Healthcare

AI for the operational
backbone of healthcare.

Kurve embeds into healthcare payers, providers, and home health organizations — automating back-office operations that are too complex for generic AI and too costly to run manually.

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Prior Authorization Utilization Management Medical Coding Appeals Mental Health Screening HIPAA-ready

Use Cases

Where Kurve runs in healthcare.

Prior Authorization

End-to-end PA automation — intake from fax/portal/EHR, clinical guideline matching (InterQual, MCG), and determination with full audit trail.

Utilization Management

Concurrent review, level-of-care assessment, and TAT tracking across inpatient, SNF, LTACH, and home health — with automated queue management.

Medical Coding

AI-assisted ICD-10 and CPT coding from clinical documentation. Reduces coder review time and improves first-pass accuracy.

Appeals & Grievances

L1, L2, and IRO appeal workflow automation. AI drafts response letters, routes to reviewers, and tracks TAT compliance automatically.

Mental Health Screening

ZUI — Kurve's mental health screening product — delivers multilingual, structured screeners with direct EHR integration. Live with users.

Home Health Coding

OASIS-based coding pipeline for home health agencies — structured workflows, auditor review interfaces, and RPA integration with HCHB.


Why Kurve for Healthcare

Built for regulated complexity.

HIPAA-ready architecture

Encryption, access controls, and audit logging built for PHI — not added as an afterthought.

Clinical guideline integration

InterQual and MCG criteria mapped into the ontology — AI decisions reference actual clinical standards.

Existing system integration

Works alongside your EHR, payer portal, and RPA tools — no rip-and-replace.

Human-in-the-loop

Every clinical decision has a configurable human review gate — AI augments, not replaces, clinical judgment.

Request a Healthcare Pilot