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wrong auto-approvals across the labeled eval set — including unseen & adversarial cases
The routine work of a health plan,
cleared in seconds — and never on autopilot.
Threadmaze Health builds AI that takes the repetitive load off utilization-management and claims teams, shows its work with checkable citations, and leaves every real denial to a human. Software that a Chief Medical Officer can actually sign off on.
72h · 7d
decisions inside the CMS-0057-F expedited & standard clock, tracked live
Human
the only role that can deny — enforced server-side, not just hidden in the UI
The product line
Synthetic-data demos · payer & provider operations🛡️
Live
ClearAuth
Prior-authorization auto-adjudication
Reads the request and the chart against medical policy, clears the clean cases in seconds, and routes the rest to a nurse or medical director — with every criterion backed by a verbatim, checkable quote. It never denies on its own.
Open the work queue →
🔎
Coming soon
PolicyLens
Medical-policy Q&A
Ask any plan's coverage policy in plain English and get an answer grounded in the exact policy language — with citations, not guesses. The same anti-hallucination discipline that powers ClearAuth, pointed at the policy library.
In development
✉️
Coming soon
AppealAssist
Appeal & determination drafting
Turns a denial rationale and the clinical record into a payer-ready, policy-cited draft letter — so the appeals team edits and signs instead of writing from a blank page. A human always approves before anything goes out.
In development
Why you can trust it
The same three rules run through every product01 Verify, don't author
The AI doesn't invent findings — it checks claims against the source document and quotes the evidence back verbatim. If a citation can't be found in the chart, it isn't trusted.
02 Approve fast, never deny
Only clean, high-confidence cases clear automatically. A denial is an appealable medical act, so it's reserved for a human medical director — a rule enforced in the server, not the screen.
03 Prove it on a graded set
Every release is scored against a labeled gold set — including cases it has never seen — and the headline safety number is published: zero wrong auto-approvals, or it doesn't ship.