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👋 Welcome to the CHAI API

Case Health AI (CHAI) is a modern API platform built to automate prior authorization workflows using modular AI agents. We integrate directly into your utilization management (UM) systems to streamline intake, eligibility validation, policy enforcement, and AI-powered decisions. For policy checks, you’ll need to submit your PDF policies from your workspace portal by going to Plan from the side navigation. We use NDC and CPT codes to determine which policy to use.

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âš¡ Quick Start

Schedule a demo

Schedule a demo to learn how to submit a FHIR-based prior authorization to kick off the AI workflow.

Get an API Key

Book a short onboarding session to receive your secure API key and environment access.

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🔌 Add AI Decision Support

CHAI offers modular AI agents and plugin options:

Submit your first Prior Auth

Submit your first Prior Auth to kick off the AI workflow.

View intake results

View intake results to see the patient, practitioners, diagnoses, and medication requests.

View policy check results

View policy check results to see the policy check results.

Run a determination

Run a determination to see the final decision if the prior auth should be approved, denied, or Request For Info.
Need help integrating? Book a session with our engineers or reach out at mas@casehealth.ai.