Clinical Document
Intelligence for
Healthcare.
Prior authorization shouldn't take days. Medical records shouldn't be a bottleneck. Xentovia's AI agents automate clinical document processing with HIPAA-compliant, human-in-the-loop pipelines.
Watch it work
What goes in. What comes out.
See exactly what you'd hand us and what you'd get back — on a real prior authorization workflow we run today.
Input
A prior auth packet — referral, clinical notes, lab results, imaging reports, and the relevant payer guideline
Output
A drafted determination with cited evidence, ICD-10/CPT codes, and clinical rationale — ready for clinician review
Manual baseline Most teams today: 3–5 days end-to-end — with clinical reviewers buried in fax queues and the 72-hour CMS clock running.
The Problem
Healthcare documentation is broken at scale.
Prior authorization delays, manual medical record reviews, and administrative burden are consuming healthcare organizations. Since January 2026, the CMS interoperability mandate has made every late response a compliance issue — but most legacy tools still haven't caught up.
CMS Mandate for Urgent PA
Since January 2026, CMS requires payers to respond to urgent prior authorization requests within 72 hours. Many organizations are still scrambling to comply.
Manual PA Steps
Between 50% and 75% of prior authorization steps are still manual — faxing clinical notes, re-keying data, and phone calls between provider and payer.
Physician Burnout Rate
Physicians report spending more time on documentation than patient care. Administrative burden is a leading cause of burnout and attrition.
The Solution
Agentic AI that understands clinical documents.
Xentovia's AI agents process clinical documents with medical domain awareness — extracting diagnoses, procedures, lab values, and treatment plans from complex, unstructured healthcare records. Every extraction goes through validation and human-in-the-loop review.
Prior Auth Automation
Extract clinical criteria from PA requests, match against payer guidelines, and auto-populate response forms. Reduce turnaround from days to hours.
Clinical Note Extraction
Parse physician notes, operative reports, and H&P documents to extract structured data — diagnoses (ICD-10), procedures (CPT), medications, and clinical findings.
Lab & Imaging Intelligence
Extract structured results from lab reports and radiology findings — values, reference ranges, and clinical significance — across formats from hundreds of labs.
EOB Processing
Automate Explanation of Benefits extraction — procedure codes, allowed amounts, patient responsibility, and denial reasons from payer documents.
HITL Review Workflow
Clinical staff review only edge cases and low-confidence extractions. Pre-populated fields and highlighted source text reduce review time by 60%.
Discharge Summary Analysis
Extract admission/discharge dates, diagnoses, procedures, medications, and follow-up instructions from discharge summaries for care coordination.
Document Types
Built for the complexity of clinical documentation.
Clinical Notes
Progress notes, H&P, consultation notes, and operative reports from multiple EHR formats.
Lab Results
Complete blood counts, metabolic panels, pathology, and specialty lab reports.
Imaging Reports
Radiology reports, MRI/CT findings, and diagnostic imaging interpretations.
Discharge Summaries
Hospital discharge documents with diagnoses, procedures, and follow-up instructions.
EOBs
Explanation of Benefits with procedure details, allowed amounts, and patient responsibility.
Prior Auth Forms
Prior authorization requests and determination letters from payers and providers.
Key Outcomes
Measurable impact on clinical operations.
PA Steps Automated
Automate the majority of prior authorization steps — from clinical criteria extraction to payer guideline matching and response generation.
Fewer Manual Touches
Reduce the number of human touchpoints in clinical document workflows by nearly half, freeing clinical staff for patient-facing work.
Greater Efficiency
Achieve up to 80% greater efficiency in clinical document processing through end-to-end automation with intelligent human oversight.
Compliance & Security
HIPAA-compliant by design.
Healthcare data demands the highest level of security. Xentovia's architecture is built from the ground up for HIPAA compliance, with encryption, audit trails, and access controls at every layer.
Data Protection
Audit & Access
Integration
Connects to your existing systems.
EHR Systems
Integrate with Epic, Cerner (Oracle Health), and other EHR platforms via HL7 FHIR, direct API, or batch file transfer.
Payer Platforms
Connect to payer portals, claims adjudication systems, and utilization management platforms for end-to-end PA workflows.
Custom Integration
REST APIs, webhooks, and SFTP for any healthcare IT system. We adapt to your infrastructure, not the other way around.
Get Started
Ready to automate clinical documents?
See how Xentovia can accelerate prior auth, streamline medical records processing, and reduce the documentation burden on your clinical teams.
30-minute call. No slides. Live demo with your documents.