Replicate.Health builds AI agents that handle credentialing, prior authorizations, and billing — end-to-end, with human-in-the-loop oversight. Your staff approves. The agents do the work.
Average time to credential a new physician
Lost revenue per uncredentialed provider
Denied on first submission, mostly recoverable
The size of the team most groups need just to keep up
Sources: CAQH Index, MGMA, AMA.
The agent pulls 90% of provider data from CAQH, fills the gaps with PECOS, NPPES, and license boards, then submits and tracks across every payer — AmeriHealth, Aetna, Cigna, BCBS, UnitedHealth, Humana, Medicare, Medicaid. Your team approves; the agent does the rest.
Greenlight reads the chart, builds the medical-necessity narrative, attaches the right clinical evidence, and submits to the right payer portal. Built for the slow lanes: surgical, radiology, oncology. Human review on every submission.
An end-to-end revenue cycle agent: clean claim filing, automated denial appeals, ERA reconciliation, and underpayment detection. Human review on every external submission.
Same loop every time. Different work product depending on the agent.
The agent pulls from your EHR, payer portals, and source-of-truth registries (CAQH, PECOS, NPPES).
It assembles the work product — a packet, a claim, a prior auth — using your group's policies as guardrails.
A human approves at the checkpoint you choose. Default: every external submission.
The agent submits, monitors status, handles follow-ups, and escalates only what needs you.
Every Replicate.Health agent has built-in approval gates. You decide what's auto-approved (typically nothing external) and what waits for sign-off. We log every action, every prompt, every output — so you have an audit trail that holds up to compliance review.
Don't see yours? We add integrations on request — most go live in under three weeks.
Based on early customer pilots, Q1 2026.
We brought on twelve new providers in Q3. The first one was billing in 26 days. Before, we'd have been lucky to be done in 90.
Our auth team used to drown in fax-back-and-forth. Now Greenlight files the auth, attaches the evidence, and tracks status. My staff focuses on the cases that actually need a human.
Full administrative, physical, and technical safeguards. BAA available.
Type II audit in progress. Report available under NDA once complete.
Currently in assessment.
Encryption at rest and in transit, no exceptions.
Agents see only what they need. Logged, redacted, retention-bound.
No fully automated submission of PHI to third parties. Ever.
Hit the button below and our AI agent will walk you through how Roster, Greenlight, and Ledger work — and book a 30-minute demo with our team if you want one. No form. No "we'll get back to you in 3 business days."
