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Care Advisor

Care Advisor is an AI agent-based architecture that adapts to various specialized roles, streamlining healthcare administration across a wide range of tasks.

 

Harnessing AI Agents to Enhance Productivity and Outcomes

Care Advisor from Productive Edge leverages AI-driven agents to address the complexity of healthcare administration. This architecture can significantly contribute to the $265 billion in potential annual savings identified by The Journal of the American Medical Association (JAMA) through simplification.

Care Advisor offers a portfolio of adaptable AI agents designed for providers and payers that streamline tasks for clinicians, staff, customer service, and patients. From optimizing EHR documentation to automating claims processing, Care Advisor’s AI-driven agents reduce costs and enhance efficiencies across healthcare organizations, cutting through administrative burdens and improving outcomes.

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FEATURED CAPABILITIES

Care Advisor Generative AI Agents

Care Advisor offers a suite of AI-driven agents tailored to critical healthcare workflows. These adaptable agents can seamlessly integrate with existing systems or operate independently. Built on or integrated with leading cloud platforms, including Google Cloud's Vertex AI, Microsoft's Azure OpenAI Service, and AWS Bedrock, these agents streamline processes and optimize operations across key areas, enhancing efficiency and driving improved outcomes throughout the healthcare ecosystem.

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Provider, Payer

Prior authorization clinical review

Care Advisor leverages AI-driven agents to power an automated chatbot that efficiently addresses clinicians' questions about insurance coverage. This technology significantly reduces the time required for prior authorizations, minimizes errors, decreases appeals, and lowers overall costs.
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Provider, Payer

Medical coding & explanation of benefits

Care Advisor's AI enhances accuracy in medical coding and simplifies explaining benefits statements to patients. This ensures more straightforward communication and improves patient understanding of billing details.
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Provider

Referral management

Care Advisor streamlines the referral process, ensuring that finding the right specialist and scheduling appointments is efficient and coordinated. This keeps all stakeholders aligned and informed throughout the referral journey.
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Provider, Payer

Care plan creation & management

Care Advisor leverages real-time insights and evidence-based interventions to assist in developing personalized care plans. This approach streamlines patient care and enhances health outcomes by ensuring that care plans are tailored to individual needs.

GENERATIVE AI in action

Simplify Administration and Create Seamless Experiences

Use case demo:

Transforming care management

Discover how our AI-driven agents are revolutionizing care management for healthcare case managers. In this video, you'll see how our technology simplifies Molly's workflow, reducing the complexity of system navigation and allowing case managers to focus on delivering personalized care. Experience the future of care management, where intuitive and member-focused processes are at the forefront, making healthcare more efficient and effective.

Use case demo:

Enhancing patient engagement

Explore how our AI-driven agents deliver personalized, empathetic interactions that revolutionize patient communication. This demo showcases our cutting-edge approach to making healthcare more efficient and accessible, enhancing patient experiences, and fostering greater involvement. Join us in creating a more intelligent, more compassionate healthcare journey.

Use case demo:

Member Services

Follow Sarah, a newly married member, as she effortlessly adds her husband, Thomas, to her health insurance. This demo showcases how Care Advisor simplifies the process, from locating the correct forms to completing enrollment. Watch how our technology transforms a typically complex and time-consuming task into a seamless, user-friendly experience, making member services more efficient and stress-free.

Use case demo:

Utilization Management

Meet Emily, a utilization management administrator, as she navigates the complexities of Medicare's Local Coverage Determination (LCD) documents. This video demonstrates how Care Advisor streamlines the review process, delivering accurate, real-time assistance that enhances decision-making efficiency. See how our AI-driven technology transforms healthcare management, prioritizing time and cost efficiency to make complex tasks more manageable and effective.

Deploying Care Advisor

Clients who adopt Care Advisor also engage the services of Productive Edge to ensure optimal customization and integration. Here is the step-by-step process:

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Strategy
Key use cases, goals, and ROI projections are identified, and a roadmap tailored to your business needs is created.
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Data preparation
Data preparation assistance is provided to prepare your data specifically for the chosen use cases, ensuring peak model performance.
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Model customization & training
Your data is used to customize and train the Care Advisor AI agents for your exclusive use.
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Model testing
Extensive testing validates the customized agents and models before deployment.
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Integration
The AI experience seamlessly integrates into your platforms and workflows, facilitating optimal user interactions.
Key Partners
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Shaping healthcare's future with AI

Partnering with Productive Edge means precision, personalization, and support at every step. Together, we lay the foundation for improved healthcare experiences, outcomes and cost savings through the power of Generative AI. Ready to revolutionize your healthcare journey? Let's connect. The future of healthcare starts today.

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