RCM and clinical workflow automation on a brownfield stack
Widal embedded with a healthtech operator running on AdvancedMD to ship claims, eligibility, and prior authorization automation. We did the work as a brownfield overlay, no replatform, no rip and replace. Millions of claims processed since launch.
The number that moved
Millions
Claims processed through the pipeline.
Automate the revenue cycle without replatforming.
- 01
Replace manual eligibility checks and prior auth submissions with reliable automation, on top of a multi-year AdvancedMD footprint.
- 02
Connect claims, eligibility, and prior auth pipelines to clinical workflow events, so denials route back to the team that can act on them.
- 03
Get to production fast without disrupting the day-to-day RCM team.
- 04
Maintain HIPAA alignment across vendor and payer integrations.
An agent overlay on AdvancedMD.
- 01
Built an agent-friendly integration layer over AdvancedMD using its existing APIs, so the platform itself never had to change.
- 02
Automated eligibility verification with payer integrations, with structured error handling for the messy real-world cases.
- 03
Shipped prior auth submission automation with policy-aware document generation and human review gates for non-standard payers.
- 04
Integrated denial management with clinical workflow alerts so the right team sees the right exception with the right context.
- 05
Wired observability across the entire pipeline: claim journey traces, payer response monitoring, denial reason classification.
Brownfield automation at scale.
- 01
Processed millions of claims through the automated pipeline since launch.
- 02
Reduced manual eligibility and prior auth touch points across the RCM team.
- 03
Routed denials to the right owner faster, with the context needed to act.
- 04
Shipped the entire automation layer without a replatform, on a multi-year AdvancedMD footprint.
Millions
Claims processed through the pipeline
Brownfield
No platform migration required
X12 + API
Payer integration paths
HIPAA
BAA-aligned across the integration chain
A two-week architecture read, then a forward deployed pod for the build. We work the way the operator already measures.
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