AI agents that handle pre-authorization, claims processing, fraud detection, providers request and customer support — end to end. What used to take a team of 40 now runs in seconds, 24/7.
Every agent ships production-ready, with full audit trails, human handoff, and integrations to your core admin system. Deploy one. Or deploy all six.
Reads the request, matches it to the policy, checks medical necessity, and decides — in seconds. Escalates the edge cases. Audits everything.
Receives provider requests from email, portal, or WhatsApp, extracts the key details, validates required fields, and routes each request to the right workflow with a clean audit trail.
Handles routine member inquiries around benefits, eligibility, claims status, provider access, and plan information, while escalating sensitive or complex cases to the right support team.
The orchestrator. Connects every agent to your admin system, policy library, and team. Routing, guardrails, observability, audit. The operating system.
Ingests claims, codes them, checks against policy, prices, adjudicates and pays — straight-through where it can, with provenance for every decision.
Patterns across providers, members, services, time. Flags collusion, upcoding, phantom billing and identity abuse before payout — with evidence.
SaaSPro went from a pilot to running our pre-auth queue end-to-end in three weeks. We haven't looked back.
The fraud agent paid for itself in 11 days. We're catching things our human team simply couldn't have seen.
Members get answers in 11 seconds instead of 11 minutes. The whole experience changed.
Plug SaaSPro into your admin system, policy library, and member database. No rip-and-replace. Pre-built integrations for the major core admin platforms.
Pick the agents you need. Each one ships with policy guardrails, escalation rules, and a sandbox so your team can supervise before going live.
Throughput, accuracy, savings, and exceptions — visible in real time. Every decision auditable. Every action attributable. Compliance by default.
30-minute live demo with your team. We'll show one of your real pre-auth queues processed in front of you.