Agentic AI · Live Walkthroughs
Not slides.
Working agents.
Every demo below is a fully interactive, step-by-step walkthrough of a real agentic AI workflow — the same logic patterns NestedLoop deploys for health plan, payer, and enterprise clients. No mock-ups. No stock footage.
2
Live now
6+
In pipeline
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Interactive
All 7 Demos Live
Live
Care Management · Medicare Advantage
End-to-End Care Gap Closure
Agent scans a member cohort, identifies open HEDIS gaps, scores clinical risk, drafts personalized multi-channel outreach, and logs every intervention — fully autonomous, end to end.
HEDIS Gap Detection
Risk Stratification
GenAI Outreach
Audit Trail
Live
Claims & Payment · Payer Operations
Claims Exception Handling
Agent investigates complex claims anomalies, pulls historical context from the Enterprise Memory Layer, assesses clinical criteria instantly, and resolves or strategically escalates — without human routing.
Anomaly Detection
Enterprise Memory
Clinical Assessment
SIU Escalation
LIVE
Utilization Management · Prior Authorization
Prior Authorization Automation
Agent applies clinical guidelines in real time to autonomously approve, deny, or escalate PA requests — reducing turn-around from days to seconds while maintaining full audit compliance.
InterQual Criteria
Auto-Approve
Peer-to-Peer Prep
Regulatory Audit
LIVE
Care Management · Member Intelligence
Member 360 Intelligence Agent
Agent synthesizes clinical history, social determinants, behavioral signals, and engagement data into a unified member profile — surfacing next-best-action recommendations for care managers in real time.
SDOH Signals
Clinical Synthesis
Next Best Action
Risk Segmentation
LIVE
Risk Adjustment · Stars Quality
RAF Score Optimization Agent
Agent audits member RAF scores against clinical evidence, identifies coding gaps and over/under-coded conditions, and generates compliant addendum documentation — maximizing revenue accuracy.
HCC Gap Analysis
Coding Audit
Addendum Generation
CMS Compliance
LIVE
Network Operations · Compliance
Network Adequacy Monitoring
Agent continuously monitors provider network coverage against CMS access standards, detects adequacy gaps by specialty and geography, and auto-generates corrective action plans before regulatory deadlines.
CMS Access Standards
Gap Detection
Corrective Plans
Geo Analysis
LIVE
Utilization Management · Concurrent Review
Concurrent Review & UM Automation
Agent performs real-time concurrent review of inpatient stays, applies InterQual criteria at each milestone, identifies potential denials early, and drafts peer-to-peer escalation briefs automatically.
Concurrent Review
LOS Monitoring
Denial Prevention
P2P Briefs
Don't see your use case?
We build to your workflow
Every demo in this library started as a client use case. Tell us what you're trying to automate — we'll scope a proof of concept and show you what the agent looks like before any contract is signed.