SYSTEM STATUS: OPERATIONAL

Prior Authorization
Command Center

A human-governed, multi-agent decision support system. AuthGuard-AI evaluates clinical risk, local payer policy, and operational compliance using a deterministic debate-based reasoning architecture.

Launch Application View Architecture

Why AuthGuard-AI Matters

Prior-authorization decisions require eligibility, documentation, evidence, risk, and policy review.
AuthGuard combines XGBoost, RAG, structured rules, and multi-agent reasoning.
Guardrails and human review control uncertain or high-risk decisions.

🧠 XGBoost Risk Model

Analyzes structured features to predict denial risk probabilities and operational urgency, anchoring LLM outputs with deterministic baseline logic.

⚖️ Multi-Agent Debate

A specialized committee of agents evaluates cases from adversarial angles, exposing disagreement and ensuring decisions adhere strictly to guardrails.

📚 Local Policy RAG

Retrieves precise payer documentation and clinical guidelines, ensuring all recommendations are cited against verified ground-truth rules.

System Architecture

Patient / Authorization Request

Data Validation

XGBoost Risk Model

Denial risk probability
Operational urgency score
Predictive routing signal

RAG Knowledge Search

Local payer guidance
Clinical documentation
Appeal best practices

Expert Rules Logic

Eligibility checks
Missing document flags
Escalation triggers

Prior Authorization
Command Center

Why AuthGuard-AI Matters

5 Healthcare AI Applications

XGBoost + RAG + Rules

Human-in-the-Loop Governance

Live Cloud Deployment

🧠 XGBoost Risk Model

⚖️ Multi-Agent Debate

📚 Local Policy RAG

System Architecture

Patient / Authorization Request

Data Validation

XGBoost Risk Model

RAG Knowledge Search

Expert Rules Logic

Decision Orchestration

Recommendation + Explanation

Human Review / Escalation

Ready to dive in?

Prior AuthorizationCommand Center

Why AuthGuard-AI Matters

5 Healthcare AI Applications

XGBoost + RAG + Rules

Human-in-the-Loop Governance

Live Cloud Deployment

🧠 XGBoost Risk Model

⚖️ Multi-Agent Debate

📚 Local Policy RAG

System Architecture

Patient / Authorization Request

Data Validation

XGBoost Risk Model

RAG Knowledge Search

Expert Rules Logic

Decision Orchestration

Recommendation + Explanation

Human Review / Escalation

Ready to dive in?

Prior Authorization
Command Center