Saga automates patient access by extracting structured data from unstructured documents such as faxes, charts, and plan PDFs, then writing the information directly into the EHR. It handles prior authorizations, coverage verification, and referral tracking at scale, providing a live queue view and complete audit trail so staff can focus on exceptions and patient care.
Funding
Funding not disclosed
Founders
Product
Problem
Patient access teams are overwhelmed by unstructured paper sources—faxes, chart notes, and plan PDFs—leading to lost details, stalled work, and delayed care because staff must manually extract, enter, and track information for prior authorizations and referrals.
Solution
Saga automates the extraction of structured data from any unstructured document and writes it directly into the EHR, creating a complete, auditable patient record. The platform assembles, submits, and tracks prior authorization and referral requests across medical, pharmacy, and DME benefits, handling coverage verification and re‑verification automatically. By processing thousands of documents in parallel, Saga provides a live view of queues, highlights bottlenecks, and prioritizes work that unlocks revenue. The solution integrates with existing workflows and systems without requiring a rip‑and‑replace, delivering a full‑chart view and end‑to‑end automation within weeks of deployment.
Target Audience
Primary customers are hospital and health system back‑office teams, including patient access, revenue cycle, and care coordination staff who manage prior authorizations and referrals.
Features
- AI‑driven document reading that converts faxes, chart notes, and plan PDFs into clean, structured data for direct EHR entry
- Automated assembly, submission, and tracking of prior authorizations and referrals across medical, pharmacy, and DME benefits
- Real‑time coverage verification and automatic re‑verification of payer and plan changes before scheduling
- Live dashboard showing queue status, stuck cases, and revenue risk, enabling staff to focus on exceptions
- End‑to‑end audit trail that records every action for compliance and reporting
- Plug‑and‑play integration that works within existing EHRs and SOPs, requiring no major system overhaul