Intelligent Human-in-the-Loop Automation

Meet Your New Assistant:
Karma

Karma is a browser extension that we deploy on day one to work alongside staff and simplify complex workflows.

https://payer-um-portal.com
P

Payer UM Portal

Prior Authorization Request

Request ID: PA-2024-789

Status: In Progress

Patient Information

Sarah Johnson

123456789

Requested Service

MRI Brain w/ contrast

70553

Karma Assistant

Patient Data Populated

All fields auto-filled from EMR

Clinical Notes Attached

3 supporting documents added

Review Required

Please verify diagnosis code

Ready to Submit

All requirements met for submission

Estimated Processing Time

3-5 business days

Assistants run in Karma to assist with complex workflows like Prior Auth Submission or Claim Appeals. Over time, new agents are trained to complete these workflows on their own, reducing the need for staff involvement. This frees staff to focus on the patient experience and making critical decisions.

From Assistant to Trained Agent

Automated Data Collection

Karma gathers patient info, insurance details, and clinical data

Smart Form Population

Pre-fills forms and prompts staff for missing information

Staff Review & Submit

Staff reviews, approves, and submits with one click

Evolves Into Trained Agents

After learning from staff interactions, Karma trains specialized agents to handle these workflows autonomously

Prior Auth Agent

Service:MRI Brain (70553)
Payer:Aetna

Prior Auth Agent

Service:CT Chest (71250)
Payer:BCBS

Appeals Agent

Claim:CLM-2024-456
Denial:CO-50

Appeals Agent

Claim:CLM-2024-789
Denial:CO-16

Ready to Deploy Karma?

See how Karma can start assisting your team on day one and evolve into trained agents over time.