Alltera treats administrative and coordination work as workflow. Clinical decisions remain with the professional.
Alltera organizes the sector around end-to-end workflows. Agents and models enter as infrastructure for the case, not as a departmental product.
Operational triggerAn order, report, authorization, or record that must be extracted and routed.
Possible outcomeStructured information for the next step, with mandatory review when clinical risk is present.
Systems involvedEHR, PACS, payer portals, and document stores.
GovernanceClinical misinterpretation and exposure of health data.
Human-in-the-LoopLevels 0–1: humans execute or decide; AI assists and recommends.
Operational triggerAn authorization, denial, coverage rule, or contract term blocking care or billing.
Possible outcomeThe outstanding item is explained and routed with contractual evidence.
Systems involvedAuthorization, billing, contracts, and ERP.
GovernanceImproper denial and missed response windows.
Human-in-the-LoopAI recommends classification; humans approve denials, appeals, and exceptions.
Operational triggerA referral, slot, exam, or follow-up stuck between teams.
Possible outcomeThe case is visible, with an owner, a deadline, and a next step.
Systems involvedScheduling, EHR, and coordination tools.
GovernanceCare delay and loss of traceability.
Human-in-the-LoopLevel 1; clinical coordination sets priority.