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Enterprise Layer Intelligence
Categories/Healthcare & Life Sciences/Ascertain
Ascertain

Ascertain

Founded 2022

Automate prior authorizations, referrals, and care coordination across healthcare workflows

You can use Ascertain to automate repetitive administrative duties across healthcare organizations and clinical practices. It handles prior authorization submissions, eligibility checks, referral tracking, and care management tasks without manual intervention. The system extracts data from unstructured documents and faxes, fills out required health forms, and communicates status updates directly across clinical systems. With human oversight built into every step, clinical teams can track denial appeals, request medical records, and close care gaps while significantly cutting down processing times and admin overhead.

What Ascertain does

Submit prior authorization formsVerify patient insurance eligibilityRequest patient medical recordsProcess healthcare referralsGenerate claims denial appealsIdentify missing care gapsExtract data from incoming medical faxesAutomates prior authorization submissions and trackingExtracts data from incoming faxes and unstructured recordsVerifies patient insurance eligibility automaticallyIdentifies care gaps across patient populationsManages claim denials and appeal generationProvides built-in human review checkpoints for traceabilityUses voice agents to conduct administrative outreach

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Ascertain, healthcare administration, prior authorization, care coordination, referral processing, eligibility verification, denials management, medical records request, care planning, agentic AI, clinical administration, healthcare automation, care gap identification, claims management, health systems