Built to reason. Designed to act.

Azentyk’s agent architecture combines large language model reasoning with rule-based execution and real-time payer data — so it makes the right call, every time.

— System Architecture
Input Sources
EHR Systems
Payer Portals
Patient Records
Scheduling Systems
Azentyk Core
Reasoning Engine
Voice Engine
Workflow Orchestrator
Compliance Layer
Output Actions
Calls Made
Forms Submitted
Records Updated
Alerts Sent
Payments Processed

Watch an agent run a Prior Authorization — live

This is a real simulation of how Azentyk navigates a payer portal for a UnitedHealthcare prior auth submission. Every step is logged.

Active Agents

Revenue Cycle Agent

reasons

Accelerate payments and reduce denials with autonomous payer follow-up.

Trigger: Claim denial received (Code CO-45)
Outcome: Reduced A/R days and higher clean claim rate
plan

Analyze Denial

Reading 835 ERA file and identifying denial reason code CO-45 (Exceeds timely filing).

plan

Check Timeliness

Cross-referencing claim submission date against payer contract terms.

act

Locate Proof

Retrieving original electronic submission report (277CA) from clearinghouse logs.

act

Generate Appeal

Drafting appeal letter citing timely filing proof.

act

Portal Submission

Logging into payer portal and uploading appeal packet.

verify

Verify Receipt

Capturing portal confirmation number for audit trail.

log

Update EHR

Posting appeal status and tracking number back to patient account.

Audit Trail

Timeline evidence captured
secure

Human Review

Appeal over $5k threshold checked
secure

Exceptions

Portal timeout (Auto-retry)
handled
Step 1 of 7PLAN Phase

24/7 Autonomous Operation

Agents run around the clock. No shift handoffs, no sick days, no overtime.

Multi-Payer IVR Navigation

Trained on 200+ payer IVR trees. Navigates like a 10-year veteran.

EHR-Native Integration

Reads from and writes to Epic, Cerner, athenahealth without middleware.

Human Escalation Logic

Knows exactly when to hand off. Defines the boundary between AI and human.

Compliance-First Architecture

Every call recorded. Every action logged. HIPAA BAA included standard.

Voice + API Hybrid

Uses API where available. Falls back to voice where required. No coverage gaps.

Real-Time Analytics

Every call, every outcome, every dollar. Dashboards your CFO will actually open.

White-Label Ready

Deploy under your brand. Your patients hear your name, your voice.

Technical Specifications

Uptime SLA
99.9% guaranteed — Azure-hosted with multi-region failover
Voice Latency
<400ms response time on outbound IVR navigation
Integration Method
HL7 FHIR R4, REST API, or direct EHR connector
Data Residency
US-only. PHI never leaves HIPAA-compliant Azure regions.
Authentication
OAuth 2.0, SAML 2.0 SSO support
Audit Logging
Full immutable audit trail — every agent action, every call leg
Deployment Model
SaaS (default) or private cloud deployment available