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AgentConnect

AgentConnectfor HMO LOA approvals

Routine LOAs ready for sign-off in minutes, not days.

AgentConnect reads the doctor’s request, checks it against the member’s plan and benefit limits, and drafts the LOA. Your reviewer approves the routine ones in one click. Anything outside the plan comes with the reason attached.

30-day money-back guarantee.

If it isn't working, you don't pay.

Before and after · estimated ranges

Routine LOA turnaround
1–3 business daysUnder 1 hour
Requests a reviewer checks line by line
Every oneOnly those outside the plan

Before: the 24 hours to several business days HMOs publish for scheduled LOAs. After: our estimate for routine requests, including the reviewer’s approval. To be confirmed in your pilot.

LOA approvals: the AgentConnect film

What if a routine LOA never needed a person?

Watch an LOA request get checked against the member’s plan and limits, and see it issued to the hospital once every check passes.

HMOs and their BPO partners · 0:35

Before and after · estimated ranges

Routine LOA turnaround
1–3 business daysUnder 1 hour
Requests a reviewer checks line by line
Every oneOnly those outside the plan

Before: the 24 hours to several business days HMOs publish for scheduled LOAs. After: our estimate for routine requests, including the reviewer’s approval. To be confirmed in your pilot.

Tasks automated
10Kor more
Agents deployed
1Kor more
Hours saved
100Kor more
Consequential actions without your approval
0

As of October 2026

Today

Still checking every LOA by hand?

  1. 01

    Members waiting at the clinic

    A routine procedure waits on an LOA, and the member waits with it. It is the delay members feel most.

  2. 02

    Every request checked line by line

    Plan, coverage and remaining limits are looked up by hand, even when the answer is plainly yes.

  3. 03

    Late requests wait for morning

    Anything filed after office hours joins the next day’s queue.

In the film

What the agent does, step by step.

  1. Every LOA request gets checked by hand: member, doctor and plan limits, one by one.
  2. AgentConnect checks the request against the member’s plan and benefit limits.
  3. When every check passes, the LOA is issued to the hospital and the member, and the run is logged.
Today
LOA requestPending
With AgentConnect
LOA issuedEvery check passed

Try it

Tell the agent what to do.

Type a job, or pick one below, and watch a simulated run get as far as your approval.

AgentConnectSimulated run

Where a person steps in

It stops before anything consequential.

These are the moments the agent hands to your team. Each decision is recorded with who made it.

  1. 01

    Every LOA issued

    The agent drafts it and a reviewer approves it. Nothing is issued on the agent’s say-so.

  2. 02

    Anything outside the plan

    Exclusions, used-up limits and pre-existing conditions go to a person, with the reason attached.

  3. 03

    Medical judgement

    Clinical questions stay with your medical team. The agent checks the plan, not the patient.

What AgentConnect agents handle

  • Checks LOA requests against the member’s planHMO · LOAs · handled end to end
  • Sends requests over the benefit limit to the medical teamHMO · LOAs · waits for a person
  • Checks LOA requests against the member’s planHMO · LOAs · handled end to end
  • Drafts routine LOAs for a reviewer to approveHMO · LOAs · waits for a person

Every step is logged. Anything consequential waits for a person.

Works inside your HMO core system, your provider portal and your email. Nothing to migrate.

ROI calculator

What would it give back on LOAs?

Put in your own numbers. The result updates as you type, and we can email you the full breakdown.

What AgentConnect would give back

Hours back each month
300
Value of that time, per year
US$21,600
Capacity freed
1.9 full-time people

Conservative estimate. Your numbers may differ.

Hours = volume × time per item × the share the agent takes on. A full-time person is 160 hours a month. Approval time isn't counted as saved. Currency rates are fixed, as of October 2026.

Book a demo

The guarantee

Live in 30 days, or your money back.

Your LOAs workflow, from first call to running in your systems, in a month.

  1. Week 1

    Scoped with you

    We map your use case with you: what the agent will run, and what it will hold for your approval.

  2. Week 2

    Connected to your systems

    We build the agent and connect it to the systems the work already lives in. Nothing to migrate.

  3. Week 3

    Run alongside your team

    It works real cases next to your people, with your approval step in place, so you can check every result.

  4. Day 30

    Live, or your money back

    If it isn’t working on day 30, you don’t pay.

AI upskilling

Train your team to work alongside the agents.

A learning plan for every agent, built from their own skills check, so your people know how to review what the agents prepare, handle the exceptions and step in.

See the upskilling programme

Questions

What people ask about this one.

Does the agent approve LOAs on its own?

No. It checks the request against the plan and benefit limits and prepares the LOA. A reviewer approves it, and every approval is recorded.

What about requests that need a doctor’s review?

They go to your medical team with the request, the plan details and the reason they were flagged.

How is member health data handled?

The agent works inside your own systems, with only the access you give it, and every action it takes on a member’s record is logged.

Keep watching

Now do it with your LOAs.

Bring your own process to a working session. We’ll map what AgentConnect would run, what it would hold for approval, and how we’d have it live in 30 days.

30-day money-back guarantee.