Approval/Denial Decision
Evidence Documentation
Compliance Audit Trail

Additional Capabilities

Medical Necessity/Care Management

Intelligent Care Pathways
_{Every decision drives the next step, without delays or gaps.}
Integrated Medical Reviews
_{Authorization and care planning in one seamless, connected workflow.}
Insight-First Automation
_{Smart routing, fewer handoffs, and faster decisions at every step.}

Risk Adjustment

90% Faster, More Complete Coding
_{Reviews 100% of member charts in 3 minutes vs 30 minutes manually. Identifies missed HCC codes}
Automated CMS Compliance
_{Validates every code against current regulations. Creates complete audit documentation. Reduces compliance risk and penalties.}
Early Gap Detection
_{Identifies undocumented conditions before deadlines. Alerts providers at point of care. Improves RAF score accuracy.}

Compliance

Ensure all authorizations meet regulatory and internal policy standards, with built-in audit trails and rigorous data security.

Trust

Boost provider confidence with consistent, criteria-based decisions — building stronger relationships through transparency and predictability.

Efficiency

Reduce turnaround times and manual reviews with intelligent workflows — freeing up teams to focus on high-value clinical work.

Member Experience

Minimize care delays and denials, supporting timely access and higher member satisfaction across the care journey.

Experience the Future of Prior Authorization

Discover how Basys.ai can transform your prior authorization processes.

Get a Demo

Smart Prior Authorization and Utilization Management with basys Agentic AI

Success Metrics

5x

Lower Administrative Cost

95%

Faster Turnaround Time

93%

Automated Approvals