Ledger Coming soon
Revenue cycle, on autopilot
An end-to-end revenue cycle agent: clean claim filing, automated denial appeals, ERA reconciliation, and underpayment detection. Human review on every external submission.
// AI AGENTS FOR PROVIDER OPERATIONS
Replicate the work.
Reclaim the practice.
Replicate.Health builds AI agents that handle billing, prior authorizations, and credentialing — end-to-end, with human-in-the-loop oversight. Your staff approves. The agents do the work.
Live agent run
1
Ingest
CAQH · PECOS · NPPES
2
Reason
Build packet · apply policy
3
Review
Human approval gate
4
Submit
Payer portals · track status
Run #4,217 · Dr. M. Chen, NPI 1234567890
All checkpoints passed
// THE COST OF MANUAL OPS
Provider operations is where revenue goes to die.
90–120 days
Average time to credential a new physician
$7,500/mo
Lost revenue per uncredentialed provider
45+ days
Average days in A/R before a claim is paid
2–3 FTEs
The size of the team most groups need just to keep up
Sources: CAQH Index, MGMA, AMA.
// THREE AGENTS
Three agents, one operating loop.
Authority Coming soon
Prior auth in minutes, not days
Authority 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.
Roster Coming soon
Credentialing, automated end-to-end
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.
// THE LOOP
How a Replicate.Health agent works.
Same loop every time. Different work product depending on the agent.
01
Ingest
The agent pulls from your EHR, payer portals, and source-of-truth registries (CAQH, PECOS, NPPES).
02
Reason
It assembles the work product — a packet, a claim, a prior auth — using your group's policies as guardrails.
03
Review
A human approves at the checkpoint you choose. Default: every external submission.
04
Submit & track
The agent submits, monitors status, handles follow-ups, and escalates only what needs you.
Human-in-the-loop is not a setting. It's the architecture.
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.
Grounded in real data. Traceable to its source.
Every answer our agents produce is tied back to specific patient records, payer policies, and your group's own protocols. Our clinical ontology connects every output to the data it came from — so when an agent submits a claim, an auth, or a credentialing packet, you can audit exactly why.
Grounded. Traceable. Trusted.
// WORKS WITH YOUR STACK
Connects to the systems your team already lives in.
Source data
CAQH ProView PECOS NPPES NPDB State license boards
Payers
AmeriHealth Aetna Cigna BCBS UnitedHealth Humana Medicare Medicaid Oscar
EHR / PM
PointClickCare MatrixCare Epic Cerner athenahealth eClinicalWorks
Clearinghouses
Availity Change Healthcare Waystar
Don't see yours? We add integrations on request — most go live in under three weeks.
// EARLY IMPACT
What practices see when an agent takes the work.
0%
faster time to credential
0%
prior-auth first-pass approval
0%
of claims paid within 28 days
0/day
fewer payer follow-ups per AR rep
Based on early customer pilots, Q1 2026.
// TRUSTED BY PROVIDERS WHO DON'T HAVE TIME TO WAIT
Guardian Health Partners
Pioneer Health
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 Authority files the auth, attaches the evidence, and tracks status. My staff focuses on the cases that actually need a human.
// BUILT FOR HEALTHCARE
Compliance posture, by default.
HIPAA Compliant
Full administrative, physical, and technical safeguards. BAA available.
SOC 2 Type II
In auditType II audit in progress. Report available under NDA once complete.
HITRUST CSF
In assessmentCurrently in assessment.
AES-256 / TLS 1.3
Encryption at rest and in transit, no exceptions.
PHI Minimization
Agents see only what they need. Logged, redacted, retention-bound.
Human-in-the-loop
No fully automated submission of PHI to third parties. Ever.
// LET'S TALK
Talk to our AI. It's a good preview.
Hit the button below and our AI agent will walk you through how Ledger, Authority, and Roster 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."