Mandolin is an AI-driven platform designed to automate the complex workflows associated with specialty drug administration. By replacing fragmented manual processes with intelligent agents, Mandolin streamlines tasks such as patient intake, benefits verification, prior authorizations, and revenue cycle management. This automation enables healthcare providers to increase throughput without the need for additional staff, thereby enhancing operational efficiency and patient care.
Key Features and Functionality:
- Automated Intake & Onboarding: Mandolin reads and processes referral forms, lab reports, and clinical notes from various sources, integrating the data seamlessly into electronic health records (EHRs).
- Benefits Verification: The platform conducts comprehensive benefits investigations by navigating payer portals, extracting eligibility data, and making necessary outbound calls, mirroring the actions of experienced back-office specialists.
- Patient Out-of-Pocket Estimation: Mandolin accurately calculates patient costs by considering real-time benefits, site-specific fee schedules, co-pay assistance programs, and drug acquisition costs.
- Medical Policy Review & Prior Authorization: The system compares medical policy requirements with patient charts, compiles necessary documentation, and submits prior authorizations through various channels, including portals, faxes, and phone calls.
- Claims Status Monitoring and Appeal Automation: Mandolin tracks claim statuses by checking portals or contacting payers, interprets remittance information, and automates appeals, reducing the time staff spend on follow-ups.
Primary Value and Problem Solved:
Mandolin addresses the inefficiencies and delays inherent in the administration of specialty drugs by automating labor-intensive back-office tasks. This leads to faster benefits checks and authorizations, resulting in more completed treatments and quicker payments. Healthcare providers experience reduced bad debt and overhead costs due to improved accuracy in coverage verification and payment collection. Patients benefit from expedited intake and approval processes, leading to clearer expectations and fewer delays in receiving necessary treatments. Overall, Mandolin enhances the quality of care while enabling clinics to scale profitably without increasing headcount.
