Most enterprise AI demands a platform purchase before you can solve a single workflow. Aether One™ Agents inverts the buy. Pick one decision — eligibility, intake, duplicate detection, auto-approval — and drop a single, packaged agent into the workflow you already operate.
Each agent is a productized SKU with a fixed scope, an SLA, and a published API. Use one. Use all five. Compose them with whatever PA stack you have today.
Determines whether a PA is even required for the requested service, member, and benefit plan — before a clinical reviewer ever touches the case. Eliminates the "we shouldn't have asked for this" cohort entirely.
| Inputs | CPT/HCPCS · ICD-10 · Member ID · Plan · Place of service |
| Outputs | required | not_required · evidence trail · cite |
| Latency | < 600ms · 99.95% SLA |
Horizontal administrative pre-screening across all service categories. Validates required fields, NCD/LCD scope, MAC jurisdiction, ordering physician PECOS status, and submission completeness — before the case reaches clinical review.
| Outcome categories | pass · admin_reject · clinical_route |
| Admin rules engine | Pure rule eval · zero compiled per-category code |
| Adds new category in | ~1 markdown file + 1 mapping row |
Detects duplicate, near-duplicate, and re-submitted PA requests across timeframes, providers, and submission channels. Prevents the same case from being reviewed three times by three different nurses.
| Match dimensions | member · service · provider · date window · channel |
| Decision modes | block · merge · escalate · pass-through |
| Typical reduction | 8–14% of intake volume |
Converts every inbound PA submission — FHIR PAS, X12 278, fax, portal upload, email PDF, NCPDP SCRIPT — into a normalized, structured case file with provenance to the source document for every extracted field.
| Channels | FHIR PAS · X12 278/275 · Fax · Portal · Email · NCPDP |
| Extraction | Diagnoses · procedures · medications · labs · imaging |
| Output | Normalized case schema · field-level provenance |
The auto-affirmation agent — the only Aether One™ agent that can render a positive decision without a human in the loop. Operates against pre-published, signed rule packs (LCD/NCD, MCG/InterQual, payer-specific). Every approval ships with a full audit trail and a parallel non-affirm scout that can override in real time.
| Decision authority | Affirm only · never denies |
| Dual Verification Gate | Auto-affirm + Non-affirm scout in parallel |
| Auto-affirm rate (ESI) | Up to 35% of eligible cases · 9-criterion matrix |
| Rule pack format | Versioned · signed · NCD-traceable |
| Today's deployment | ESI · CMS WISeR · NJ · v3.0.0 rule pack |
Beyond the five live PA agents, the same productized model extends to additional Prior Authorization SKUs in development — including QA, multi-channel submission, outcome-aligned payment, appeals management, and quality-measure evidence extraction. Each will ship as an individual SKU on Microsoft Azure Marketplace, with rollout to additional marketplaces as they come online. Specifics are shared with qualified counterparties under NDA.
PA isn't the only place where decision velocity matters. The Clinical Intelligence track packages summarization, extraction, and visualization agents that drop into clinical, claims, and care-coordination workflows — available on Microsoft Azure Marketplace today, with additional marketplaces in onboarding.
Generative-AI summarization, extraction, and visualization of patient medical data from CCDA / C-CDA documents. Turns dense, multi-section continuity-of-care records into concise summaries, structured patient data, medication insights, and a navigable medical timeline — so clinical reviewers, care coordinators, and providers spend their time on the decision, not the document.
| Inputs | CCDA / C-CDA XML · document upload · FHIR DocumentReference |
| Outputs | Structured patient summary · medication list · medical timeline · section-navigable viewer |
| Capabilities | AI summarization · data extraction · medication insights · timeline construction |
| Deployment model | Customer's Azure environment · full access permissions |
| Marketplace | Microsoft / Azure (live) |
| Use cases | Medical record review · care coordination · UM · payment integrity |
Additional summarization and extraction agents are in active development — including discharge summary generation, prior-record reconciliation, encounter note structuring, and FHIR-resource normalization. Each will ship as a standalone Microsoft Azure Marketplace SKU initially, with cross-marketplace expansion as listings come online. Specifics shared under NDA.
Buying a platform is a 9–12 month decision. Buying an agent is a 3–4 week decision. The agents motion exists so customers can pick the single decision that matters most to them — and prove it.
Each agent ships as a deployable SKU with a published API. No platform integration. No data lake. The agent reads from your existing PA workflow and writes back its decision.
Replace the multi-stakeholder, multi-quarter platform decision with a single-team, single-fiscal-quarter agent decision. Most agents pay for themselves on volume reduction alone.
Each agent is independent. Agents that compose — Eligibility → Intake → Pre-Check → Auto Approval — share a contract. You're never locked into the bundled platform.
HIP One Prior Auth Eligibility, HIP One Prior Auth Pre-Check, and HIP One Summarization Agents are live on Microsoft Azure Marketplace today. HIP One and PES One are live on the Epic Showroom. Additional hyperscaler and partner marketplaces are in active onboarding.
Prior Auth Eligibility, Prior Auth Pre-Check, Summarization Agents live · Microsoft 10-year strategic partner
HIP One and PES One live · vetted Epic-integrated platforms
Always available
Selected Genzeon at ViVE 2026 to deliver the prior authorization solution at the launch of their healthcare agentic AI suite — citing the WISeR Medicare deployment and platform expertise as the qualification. Genzeon Platforms delivers PA on HIP One or on the UiPath platform depending on customer preference. See the engagement →
Listing in progress
Listing in progress
Health Cloud-aligned, in onboarding
Productizing the Aether One™ agent substrate into single-purpose, marketplace-ready agents — the people deciding what gets packaged, how it's priced, and how it ships to buyers.
A focused, time-boxed pilot — one agent, one workflow, one measurable outcome.
healthcare AI platforms