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.
12
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100%
Interactive
All 12 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
LIVE
Medicare Growth · Finance Strategy
Capital Allocation Engine
AI engine combining DEA efficiency benchmarking, marginal response modeling, and GenAI decision intelligence to mathematically rank where the next incremental dollar — across media, broker, and retention — generates the most enterprise LTV.
DEA Benchmarking
Elasticity Modeling
LTV Normalization
Portfolio Optimization
LIVE
Medicare Growth · Member Experience
Member Services & Enrollment Assistant
GenAI-powered assistant transforming Medicare shopping — from AI listen-in co-pilot for agents to member-facing enrollment chat. Personalized plan recommendations, real-time formulary checks, CMS-compliant enrollment, and full governance audit trail.
AI Listen-In
Plan Recommender
Chat Assistant
Enrollment Automation
LIVE
Medicare Growth · Member Experience
Maya — Medicare AI Advisor
A freeform GenAI-powered Medicare advisor with infinite empathy. Members can ask anything — plan comparisons, drug coverage, enrollment windows, costs, or emotional concerns — and Maya responds with expert warmth, 24/7, no hold times.
Conversational AI
Medicare A/B/C/D
60+ Intents
Empathy Engine
LIVE
Medicare Benefits · Plan Intelligence
Medicare EOC Query Agent
A natural language query engine over 12 real Medicare Advantage Evidence of Coverage documents. Ask about premiums, copays, drug tiers, dental/vision/hearing benefits, network rules, and prior auth — and compare plans side by side instantly.
12 MA Plans
Natural Language
Cross-Plan Compare
EOC Citations
LIVE
Medical Economics · Finance & Analytics
MedEcon Analyst Brain
A multi-scenario medical economics intelligence engine. Analyzes MLR trends, telehealth vs. in-person cost differentials, chronic condition costs, pharmacy spend, and network performance — with AI-generated executive recommendations.
MLR Analysis
Cost Benchmarking
12 Scenarios
AI Recommendations
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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.