Solutions
Three products. One mission.
From instant pharmacy benefits intelligence to enterprise AI infrastructure, Claimalytics meets you where you are.
atlas-ai
Agentic AI Platform for Healthcare
atlas-ai is the agentic AI engine behind Claimalytics, now available as a standalone platform. Deploy specialized healthcare agents that handle triage, prior authorization, formulary management, drug information, pricing, claims analytics, and more. Built for organizations that need AI infrastructure purpose-built for healthcare workflows.
12+
Healthcare-specific agents
3 Agent Types
Core · Built-in · Optional
4 Pricing Tiers
Starter · Standard · Professional · Enterprise
View Pricing →
Who it's for
🏗️CTO / VP Engineering
⚠ The Problem
✕Generic AI models hallucinate drug information and can't cite sources
✕Building healthcare-specific AI from scratch requires years of domain expertise
✕Compliance requirements (HIPAA, BAA) disqualify most AI platforms
✓ How We Solve It
✓12+ pre-built healthcare agents with domain-specific training
✓Multi-agent orchestration: agents collaborate on complex queries
✓HIPAA-compliant by design with full audit trails
🧬Chief Pharmacy Officer
⚠ The Problem
✕Prior auth workflows touch 15+ staff and take 1–3 days on average
✕Step therapy verification requires manual pharmacy benefits cross-checks
✕Drug pricing data scattered across NADAC, AWP, WAC with no unified view
✓ How We Solve It
✓PA Agent automates criteria checking against MCG/InterQual guidelines
✓Formulary Agent handles step therapy, tier status, and quantity limits
✓Drug Pricing Agent provides real-time NADAC, AWP/WAC comparisons
📊VP Data & Analytics
⚠ The Problem
✕Claims data locked in legacy systems with no self-service analytics
✕Eligibility files, formulary uploads, and rebate reports arrive in incompatible formats
✕Data transformation pipelines are brittle and require engineering support
✓ How We Solve It
✓Claims Analytics Agent generates utilization reports and trend analysis
✓Data Transformation Agent parses any file format into structured output
✓Natural language queries against your claims data. No SQL required
💊Clinicians & Pharmacists
⚠ The Problem
✕Researching drug interactions, contraindications, and formulary status takes 15–25 minutes per query
✕Staying current with formulary changes, new PA requirements, and clinical criteria is overwhelming
✕Answering drug information requests from providers pulls pharmacists away from clinical work
✓ How We Solve It
✓Instant drug lookups, interaction checks, and formulary status in a single conversation
✓Proactive alerts on formulary changes and new clinical criteria affecting your patients
✓Self-service drug information frees pharmacists to focus on clinical decision-making
🎧Call Center Reps
⚠ The Problem
✕Long hold times while researching member coverage questions across multiple systems
✕Inconsistent answers across different reps due to siloed knowledge
✕Training new reps takes weeks on complex benefit structures and plan rules
✓ How We Solve It
✓Instant answers to member coverage questions during live calls
✓Consistent, cited responses ensure accuracy across the entire team
✓New reps productive from day one with AI-assisted lookups
🤝Member Advocates
⚠ The Problem
✕Navigating appeals and grievance processes requires manual research across multiple documents
✕Finding specific policy language to support member cases is time-consuming
✕Cross-referencing coverage criteria across plan documents delays case resolution
✓ How We Solve It
✓Instant policy lookups with exact citations for appeals documentation
✓AI searches all plan documents simultaneously to find relevant policy language
✓Faster case resolution with comprehensive, cited research in seconds
🧑⚕️Patients
⚠ The Problem
✕Confusion about which medications are covered and at what cost
✕Prior authorization requirements are opaque and difficult to understand
✕No easy way to compare drug costs or find covered alternatives
✓ How We Solve It
✓Plain-language answers about coverage, tier status, and out-of-pocket costs
✓Clear explanations of PA requirements and what steps are needed
✓Side-by-side cost comparisons with generic and preferred alternatives
Not sure which product fits?
Tell us about your team and workflows. We'll recommend the right path.