SmarTec Nurse
Assist
Transform prior authorization into a scalable,
governed clinical decision operation
Real Results. Real Impact.
reduced clinician manual workloads
boost in
efficiency
accuracy with AI, improving compliance
reduced review times and operational costs
Make Clinical Decisions in Minutes — Not Hours
Prior authorization has become one of the most significant operational bottlenecks in healthcare, contributing an estimated $35 billion in annual administrative costs in the United States.
Designed to address this challenge directly, SmarTec Nurse Assist earned the Business Intelligence Group’s 2026 AI Excellence Award because the platform enables clinicians to:
Summarize complex clinical records in seconds
Surface relevant policies and medical criteria automatically
Standardize documentation and decision workflows
Accelerate authorization processing while preserving clinical judgment
The result is faster, more consistent decisions that improve both operational efficiency and patient access to care. Learn more about our Payer Clinical Services.
SmarTec Nurse Assist is a Winner in the 2026 Augmented Intelligence Awards Presented by the Business Intelligence Group
Agentic AI Grounded in
Clinical Knowledge
What differentiates SmarTec Nurse Assist is not just automation — it is the
clinical intelligence underlying the automation.
At the core of the platform is a continuously evolving knowledge management engine that integrates:
- Clinical policies and medical necessity guidelines
- Payer-specific authorization rules
- Institutional best practices
- Regulatory and compliance standards
This living knowledge base transforms raw clinical documentation into actionable insights, enabling consistent, evidence-based decisions at scale.
Advanced Clinical Language Processing (CLP) and Optical Character Recognition (OCR) technologies extract structured data from:
- Handwritten clinical notes
- Scanned documents and faxes
- Electronic health records (EHRs)
- Supporting medical documentation
Intelligent agents then analyze case context, validate eligibility and benefits, and support medical necessity determinations — ensuring decisions are accurate, auditable, and defensible.
The Operational Levers Behind
Performance Improvement
Healthcare organizations face growing authorization volumes, rising compliance risk, and increasing
documentation complexity. SmarTec Nurse Assist addresses these challenges through targeted
operational capabilities that drive measurable performance outcomes.
Workload Acceleration
SmarTec Nurse Assist reduces manual administrative burden by more than 80%, enabling clinicians to focus on complex cases requiring clinical judgment.
THE PLATFORM
- Automatically triages cases by complexity
- Aligns documentation with payer and clinical guidelines
- Enables straight-through processing for routine approvals
- Flags exceptions for clinician review
This structured workflow reduces backlog, improves throughput, and shortens decision timelines.
Deep Clinical Intelligence
Embedded clinical decisioning algorithms apply evidence-based guidelines and payer-specific rules to support consistent and defensible authorization decisions.
Key Capabilities
- Incorporates decades of healthcare domain expertise
- Transparent decision rationales
- Real-time compliance validation
- Automated audit documentation
These features strengthen regulatory readiness while improving decision accuracy and consistency.
Purpose-Built Continuous Learning
Unlike generic automation platforms, SmarTec Nurse Assist is purpose-built for healthcare utilization management and prior authorization workflows.
THE PLATFORM
- Embeds AI directly into existing clinical workflows
- Learns continuously from operational and clinical outcomes
- Integrates confidence scoring and annotations to enable rapid, confident decisions
- Aligns technology performance with clinical practice standards
This combination of technology and domain knowledge builds clinician trust and supports sustained operational improvement.
Scalable Interoperability
SmarTec Nurse Assist is designed to scale with growing authorization demand without proportional increases in staffing or cost.
THE PLATFORM SUPPORTS
- API-based system integration
- FHIR-compliant data exchange
- Browser-based workflow extensions
- Rapid deployment into existing environments
Organizations can manage up to three times the case volume while maintaining performance, accuracy, and compliance.
Advancing Care Quality and Compliance at Scale
SmarTec Nurse Assist demonstrates that AI in healthcare must do more than automate tasks — it must improve decisions, strengthen governance, and support safe clinical practice. The platform combines automation with human oversight to ensure:
Clinically sound decision-making
Reduced denial risk
Improved regulatory compliance
Lower administrative waste
Faster patient access to care
Human-in-the-loop validation remains central to the design, ensuring that automation enhances clinical judgment rather than replacing it.
Decades of Partnership, Performance, and Progress.
Clients stay with Sagility for a reason: deep-domain expertise, measurable outcomes, and a true partnership approach. Purpose-built for healthcare and trusted by the nation’s top health plans and providers, we bring decades of experience and a proven ability to simplify operations and deliver lasting impact.
Case Studies
See how we’ve helped payers unlock millions in savings and streamline operations:
Insights & Resources
Stay informed with the latest thinking on healthcare payer operations:
Ready to Work Smarter with Sagility?
Let’s explore innovative solutions tailored to your needs — and get more done, together.