Revolutionizing
Healthcare Authorization
for Self-Insured Employers

AI-Powered Authorization Solution

The Healthcare Administration Crisis

Healthcare costs are spiraling out of control. Administrative inefficiencies are crushing employers and employees alike:

  • Commercial healthcare costs projected to rise 9-10% annually through 2026
  • 25% of total healthcare spending consumed by administrative tasks
  • Each manual authorization review costs an average of $40
  • Employers spend thousands of hours annually managing complex authorization processes

How We Solve the Problem

Synthix transforms healthcare authorization through intelligent automation.

  • Instant Approvals: Up to 90% of low-complexity cases resolved immediately
  • Cost Reduction: Slash administrative expenses by 50-75%
  • Precision: AI-driven policy interpretation with unprecedented accuracy
  • Compliance: Guaranteed adherence to employer-specific healthcare policies

The Hidden Cost of Manual Healthcare Management

  • Time-consuming
  • Error-prone
  • Expensive
  • Frustrating for employees and employers

Our Technological Approach

Advanced AI-Driven Process

1. Smart Document Ingestion

  • Seamlessly upload healthcare docs
  • Advanced optical character recognition (OCR)
  • Secure, HIPAA-compliant handling

2. Intelligent Policy Matching

  • ML algorithms analyze policy requirements
  • Real-time document cross-referencing
  • Smart contextual understanding

3. Automated Decision Making

  • Immediate authorization decisions
  • Clear approval/denial reasoning
  • Detailed audit trails for compliance

Who We Serve

Ideal Partners for Synthix

  • Self-insured employers
  • Mid-sized to large companies
  • Organizations spending over $1M annually on healthcare administration
  • Companies seeking technological competitive advantage

Market Impact

$400+ Billion

spent annually on healthcare administrative tasks

10-30%

Potential savings through innovative authorization approaches

Growing Demand

for digital, cost-effective healthcare solutions

State Preferred Drug List (PDL) Lookup

Real-time PDL verification and Prior Authorization requirements

FHIR Server

How Our FHIR Server Solutions Work

FHIR Server Architecture

1Comprehensive Compliance Mapping

  • Automated alignment with ONC Cures Act requirements
  • Continuous monitoring of regulatory changes
  • Instant compliance status reporting

2Advanced API Integration

  • Standardized FHIR R4 and R5 support
  • Secure patient data exchange
  • Third-party application compatibility

3Intelligent Interoperability

  • Cross-platform health information sharing
  • Elimination of information blocking
  • Seamless data transformation

Market Opportunity

$2.5-3 billion

Global FHIR solutions market projected by 2028

20-25%

Annual growth rate

Critical Need

For simplified compliance solutions

Compliance Provisions We Address

Information Blocking Prevention

  • Ensure transparent health data sharing
  • Remove barriers to patient information access

Standardized Data Exchange

  • Implement secure, protocol-driven information transfer
  • Support multiple healthcare IT platforms

Patient-Centric API Functionality

  • Enable third-party application integration
  • Provide patients direct access to their health information

Certification Support

  • Comprehensive ONC certification assistance
  • Simplified technical requirement management

AI-Powered Document Data Extraction Ready via API

REST and GraphQL APIs

Dynamic APIs

Access data via REST or GraphQL

Access your extracted data through industry-standard REST APIs or modern GraphQL endpoints. Choose the integration that fits your stack.

AI Chat Assistant

AI Chat Assistant

Interactive Data Analysis

Chat with your documents using our AI assistant. Get instant insights and answers from your extracted data.

Invoice Data Extraction

AI-Powered Extraction

Intelligent Processing

Advanced AI models extract data with high accuracy from any document layout.

PDF
Images
Text
Word
Excel
PowerPoint

Multi-Format Support

Universal Compatibility

Process any document format from PDFs to images, ensuring complete flexibility.

Document Template

Custom Templates

Tailored Solutions

Create and save custom templates for recurring document types and formats.

Use Cases

Connecting Laboratories
and Healthcare Providers Effortlessly

Simplify Lab Test Data Integration

Small laboratories often face challenges in integrating their lab test results with third-party services due to limited technological resources and the absence of standardized APIs. Our plug-and-play solution is designed specifically for small labs to overcome these hurdles effortlessly.

Key Challenges

Limited Technical Resources

Small labs may not have dedicated IT teams to develop custom integration solutions.

API Integration Barriers

Without a standardized API, sharing data with healthcare providers, EHR systems, or other third-party services becomes cumbersome.

Manual Processes

Reliance on manual data entry increases the risk of errors and consumes valuable time.

Optimize Your Online Business
with Automated Invoice Data Extraction

Automate Document Processing and Integration

E-commerce businesses struggle with managing and integrating numerous supplier invoices and other documents. Our AI solution automates data extraction and seamlessly integrates this data into internal systems, ETL/ELT processes, and platforms like ERPs, 3PLs, and QuickBooks.

Key Challenges

Diverse and Complex Document Layouts

Traditional OCR struggles with unstructured data, whereas AI and Large Language Models (LLMs) provides more accurate data extraction regardless of the document's organization.

Complex Integration Requirements

Utilize our pre-built connectors with ERPs, 3PLs, and warehouse systems. Use REST and GraphQL APIs to match your integration requirements.
Lab Results

Pricing & Implementation

Flexible Solutions Tailored to Your Needs

Custom Pricing

Scalable models based on company size and complexity starting at $1,245/month

Quick Deployment

Typical implementation within 4-6 weeks

Seamless Integration

Compatible with existing HR and benefits systems

Continuous Improvement

Machine learning algorithms that adapt to your unique requirements

Ready to Transform
Your Healthcare Authorization?

Schedule Personalized Demo

About Synthix

We are a team of healthcare technology experts, data scientists, and AI innovators
committed to solving the most complex challenges in healthcare administration.

Our mission is to make healthcare access faster, more affordable,
and more transparent for employers and employees.

The Synthix Difference

Why Choose Us?

Speed
Reduce authorization processing from days to seconds
Accuracy
Minimize human error through AI-driven processes
Cost-Efficiency
Redirect administrative resources to strategic initiatives
Employee Experience
Streamline healthcare access and approvals