TH
TranHealthcarePayer operations, fully agentic.
We build AI agents for the reviews health plans run every day — checking coding, medical necessity, and documentation against the same guidelines your teams already trust, so decisions are faster and every one comes with a clear, citable reason.
Solutions
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TranReview
An AI agent reads the uploaded medical chart, checks every coded diagnosis against ICD-10-CM guidelines, AHA Coding Clinic, and clinical criteria, and returns a citation-backed disposition — validate, recode, or pend for physician query.
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TranAuth
Automates medical-necessity review against payer policy at request time, reducing turnaround from days to minutes while keeping every decision auditable and guideline-cited.