Core admin and UM platforms
Pull member, benefit, and case data from your core administration and utilization management systems into any workflow step.
At any step, agents can call your core admin and UM platforms, internal APIs, or any MCP tool and use the result to decide what happens next.
Integrations run at the step level, so the agent can pull context or push results exactly where the workflow needs it.
Pull member, benefit, and case data from your core administration and utilization management systems into any workflow step.
Retrieve criteria sets, medical policy, or historical case patterns based on the current workflow state.
Validate data, check permissions, log decisions, or trigger downstream processes mid-workflow.