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HealthcareSolution

Healthcare Administration Copilot

Cut administrative load for clinicians and staff with a copilot for referrals, prior-auth drafting and patient communications.

Solution
Generative AI
Industry
Healthcare
Company Size

Solution Overview

industry
Healthcare
solution
Generative AI
technologies
Microsoft 365 Copilot, Copilot Studio, Azure OpenAI, Azure Health Data Services, Microsoft Purview, Power Automate

The Challenge

Clinical and administrative staff spend a disproportionate share of their week on referrals, prior authorization submissions, appointment correspondence and routine patient messages.

  • 1Excessive staff time consumed by referrals, prior authorization and correspondence
  • 2Information retyped from records that already contain it
  • 3Prior authorization delays holding up the care the submission is meant to enable

Our Approach

CloudGate builds a compliant healthcare administration copilot that drafts referral letters, prior authorization submissions and patient communications from the existing clinical record, with the clinician or administrator reviewing and approving every output.

  • Referral letter drafting from the clinical record with specialty-appropriate structure
  • Prior authorization submission drafting assembled against payor requirements
  • Patient communication drafting in plain language and multiple languages

Typical Outcomes

-40%
TYPICAL ADMINISTRATIVE TIME
Faster
PRIOR AUTHORIZATION DRAFTING AND SUBMISSION
Staff-reviewed
APPROVAL REQUIRED ON EVERY OUTPUT

Typical outcomes for this solution pattern, not the results of a named client engagement.

Technologies Used

Microsoft 365 CopilotCopilot StudioAzure OpenAIAzure Health Data ServicesMicrosoft PurviewPower Automate
Full architecture and data flow in the Data & AI Catalog

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