AI-first · For Third Party Administrators

Agentic AI for Indian TPA claims operations.

Slate Labs is an AI-first company. We deploy a team of specialised AI agents that read hospital documents, reason over policy terms, draft queries, surface FWA signals, and prepare review-ready, evidence-backed claim packets, while your medical and claims reviewers stay in control of every decision.

Agentic by designSpecialised agents per workflow.
Human-in-the-loopReviewers approve every decision.
Audit-readyCitations on every output.
30 to 50%lower review time per claim packet
20 to 40%fewer avoidable hospital queries
1.5 to 2xreviewer productivity uplift
100%claims with an evidence trail

The TPA reality

Your reviewers are buried in PDFs. AI agents can carry the load.

A typical TPA processes thousands of pre-auth requests, enhancements, and discharges every day. Most of that work is still manual: opening documents, reading discharge summaries, comparing line items against policy terms, drafting queries, chasing missing paperwork. We hand the repetitive, rules-heavy reasoning to specialised AI agents so your humans focus on the judgement calls only they should make.

01

Document chaos

Pre-auth forms, ICPs, bills, prescriptions, investigation reports, and discharge summaries arrive in inconsistent formats from hundreds of hospitals.

02

Pre-auth and discharge TAT

Manual review queues stretch turnaround time, frustrate hospitals and members, and trigger SLA breaches with insurer clients.

03

Repetitive queries

The same missing-document and clarification queries get drafted by hand, claim after claim, day after day.

04

Weak audit trails

Decisions live across emails, portals, and PDFs. Reconstructing why a claim was approved, queried, or denied is painful.

The agent stack

A team of specialised AI agents for your TPA.

Six purpose-built agents that read, reason, and act across your claims workflow. Each one has a defined job, the right tools, and a reviewer it reports to. They run on top of your existing claims management system, not in place of it.

Agent 01 / 06 Autonomous

Intake & Extraction Agent

Reads pre-auth forms, ICPs, bills, prescriptions, investigations, discharge summaries, and policies. Classifies, extracts, and links clinical, billing, and policy entities into a structured claim record.

Tools: OCR · document classifier · entity linker

Agent 02 / 06 Reasoning

Pre-Authorization Agent

Checks completeness, summarizes diagnosis and planned treatment, validates eligibility against policy terms, and prepares a one-screen reviewer packet with citations to source pages.

Tools: policy retriever · clinical summarizer · eligibility checker

Agent 03 / 06 Reasoning

Discharge Authorization Agent

Reconciles final bills, discharge summaries, package rules, and policy terms. Surfaces non-payable items, duplicates, and ineligible charges with the supporting clause cited.

Tools: tariff matcher · clause linker · bill reconciler

Agent 04 / 06 Action-taking

Query Drafting Agent

Drafts structured queries to hospitals, members, or internal teams with evidence and missing-document context attached. Reviewer reviews and sends, never starts from a blank screen.

Tools: template library · evidence assembler · channel router

Agent 05 / 06 Investigative

FWA Signals Agent

Detects duplicate claims, suspicious billing patterns, unusual provider behaviour, and policy inconsistencies. Hands investigators a packet with the supporting evidence already pulled together.

Tools: similarity index · provider profiler · pattern miner

Agent 06 / 06 Interop

NHCX Interop Agent

Shapes structured, interoperable claim data from messy documents to support NHCX-aligned exchange with insurer and hospital partners. FHIR-shaped where it matters.

Tools: FHIR mapper · schema validator · insurer adapters

See how each agent works

An AI-first company

How we build, differently.

AI is not a feature we bolted on. It is the product, the workflow, and the way we run. Every claim path is owned by an agent, every output is evidence-backed, and every decision stays with a human reviewer.

01

Agents own the workflow

Each TPA workflow has a named agent with a clear job, tools, and accountability. No black boxes, no monolithic models doing everything.

02

Reasoning over rules

Agents combine retrieval, structured reasoning, and policy grounding so they handle the messy edge cases hard-coded rules engines miss.

03

Humans approve, always

Agents prepare, structure, and recommend. Your licensed reviewers approve. Every action is logged with the evidence the agent used.

Pilot

Deploy one agent on one TPA workflow in 6 weeks.

We co-design the pilot with your operations and medical leads, ship the agent on historical and live claims, and report back on TAT, productivity, and query reduction. You see the agent in action on your own files before you commit to anything beyond the pilot.

Read the pilot brief

Target outcomes

  • 30 to 50%Lower review time per packet
  • 20 to 40%Fewer avoidable queries
  • 1.5 to 2xReviewer productivity uplift
  • 100%Claims with evidence trail

Want to put an AI agent on your hardest TPA workflow?

Book a workflow review