01
Prior authorization
Throughput without a dedicated authorization team
Requirements determined, documentation assembled from the chart, submission filed in the payer's portal and chased to determination. Exceptions routed to a specialist.
For multi-site groups, MSOs and healthcare platforms
Scale patient volume without scaling administrative headcount.
Central is the operating layer for healthcare administration. AI agents execute prior authorization, patient access, eligibility, referrals and payer follow-up across your EHR, practice management systems and payer portals, and Wing's trained healthcare specialists complete the exceptions automation should not finish on its own.
SOC 2 · HIPAA · ISO 27001 · BAA executed before any PHI is accessed
Authorization · case 48812In progress
✓AI agent
Requirements determined
✓AI agent
Documentation assembled
✓AI agent
Submitted to payer portal
✓Specialist
Pended for clinical review
✓AI agent
Determination captured
✓AI agent
Written back to the EHR
The operating problem
Administrative work grows every time the organization does.
Each provider you add generates more calls, more eligibility checks, more authorizations, more referrals and more payer follow-up. The conventional answer is to hire against that curve, in roles that are difficult to fill and expensive to retain. Operating capacity stays tied to headcount.
Administrative volumeAdministrative headcount
Central changes the relationship between the two. The volume of administrative work becomes something the organization executes, rather than something it staffs.
Physicians and their staff report spending an average of 13 hours a week on prior authorization alone, and 40% of physicians employ staff who work exclusively on it. Source: American Medical Association, annual prior authorization physician survey.
The operating model
Work enters. Central completes it.
Not a tool your staff have to operate. An accountable workflow, with a record of every action and a named owner for every exception.
Work enters
From the EHR, a worklist, a referral, a fax or a phone call
Central picks work up where it already arrives, in the channels your organization already uses.
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Central executes
AI agents complete the repeatable steps
Requirements checked, documentation assembled, submissions filed, statuses tracked, systems updated.
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No exception
Completed by the agent
The workflow runs to its conclusion and the system of record is updated automatically.
Exception
Transferred to a healthcare specialist
Multi-factor authentication, pended clinical review, denials, appeals and peer-to-peer scheduling, with the full case context attached.
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Central resumes
The workflow continues after the exception is resolved
The specialist's resolution returns to the automated path rather than back to your staff.
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Outcome
System of record updated, with a full action history
Every step is attributable and auditable, whether an agent or a person performed it.
Coverage
Start with the workflow costing the most. Expand across the operation.
Most organizations begin with a single workflow, prove the operating model on it, and extend once it is running. Each is a managed outcome, not a feature your team configures.
02
Patient access and scheduling
Capture demand outside business hours
Inbound calls answered and booked, insurance captured on the same call, and cancellations backfilled. Coverage does not stop at 5pm or at the edge of a shift.
03
Eligibility and benefits
Verified before the visit, not after the denial
Coverage, plan detail and patient responsibility confirmed ahead of the appointment, including the payers whose portals require a phone call.
04
Referrals
Close the loop on referral revenue
Inbound referrals worked across fax, portal and phone into one queue, authorised, booked, and closed back to the referring provider.
05
Denials and payer operations
Work the queue that ages fastest
Denials read, categorised and worked against filing deadlines, with appeals drafted and peer-to-peer reviews scheduled by specialists.
Worked example
Prior authorization, end to end.
The clearest demonstration of the model. Eight steps that today are split across staff, portals and phone queues, run as one accountable workflow.
01AI agent
Request received
An order enters from the EHR, a worklist or a referral. Central identifies payer, plan and the applicable policy.
02AI agent
Requirements determined
The payer's current criteria are checked, including whether the request routes through a radiology or specialty benefit manager.
03AI agent
Documentation assembled
Clinical notes, imaging, prior therapy and conservative care are pulled from the chart and formatted to that payer's requirements.
04AI agent
Submitted to the payer
Filed in the payer portal or through the available electronic channel, with attachments in the accepted format.
05AI agent
Status tracked
Re-checked against the payer's own turnaround commitment rather than left in a pending queue.
06Specialist
Exception routed
Multi-factor authentication, a pended clinical review, a denial or a peer-to-peer transfers to a Wing healthcare specialist with the full case context attached.
07Specialist
Exception resolved
The specialist completes the step the payer requires: peer-to-peer, clinical documentation, or appeal letter, and marks it resolved.
08AI agent
Determination captured
The agent reads the outcome from the portal or the letter, logs the reference number and conditions, and writes the result back to the EHR.
Security and compliance
Built for the regulatory requirements of healthcare administration.
Central is designed for environments where patient data is involved and regulatory requirements are non-negotiable. BAA executed before any PHI is accessed. All data encrypted in transit and at rest. Access controls aligned with HIPAA minimum necessary standard.
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HIPAA compliant
Business Associate Agreement executed before any protected health information is accessed or processed.
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SOC 2 Type II
Annual third-party audits of security, availability, and confidentiality controls across the delivery infrastructure.
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ISO 27001 certified
Information security management system certified to ISO 27001. Formal risk assessments and control reviews on a scheduled cadence.