
4.7 (200+ reviews)
AI built for member and
patient experience
Deploy AI agents across the full member and patient journey — automating prior authorization, eligibility, scheduling, and billing inquiries, scoring every agent conversation for HIPAA, CAHPS, and clinical accuracy, and surfacing intelligence from 100% of interactions. All on one platform, with one data layer.

One conversation data layer for healthcare payers and providers
AEP performance
Deflect plan-question volume and score every enrollment conversation against CMS Medicare Communications Requirements and TPMO disclosure rules during the Oct 15–Dec 7 window.
HCAHPS reimbursement protection
100% scoring on communication, responsiveness, and discharge information dimensions tied to Hospital Value-Based Purchasing payments.
Clean audit trails
Every prior authorization conversation captured with denial reasoning, structured for the public-posting requirement and 7-day standard response window.
Denial dispute workflow
Every payer denial captured with reasoning documented, structured for appeal under the CMS 2026 Prior Authorization Rule.
Star Ratings protection
Disenrollment signals surface from interaction data weeks before the survey window opens.
Patient access coverage
Scheduling, eligibility verification, good faith estimates, financial counseling, and clinical triage each scored against their own rubric.
How Healthcare CX teams use Level AI
Resolve authorization, scheduling, and billing requests,
without adding headcount
Deploy virtual agents pre-trained on how top healthcare contact centers handle eligibility verification, prior authorization status, appointment scheduling, prescription refills, and good faith estimates — on voice and chat, around the clock.
Pre-built for HIPAA-safe handoffs and clinical-question routing.

Score every agent conversation for
HIPAA, clinical accuracy and CAHPS quality
Evaluate 100% of interactions with QA-GPT against the rubrics that drive reimbursement and audit exposure: HIPAA disclosure, clinical accuracy and empathy, the CAHPS and HCAHPS communication dimensions, and denial explanations.
Screen Recording captures desktop activity alongside the call, so auditors get a complete record for every evaluation.

Surface disenrollment language, denial disputes, and billing complaints
from every interaction
AI Workers query 100% of interaction data and surface disenrollment language, denial dispute patterns, and surprise billing complaints before they compound into Star Ratings drops or value-based payment cuts. VoC findings update QA rubrics automatically and route to quality, member experience, and patient access teams.

Coach every agent with
personalized AI-generated coaching plans
Leverage 100% of conversations and screen activities to identify areas for improvement and provide agents with personalized coaching. Coaching plans arrive grounded in real AEP plan-selection calls, prior authorization workflows, billing-estimate discussions, lab-result follow-ups, and discharge follow-up interactions.

Guide agents in real time on
prior auth, denials and clinical triage
Real-time Agent Assist surfaces the compliance language and next step the agent needs during the call: HIPAA-safe disclosures, denial-appeal paths under the CMS 2026 Prior Authorization Rule, and safe routing for clinical questions.
Post-call summaries write back to the EHR, CRM, or revenue cycle platform, eliminating after-call work.

Integrated across your Healthcare CX stack
Direct integrations with your EMR, EHR, or service management, systems as well as messaging and telephony systems. All without the need of any custom infrastructure.
Ready to transform your CX?
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