Features
True 12-month cost estimation with premiums, deductibles, copays, coinsurance, drug tiers, networks, OOP max
Automated prior authorization form filling from EHR data
Automated denial appeal generation with source citations and physician attestation
EHR chart reading and integration for clinical data extraction
Outcome tracking with structured data extraction per appeal
Graph-based data model linking plan choices, prior auths, and appeal outcomes
Agent of Record (AOR) capabilities for plan enrollment
Plan choice recommendation engine based on real drugs and doctors
Embedded coverage advisor functionality
Rights-cleared data row creation from every decision outcome
AI-powered provider matching and triage (Lyra AI)
Appointments available within days
Global network of 30,000+ providers
Evidence-based therapy and coaching
In-house psychiatry and medication management
Specialty care for kids, teens, and young adults
Neurodiversity Center of Excellence
Youth crisis specialty care center (launched 2026)
Manager Coaching program (launched 2026)
Self-paced digital skill-building programs
Organizational well-being assessments
Crisis support and learning resources
12-month follow-up outcome tracking
Coordinated medical-behavioral care
Clinically vetted AI guide for triage
