Our Intake Agents capture faxes and other sources, categorizes them, prioritizes them, and then routes them where they need to go. Intake can be used for Prior Authorizations, Appeals and Grievances, or Claims, and it works with any core system.
Intake automation streamlines how inbound requests—such as prior authorizations, claims, member inquiries, or referrals—are received, validated, and routed. Instead of manual data entry, fax sorting, or email triage, the system automatically extracts key data from multiple channels (portal, fax, email, EDI, API), validates eligibility and completeness, classifies the request type, and routes it to the correct queue or service such as Utilization Management, Case Management, or Claims.
Xpress™ Intake is not just a tech implementation. It’s a digital transformation. For a regional MA plan, we helped them eliminate 50 to 70 temps.
"Like most health plans, prior auth was expensive for us. Between manual faxes, temps, management of TATs, and a UM software that we outgrew, this was a big cost center. It's been a transition for the team, but we've moved from manual steps and folders into Monument's BPO with AI and they're now delivering 92% AI-driven triage and proof that AI has improved our TAT."
CMO, Regional Medicare Advantage Health Plan
Xpress™ is a fully loaded core claims processing system but implemented in half the time, and at half the cost.
Learn MoreAI-driven prior auth automation that accelerates approvals, ensures compliance, and improves provider and member experience.
Learn MoreSecure, intelligent fax and communication automation that eliminates manual handling and integrates with plan workflows.
Learn MoreAI-driven enrollment for Medicare, Medicaid and Commercial lines of business. Connect direct with CMS.
Learn MoreAI driven for more accurate case resolution while ensuring complex regulatory requirements and deadlines.
Learn MoreStandalone AI web + mobile tool for clinical decisions. Human-approved for Prior Auth and Clinical Appeals.
Learn MoreAutomate and categorizes intake from multiple channels (portal, fax, email, EDI and API), validates eligibility, classifies and routes it forward.
Learn MoreConfigurable web + UI to build and link tasks into workflows. Models improve with time and usage.
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