AI for health plans

Transform hours of manual work into instant validation.

15×
Faster Reviews
90%
Lower Cost
SOC2 & HIPAA
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Health plans drown in outdated processes

Nurses lose hours on requests combing PDFs and attachments.

Admins manually re-enter data between disconnected systems.

Payer rules go stale, driving up denials and delays.

Three-Step Process

The Fastest Path to Agentic Operations

Experience the fastest path from legacy systems to fully autonomous healthcare operations

01
Integration
Clinician-Ready in Days

Any EHR / Core Admin

(Epic, Facets)

Integration Layer

  • FHIR R4 Adapter
  • HL7 v2 Listener
  • X12 837/835 Bridge

Shared: Policy Vault

Audit Ledger

3-5 Days
Integration Time
All
Systems Supported
Days
Deployment Speed

Plug into your existing systems. No replatforming. No friction.

Lilee's FHIR/HL7 adapter integrates directly with your EHR stack—Epic, Facets, or anything in between. We're live in days, not months. No middleware. No rip and replace.

Direct EHR integration
No middleware required
+2 more
02
Automation
Custom Policies, Codified Overnight

Document Analysis • Retrained → Policy

POLICY VAULT

Every guideline tracked, versioned and logged

24/7
Support Availability
Custom Fields
94%
Accuracy Rate

Your rules. Your logic. 24/7 continuous integration.

Health plans need to be flexible to their member needs, so should we. We're at your call whenever needed, with dedicated Slack channel access to our team → 24/7. No long spec documents, no waiting for the next sprint.

24/7 dedicated Slack channel
Continuous integration pipeline
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03
Operations
Operate Autonomously. Instantly.
< 60sec
Processing Speed
All Formats
Document Types
< 5%
Exception Rate

Agents review, validate, and learn. Staff validate exceptions seamlessly.

Once live, your agents don't sleep. They run 24/7, validating even the messiest documents—PDFs, faxes, EDI attachments asynchronously. What used to take hours of manual processing is done asynchronously. Staff complete workflows with validation in under 60 seconds, agents do the heavy-lifting.

24/7 autonomous operation
Multi-format document processing
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Compliance, Built In

CMS-0057-F, Ready

Fully aligned with CMS ePA Final Rule.

Versioned Policy Vault

Every guideline tracked, versioned, and logged.

Audit Trail in Two Clicks

Instant proof of compliance, exportable anytime.

Frequently Asked Questions

Everything you need to know about Lilee's AI agents and how they can transform your healthcare operations.

Ready for Agentic Ops?

The agentic platform for health plan operations,

powered by AI.

Platform

Solutions

Trust & Support

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