The Challenge in Healthcare Administration
We have all heard horror stories about getting critical medications approved. You know the drill: endless paperwork, phone calls, and weeks of waiting while insurance companies drag their feet. It is a broken system, and the founders of Mandolin knew it firsthand from their own families’ health battles.
They saw that this administrative burden was not just an inconvenience but a significant barrier to patient care. The manual, repetitive nature of these tasks creates a frustrating experience for both patients and providers, leading to delays in treatment and immense financial strain on healthcare practices.
The core problem lies in the fragmented and outdated systems that require human intervention at almost every step. These processes are not only slow but also prone to error, which can lead to denied claims, repeated work, and ultimately, a breakdown in the revenue cycle that keeps clinics and hospitals operational.
A Revolutionary Approach
So, what did the founders of Mandolin do? They built something revolutionary.
They realized healthcare providers were drowning in manual tasks that seemed to take forever. Functions such as checking insurance eligibility, obtaining prior authorizations for procedures and medications, and verifying reimbursement amounts were consuming valuable time and costing healthcare organizations millions of dollars annually. This situation creates a huge bottleneck, preventing patients from receiving the timely care they need and deserve.
Enter Mandolin: The Autonomous AI Solution
Instead of creating just another piece of software that adds a new layer of complexity, they built autonomous AI agents. Think of it as a super-efficient AI employee that integrates directly and securely into a provider’s existing electronic health record (EHR) and practice management systems. This is not a simple bot; it is a cognitive agent capable of understanding context, making decisions, and executing multi-step workflows independently.
You simply tell the agent what to do through a simple interface, and it gets the job done in minutes, not days or weeks. The AI handles the entire process, from logging into insurance portals and filling out forms to checking status updates and documenting the outcomes directly in the patient’s record. This seamless integration means there is no need for staff to learn a new, complicated system. The AI works in the background, freeing up human staff to focus on what they do best: patient care.
Transformational Results and Key Workflows
The impact of this technology is a total game-changer. One of Mandolin’s early partners shared a compelling result:
Tasks that used to take our staff members days to complete, such as complex prior authorizations, are now consistently handled in under an hour.
Mandolin is automating key administrative and revenue cycle workflows with remarkable efficiency. These automated processes include:
- Insurance Eligibility and Benefits Verification: Instantly confirming a patient’s coverage details to prevent billing issues down the line.
- Prior Authorization Submission and Management: Autonomously preparing and submitting requests, then proactively tracking them to secure approvals faster.
- Reimbursement and Payment Verification: Ensuring that payments from insurers match the agreed-upon rates, identifying discrepancies, and managing appeals.
- Claim Status Checks: Continuously monitoring the status of submitted claims to accelerate the payment cycle and reduce accounts receivable days.
More Than Efficiency: A New Standard of Care
This innovation is not just about improving efficiency; it is fundamentally transformational. By automating these critical but tedious processes, Mandolin enables faster treatment for patients, who no longer have to wait in limbo for administrative approvals. For providers, the benefits are equally profound. It leads to a dramatic reduction in operational costs, a significant improvement in cash flow, and a decrease in claim denials. The financial health of the practice is strengthened, ensuring its long-term viability.
Furthermore, by removing the administrative burden from skilled healthcare professionals, Mandolin helps combat burnout and improves job satisfaction. Staff can now dedicate their expertise to higher-value activities, such as patient engagement, care coordination, and complex case management. It represents a massive step toward fixing a system that desperately needs it, creating a more sustainable and patient-centric healthcare environment for everyone involved.