Mandolin provides precision automation for specialty drug administration using AI agents to manage the entire workflow, from intake to revenue cycle management. This platform handles complex tasks like benefits verification, prior authorizations, and claims status tracking without requiring integrations. The result is increased throughput, reduced overhead, and faster payment processing for specialty pharmacies and providers.
Funding
Funding not disclosed
Founders
Product
Problem
The administration of specialty drugs involves complex and time-consuming back-office tasks, including benefits verification and prior authorization, which often lead to operational inefficiencies and delayed patient access to treatment. These manual processes contribute to increased overhead, revenue leakage, and a diminished patient experience due to extended wait times.
Solution
Mandolin provides an end-to-end automation platform for specialty drug administration, leveraging AI agents to manage critical back-office functions. The platform streamlines patient onboarding and revenue cycle management by automating tasks such as benefits investigation, out-of-pocket cost estimation, and prior authorization submissions. By replicating the actions of trained back-office specialists, Mandolin accelerates turnaround times, reduces manual effort, and minimizes operational overhead. This allows healthcare providers to improve patient throughput, enhance the patient experience, and reallocate staff resources to more complex clinical responsibilities.
Target Audience
Mandolin serves healthcare providers, including infusion centers and specialty pharmacies, that administer specialty drugs and seek to optimize their back-office operations and revenue cycle management.
Features
- AI-driven automation of the complete specialty drug administration lifecycle, from intake to claims status.
- Automated reading and interpretation of referral forms, lab reports, and clinical notes for seamless EHR integration.
- Comprehensive benefits investigation, including payer portal navigation, eligibility data extraction, and outbound payer calls.
- Precision calculation of patient out-of-pocket costs, incorporating real-time benefits, fee schedules, and assistance programs.
- Automated medical policy review against patient charts and submission of prior authorizations via portals, fax, and phone.
- Continuous claims status tracking and remittance interpretation through automated portal checks and payer calls.
- End-to-end audit trails for all AI agent actions, ensuring compliance and transparency with healthcare regulations.
- Direct workflow execution without requiring API integrations or manual data manipulation.