// INDUSTRIES / HEALTHCARE & LIFE SCIENCES
The authorization that took three days comes out in minutes. With the same judgment.
Eligibility validated, coverage list and guidelines consulted and the decision recorded, with the ANS deadline monitored and health data never leaving your environment.
// TESSERA IN INDUSTRIES
Agents that analyze and authorize inside your perimeter, with the ANS deadline monitored and every decision recorded.
Tessera is the AgentOS where authorization gains speed without losing clinical judgment: the guideline holds, the doubtful case goes to medical review and sensitive data never leaves your environment.
Autonomous procedure authorization
The agent validates eligibility, consults the coverage list and guidelines, decides what is clear and routes to medical review what requires clinical judgment.
- 01
Receives
Provider request with attachments
- 02
Validates
Eligibility, waiting period and plan coverage
- 03
Consults
Procedure list and utilization guideline
- 04
Decides or routes
Authorizes the clear case, routes the clinical one to review
- 05
Records
Decision, guideline applied and deadline met
// OUR EDGE
Regulatory deadlines met, sensitive data inside your perimeter.
The ANS deadline isn't a target. It's an obligation.
Each request type has its own regulatory deadline and the clock runs from the moment it's filed. The agent monitors each request's deadline, prioritizes what's near the limit and records why it decided when it did.
Health data is the most sensitive there is.
Diagnoses, reports and history don't leave your environment. Processing happens inside your perimeter, no external integration is opened by default and every access is recorded with the identity of who accessed it.
// OTHER AGENTS IN THIS VERTICAL
Tessera operates multiple specialized agents across the authorization cycle, each with its own harness, governance and cost per execution.
Scheduling
Booking, confirmation and rescheduling
Eligibility
Plan, waiting period and coverage check
Clinical documentation
Reading and structuring reports and records
Claim denial
Denial analysis and appeal
Reimbursement
Request checking and release
// AUDIT
ANS will want to see it. The agent already recorded it.
Every decision with a traceable reason. Mandatory AI disclosure at the start of every conversation. Immutable audit trail per execution, no black box.
// DATA SOVEREIGNTY
The member data stays where you say.
Cloud, isolated cloud or BYOC. The agent runs inside your cloud and no customer data travels outside your perimeter.
// FINOPS
Cost per authorization. Not per team.
Every execution with a known cost before it runs. Configurable cap per execution. Scale authorization volume without scaling the analysis team.
Ready for agents that decide and execute?
See Tessera working in your context.
Ready to authorize in minutes, with the same judgment?
Book a briefing with our healthcare engineering team.
- 01Choose the operation
- 02Run the Readiness Assessment
- 03Put Tessera and the team live
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