AI CARE PLATFORM · BUILT WITH PHYSICIANS
Continuous care before, during and after every visit.
Agentic AI clears eligibility and prior auth before the visit, puts the full picture in your EMR during it, and keeps a nurse-led care team with your patients after it. One platform, not three vendors.
- SOC 2 Type II
- HIPAA compliant
Integrates with Epic, athenahealth and eClinicalWorks
~580
staff hours saved a month at one 20-physician cardiology practice
50%+
of cardiology care patients show blood pressure stabilization
6 weeks
from kickoff to prior auth live in your EMR
40+
healthcare organizations run on ColigoMed today
Staff hours: ~5,800 zero-touch eligibility checks a month × ~6 minutes saved each. Blood pressure: cardiology care patients over the last 9 months.
ONE CONNECTED PLATFORM
Follow every patient through the whole journey, not just the visit.
ColigoMed supports eligibility and prior auth before the visit, insights in your EMR during it, and care programs after it, all on one shared data layer.
Eligibility and prior auth, cleared before the patient arrives
- Touchless eligibility and benefits checks, written back to the chart
- Agents read payer policy, assemble medical necessity and submit
- Status tracked automatically, including fax-only payers
PRIOR AUTH · ECHOCARDIOGRAM
- Medical necessity checklist
- 6 of 6 verified
- Payer policy matched
- Yes
- Submitted
- Electronically
- Staff touches
- 0
Illustrative workflow
The full picture, inside the EMR you already use
- Between-visit readings, trends and care-plan notes in one view
- Insights surface at the point of care, not in another portal
- Closed-loop integration with Epic, athenahealth and eClinicalWorks
BEFORE THIS VISIT · LAST 30 DAYS
- Blood pressure readings
- 27
- Trend
- Stabilizing
- Nurse touchpoints
- 4
- Medication adherence flag
- Review
Illustrative patient summary
Continuous care, delivered by real nurses and paid for by Medicare
- Remote monitoring, chronic and principal care management, transitional care
- 60+ chronic condition groups covered
- Readmission-risk programs for hospitals
CARE PROGRAMS
- Remote patient monitoring
- Chronic care management
- Principal care management
- Transitional care
- Readmission risk
Your practice bills Medicare for eligible patients. Our nurses do the work, under your supervision, documented in your EMR.
THE AGENTIC AI LAYER
Agents do the paperwork. Your team does the care.
Each agent owns one job, end to end, and hands off to the next. A human reviews anything the agents are not sure about.
EXAMPLE
Touchless eligibility agent
Checks coverage and benefits in real time and passes the result to every other agent.
Verifying coverage…
EXAMPLE
Policy agent
Reads each payer’s rules and medical-necessity criteria for the order.
Matching policy…
EXAMPLE
Submission agent
Assembles clinicals from the chart and submits by X12 278, payer portal or fax.
Submitting to payer…
EXAMPLE
Auth status agent
Tracks every request until decision and writes the result back.
Checking status…
EXAMPLE
Fax automation agent
Handles fax-only payers, reading and filing every response.
Parsing fax…
EXAMPLE
Insights agents
Turn data from every patient in your care programs into population analytics.
Analyzing your panel…
Closed-loop EMR integration
- Epic
- athenahealth
- eClinicalWorks
- FHIR · X12 278 · Payer portals
- Write-back to the chart
FROM OUR CARE TEAM
Continuous monitoring. The right care for each patient.
Our monitoring flagged a sudden overnight weight gain, an early warning of fluid retention in a patient with heart failure. The nurse who knew him called right away, found he had stopped his medication, and stayed with him until the readings settled.
- The signal A connected scale reports an overnight weight gain.
- The call A nurse who knows the patient calls, hears wheezing, and learns a medication was stopped.
- The outcome Education, the regimen restarted, close follow-up. Symptoms subside at home.
Built for the organizations that carry the paperwork
LIVE IN 1–3 MONTHS
Specialty practices
Primary care, cardiology, endocrinology, GI, nephrology, pulmonology, orthopedics and women’s health. Fewer staff hours on paperwork, new revenue from care between visits.
PILOT FIRST · 6–12 MONTHS
Groups and MSOs
Standardize eligibility and prior auth across every location, then roll care programs out practice by practice.
PILOT FIRST · 9–18 MONTHS
Health systems
Enterprise prior auth at volume, and readmission-risk programs that follow patients home after discharge.
What physicians and leaders say
“Their paramedical team delivers home-based care with a strong focus on medication adherence, which has noticeably reduced call volume and unnecessary office visits.”
Pulmonologist, Florida
“We’ve been able to scale our preventative model of care to manage larger populations and provide a level of intimate care coordination that wasn’t possible before.”
CEO of a large physician group, Tampa
“This is the care-coordination solution we’ve hoped would be available for suburban and rural hospitals.”
Community health board member and retired hospital CEO
WHY NOW
From January 2027, impacted payers must offer a prior auth API. Is your practice ready?
CMS’s Interoperability and Prior Authorization rule (CMS-0057-F) requires Medicare Advantage, Medicaid, CHIP and federal Marketplace plans to offer prior auth APIs for medical items and services, generally from January 2027 (drugs are not included). ColigoMed is ready to adopt them as payers switch them on, and Medicare keeps expanding payment for care between visits.
What would ColigoMed save your practice?
Enter your physicians, prior auth volume and patient panel. See staff hours returned and care-program revenue in 30 seconds.
Frequently asked questions
What is ColigoMed?
ColigoMed is an AI care platform for physician practices, groups and health systems. Agentic AI handles eligibility and prior authorization before the visit, surfaces between-visit data in the EMR during it, and a nurse-led care team delivers Medicare care programs such as remote patient monitoring and chronic care management after it.
Who uses ColigoMed?
More than 40 healthcare organizations, including practices in primary care, cardiology, endocrinology, gastroenterology, nephrology, pulmonology, orthopedics and women’s health, plus groups, MSOs and health systems.
Which EMRs does ColigoMed work with?
ColigoMed integrates with Epic, athenahealth and eClinicalWorks, using FHIR and X12 278, works payer portals where there is no API, and writes results back to the chart.
How long does it take to go live?
Prior authorization typically goes live in six weeks, moving from shadow mode to assisted to autonomous as results are proven on the practice’s own patients.
Is ColigoMed HIPAA compliant?
Yes. ColigoMed is HIPAA compliant and SOC 2 Type II certified, and signs a business associate agreement with every customer.
Start with a 6-week prior auth pilot.
Shadow mode first, then assisted, then autonomous. No IT project, no workflow risk, and you see the results on your own patients.
- SOC 2 Type II
- HIPAA and BAA
- Works with your EMR