Prior Authorization
Check benefits and policy criteria, submit documentation, manage payer requests, and return authorization details to the EHR.
Kaizen agents work inside payer portals, EHRs, and the systems your team already uses. They handle long-running administrative workflows from intake through resolution.

Deploy a flexible workforce to expedite the administrative work that slows care and revenue. Kaizen agents navigate portals, follow up with payers, adapt when systems change, and finish the job.
Check benefits and policy criteria, submit documentation, manage payer requests, and return authorization details to the EHR.
Parse provider files, attest CAQH profiles, submit rosters, track committee review, and keep records current across systems.
Collect denial details, assemble supporting records, submit appeals, and monitor payer responses through resolution.
Retrieve coverage, copay, deductible, authorization, and service-level benefit details before the visit.
Verify active coverage at scale, flag exceptions for review, and write accurate results back to your workflow.
Move documentation between systems, prepare claims, check status, and keep downstream teams working from current information.
Healthcare organizations use Kaizen to automate the operational work behind care, from eligibility verification to provider enrollment.
Eligibility verification
90%
of eligibility verifications automated
$9.6K
in monthly revenue recovered
With Kaizen, it feels like we have an entire digital workforce at our disposal. We would have needed to double our headcount to get through the same amount of work.
Kristi Hamilton, Revenue Cycle Director, Gracent
Credentialing and enrollment
1,000+
monthly enrollments processed
34%
of payers automated
When Kaizen came in, we could finally process enrollment work at a scale that was not possible manually. Now, my team spends more time on meaningful work.
Zeeshan Dawdani, Operations Lead, Berry Street
Kaizen combines flexible agents with hands on healthcare expertise, so each deployment fits the reality of your operation rather than forcing another rigid system into it.
Healthcare operators work alongside your team to map workflows, handle exceptions, and move from pilot to production.
Agents fit the workflows your team already follows, preserving established handoffs and minimizing changes to how people work.
Long-running agents reason, execute, verify, and adjust across payer differences and changing portal workflows.
Run, learn, and optimize workflows with ease.
Securely upload files for automation, extract structured data, and download results in bulk.
Build automations for any browser application. Integrate directly with 2,500+ apps and services.
Automatically solve captchas, complete 2FA, and securely manage logins.
Complete complex dynamic forms directly from unstructured data.
All your automation questions, answered.
Customers typically have their first workflow up and running in less than an hour.
Kaizen workflows operate deterministically, ensuring that your process is executed the exact same way, every single time.
Kaizen supports robust APIs and webhooks for creating logins, executing workflows, retrieving execution results, and triaging work for human review.
Kaizen can receive email codes automatically, generate TOTP codes with its built-in authenticator, and handle SMS-based 2FA through an API or Twilio integration.
After creating a Kaizen workflow, it runs on secure browsers in the cloud. This allows you to scale your automations based on your desired volume.
Kaizen charges based on the credits consumed each time a workflow runs.
Start with one high-impact workflow or map the full administrative operation. Kaizen works alongside your team to deploy agents inside the systems you already use.
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