Healthcare
Deliver a 10x better healthcare experience
AI agents that handle all the moments that make or break trust across healthcare interactions.
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Member services
Support plan selection, verify member eligibility, and automate prior authorization status and tracking.
Provider services
Streamline billing and claims management, keep provider lookups accurate, and support credentialing verification workflows.
Care gap closure
Proactively identify and close care gaps to improve health outcomes and quality metrics.
For payers
Resolve the inquiries that drive your call volume, from member navigation to provider management and clinical outreach.
Front office operations
Streamline patient access with automated scheduling, instant eligibility verification, and coverage explanations.
Clinical care navigation
Extend your clinical reach with visit instruction support, proactive care-gap outreach, and post-discharge follow-ups.
Back office operations
Accelerate revenue cycles with automated claims status checks, claims reconciliation, and streamlined provider credentialing.
For providers
Deliver the experience patients deserve, from the first scheduling call to the final statement.
Order & fulfillment operations
Provide real-time order status, tracking, and account updates to reduce WISMO volume and improve delivery visibility.
Medication adherence & management
Drive therapy compliance with proactive refill reminders, resupply processing, and guidance to keep patients on track.
Financial navigation
Remove barriers by resolving insurance rejections, eligibility questions, or copay inquiries.
For pharmacy
Keep patients on therapy with real-time order status, refill outreach, and adherence support at every touchpoint.
Clinically intelligent
Decagon’s models are tuned on medical terminology with empathy that adapts to every patient.
Guardrails you can trust
Layered guardrails keep every conversation safe, secure, and in scope.
Beyond support, into care
Proactive agents extend Decagon into care-gap closures and post-discharge follow-up that improve outcomes.
CCaaS platforms
Connect directly to Genesys, Five9, AWS Connect, and Talkdesk to deploy across voice and chat.
CRM & case management
Sync with Salesforce Health Cloud and Microsoft Dynamics to keep case history and context in one place.
EMR & practice management
Read and write bidirectionally to 50+ EMRs and Practice Management Systems via API, HL7, Browser Agents and more.
The AI concierge for every customer.