Slate Labs/Product
Six purpose-built AI agents, one workflow layer. Each agent has a defined job, the right tools, and a reviewer it reports to. Built to sit alongside your existing claims management system, not replace it.
The agents
Each agent runs on its own. Most TPAs start by deploying one or two on the workflow that hurts most, then expand the stack as their reviewers get comfortable working with agents in the loop.
Reads pre-auth forms, ICPs, bills, prescriptions, investigation reports, discharge summaries, and policy documents. Handles scanned PDFs, images, and email attachments. Classifies, extracts, and links clinical, billing, and policy entities into a structured claim record.
Tools: OCR · document classifier · entity linker
Checks claim completeness, summarizes diagnosis and treatment, validates eligibility against policy terms and exclusions, and prepares a one-screen reviewer packet with citations to the source pages and clauses.
Tools: policy retriever · clinical summarizer · eligibility checker
Reconciles final bills, discharge summaries, package rules, tariffs, and policy sub-limits to support faster discharge decisions and final settlement. Highlights non-payable items and ineligible charges with the supporting clause.
Tools: tariff matcher · clause linker · bill reconciler
Drafts structured queries to hospitals, members, or internal teams with evidence and missing-document context attached. Tracks responses and follows up. Reviewer reviews and sends, never starts from a blank screen.
Tools: template library · evidence assembler · channel router
Flags duplicate claims, suspicious billing patterns, unusual provider behaviour, and policy inconsistencies for your investigation team. Investigators get a packet with the supporting evidence already pulled together, not a raw alert.
Tools: similarity index · provider profiler · pattern miner
Prepares structured, interoperable claim data from messy documents to support NHCX-aligned exchange with insurer and hospital partners. FHIR-shaped where it matters, with insurer-specific adapters where needed.
Tools: FHIR mapper · schema validator · insurer adapters
How an agent runs
Pull pre-auth forms, bills, discharge summaries, investigation reports, and policy documents from email, hospital portals, your claims system, or APIs.
Classify documents, extract structured data, and link clinical context with billing line items and policy clauses.
Produce a concise summary with citations to the original document pages and the relevant policy text, ready for a medical or claims reviewer.
Assign to the right reviewer with completeness checks, suggested queries, and FWA flags ready for action.
Push approvals, queries, enhancements, and discharge decisions back into your claims management system and to NHCX-aligned exchanges.
Fits your stack
Slate Labs sits as a workflow and intelligence layer on top of your existing claims management system. We integrate where it helps and stay out of the way everywhere else.
Email mailboxes, hospital portals, shared drives, SFTP drops, or direct API ingestion.
Read and write through APIs or RPA bridges. Decisions and queries flow back into your system of record.
Structured packets and FHIR-aligned data ready for NHCX exchange and insurer-specific formats.