Agentic AI. Built into the core of VIZCare.

Designed to understand, orchestrate, and execute healthcare payer processes.

Intelligence
You Can Trust

VIZCare AI works through authorized platform capabilities, with access controls and workflow rules governing the information agents can retrieve and the actions they can perform.

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Autonomous Where Permitted
Governed Where Required
Human When Necessary

Bounded Execution

Agents perform defined tasks through authorized platform functions, within the permissions and rules established for each workflow.

Platform-Enforced Permissions

The application enforces access to data and actions when tools are used, applying controls beyond the AI’s instructions.

Human Review and Approval

Route designated actions and exceptions to the appropriate person, with relevant information available to review before proceeding.

Access Controls For Data And Actions

Role-and attribute-based access controls govern AI interactions according to the user, the information requested, and the action being performed.

Who can access a capability
Which records and fields they can retrieve
What actions they can perform
Under what conditions access is permitted

Private. Secure. Compliant.

AI Runs Within Your Environment. Your Healthcare Data Stays There.

Private by Architecture

Locally hosted models process your data within your environment, without sending it to external AI services.

Secure by Design

AI works through VIZCare's authorized platform functions, with access controls governing the information users can retrieve and the actions they can perform.

Governed in Execution

Platform permissions and business rules define how agents operate, with designated review steps keeping people involved where required.

Enterprise-Ready Compliance

Built to support healthcare and enterprise compliance requirements, including HIPAA and SOC 2, with controls for data protection, access management, security, and operational accountability.

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Discover AI At The Core Of Every
VIZCare Product

Connect Experience Empower

Agentic AI for Healthcare Integration and Interoperability

Grounded in Connect’s built-in healthcare data and structures, AI helps configure integrations, explore data, and resolve issues more efficiently.

AI-Generated Configuration

Generate endpoint configurations and data mappings from requirements or sample files, using Connect's built-in healthcare data structures.

Conversational Data & Reporting

Ask questions in everyday language to explore connected data and generate reports.

Guided Error Resolution

Investigate groups of errors, identify likely causes, and recommend corrective actions using configuration, processing history, and relevant data.

Automated Validation

Validate configurations and data against expected outputs to identify gaps before they affect downstream systems.

Accelerate Integration Setup.
Simplify Ongoing Operations.

From Requirements to Working Integrations

Use AI to turn integration requirements into configuration, get answers from connected data, and investigate flagged errors. Connect’s configured rules handle processing at scale, while AI helps teams configure, validate, and troubleshoot.

Endpoint Configuration
Data Mapping
Configuration Validation
Conversational Reporting
Error Investigation
Corrective Guidance

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Configure and Validate New Integrations:
Start with mapping requirements or sample files. Generate endpoint configurations using Connect's healthcare data structures, then validate against expected outputs and review gaps before activation.
Ask Questions of Connected Data:
Use everyday language to explore available data and generate reports. Review results through relevant data views, with the context needed to understand the answer.
Investigate Errors and Resolve Their Causes:
Investigate groups of errors already flagged by Connect's rules. Use configuration, processing history, and relevant samples to identify likely causes and guide corrective action.

Agentic AI for Benefits Self-Service

Give members, employers, brokers, and providers AI that understands their requests and acts through authorized capabilities, with relevant forms and data brought directly into the experience.

Conversational Self-Service

Ask questions and initiate tasks in everyday language, using information and functions available to each user.

Agentic Task Completion

Coordinate multi-step tasks through authorized platform actions, from finding a claim to checking appeal eligibility and preparing the next step.

Embedded Forms & Data Views

Bring relevant forms, records, and results into the conversation so users can review information and provide structured input.

Choice of Interaction

Use familiar screens or AI-led interactions to access platform capabilities in the way that suits the task.

Make Benefits Easier to Understand.
Make Tasks Easier to Complete.

Self-Service That Moves Work Forward

Give members, employers, brokers, and providers a direct path from a question to the next step. AI brings together relevant information, authorized actions, and embedded forms across the self-service experience with familiar navigation available alongside it.

Conversational Self-Service
Claims Assistance
Benefits Insights
Agentic Workflows
Embedded Forms
Authorized Actions

Explore VIZCare Xperience Get In Touch

Guide Members Through Claims and Benefits:
A member asks, "Can I appeal my latest claim?" AI finds the claim, checks whether an appeal is available, and presents the relevant form helping the member review details and provide the information needed to proceed.
Give Employers and Brokers Answers in Context:
Ask about claims activity or benefits costs in everyday language. AI retrieves information within the user's access and presents results with relevant reporting periods, filters, and data views.
Help Providers Complete Service Tasks:
Providers can ask AI to check a member's eligibility or retrieve prior authorization status, with relevant coverage details and authorization records presented directly in the experience.

Agentic AI for Stakeholder Service and Operations

Bring AI into calls, chats, emails, and operational workflows. Help teams respond with context, verify assistance against underlying data, and complete follow-up work through integrated platform actions.

Conversation-Driven Assistance

Call transcripts and chat conversations generate relevant assistance within the CSR's workspace.

Automated Wrap-Up & Response Drafting

Automate after-call work and generate suggested email responses within a consolidated inbox.

Agentic Operational Workflows

Coordinate multi-step processes using Empower's workflow engine, available data, and authorized actions.

Conversational Service Reporting

Ask about call, chat, and email volumes, reasons for contact, and service trends through AI-led reporting.

Resolve Inbound Queries.
Move Operational Work Forward.

AI Assistance Within the Work

Bring conversations, stakeholder data, and AI assistance into one workspace. Help CSRs move from understanding a query to verifying information and completing follow-up work, while extending agentic capabilities into operational processes.

Call & Chat Assistance
Linked Data Verification
Automated After-Call Work
Email Response Drafting
Service Insights
Agentic Workflows

Explore VIZCare Empower Get In Touch

Assist CSRs Through Calls and Chats:
Generate assistance from the ongoing conversation within a single workspace connected to your telephony and chat systems. Click tagged references to open relevant records alongside the transcript, helping CSRs verify suggestions while retaining direct access to stakeholder data.
Complete Follow-Up and Accelerate Email Responses:
Automate after-call work, including summaries, notes, and follow-up tasks. In the consolidated inbox, generate suggested responses to incoming emails for the team to review and send.
Understand Demand and Coordinate Operational Work:
Explore communication volumes and reasons for contact across calls, chats, and emails. Use Empower's workflow engine and authorized platform actions to coordinate operational tasks and move processes through their required steps.

100+ Agents. Purpose-Built for Payer Intelligence.

VIZCare AI connects healthcare benefits knowledge with the platform’s data, authorization, and application capabilities that gives agents the context to coordinate work and the tools to act, while keeping people involved.

Healthcare Benefits Expertise

Built around benefits terminology, data relationships, and operational processes to interpret requests in the context of the work.

Authorized Platform Actions

Agents act through platform functions that already apply access controls and prepare the data needed for each task.

Multi-Step Workflow Execution

Bring information retrieval, user input, and supported actions together to move tasks through their required steps.

Forms and Data Within Reach

Present relevant forms, records, and results within AI interactions so people can provide information and review the next step.

Human Verification and Choice

Keep underlying data accessible for verification, with familiar screens and navigation available alongside AI assistance.

One Foundation Across Products

Extend the same approach to AI across Connect, Experience, and Empower, from integration configuration to self-service and operations.

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