Specialized worker
Prior Authorization Agent
Coordinates administrative preparation and follow-up for authorization workflows.
Request preparation
Designed to operate through approved workflow tools and explicit permissions.
Status tracking
Designed to operate through approved workflow tools and explicit permissions.
Payer follow-up
Designed to operate through approved workflow tools and explicit permissions.
Escalation
Designed to operate through approved workflow tools and explicit permissions.
Permission boundary
Does not make medical-necessity determinations.
Governed execution
Permissions and policy boundaries remain explicit.
Human escalation
Uncertainty and consequential work can return to people.
Auditability
Operational actions are designed to remain observable and accountable.