20x your team’s impact with custom AI workflows
Meet Autodor, your all-in-one platform for clinical AI coworkers—built just for health plan claims teams.
Trusted by clinicians across health plans
Boost efficiency and gain clarity with Autodor Auto Agents
Powered by AI, Autodor Auto Agents review medical records, cross-reference policies, tackle complex clinical reasoning, and pre-process claims—giving your team time to focus on what matters most.
Document digitization
Auto Agents transform PDF files and scanned images of all sizes into actionable data assets.
Smart evaluation
Auto Agents clinically reason against your medical records, policy guidelines, and relevant clinical criteria.
Transparent recommendations
Auto Agents cross-reference documents to provide clear rationales and citations for each claim recommendation.
Streamlined human validation
Clinicians validate the Auto Agent’s responses, ask final questions, and complete the claim.
Build a custom Auto Agent
Uniquely built for your organization, fine-tuned with your clinical criteria and policies.
Utilization Management Agents
Streamline approval decisions with made-for you AI that applies clinical guidelines consistently across all review types.
Prospective, Concurrent, and Retrospective Reviews
Emergency Department Reviews - EMTALA and Prudent Layperson
Level of Care Reviews
High-Cost Drug and Specialty Pharmacy Reviews
Payment Integrity Agents
Identify clinical validation opportunities and reduce payment errors with an AI agent that thoroughly analyzes documentation against evidence-based standards.
DRG Clinical Validation (Sepsis, Cardiovascular Conditions, Respiratory Conditions, and more)
Medical Necessity Reviews
Readmission Reviews
Short Stay Reviews
Appeals Agents
Transform your appeals department with the support of AI to evaluate clinical documentation, apply relevant policies, and draft evidence-backed responses.
Pre- and Post-Service Appeals
Emergency Service Appeals
Level of Care Appeals
DRG & Coding Appeals
Smart triage so your clinicians can focus on what matters most
By analyzing medical records against your specific criteria, Autodor routes clear approvals for immediate processing while flagging complex cases for attention. Your clinical team can now focus their expertise where it matters most.
See how Auto Agents can transform your claims operation
AI trust and safety
Alaffia’s platform is built with enterprise-grade safety guardrails to ensure that all AI-generated recommendations are validated by human clinicians. We adhere to SOC-II Type II, HIPAA, and HITRUST security standards so your data stays safe and secure.
Human-led validation
Auto Agents provide links and citations to relevant sources with every answer, so your clinical team can quickly review and validate results.
Private + secure for teams
We establish and implement custom governance controls, ensuring that we adhere to your organization’s specific data governance requirements.
Your data stays safe
Conversations with Autodor are strictly confidential. All data stored within the Autodor platform is encrypted in transit and at rest, with 256-bit encryption to protect confidentiality and privacy.
Boost productivity and eliminate waste
Explore Alaffia on your own, or schedule a demo with a member of our team.
