Bagheera TechPlatforms where care and coverage can't wait.
We work inside the systems that run health plans and provider operations — claims, billing, enrollment, and the data that connects them.
Expertise across payer and provider operations.
Payer Systems
Core administration platforms for health plans — enrollment, eligibility, benefits configuration, and member servicing.
Provider Systems
Practice and revenue-cycle technology that keeps provider organizations running — from scheduling through reimbursement.
Claims & Billing Platforms
Claims adjudication, billing, and payment integrity systems — analyzed, modernized, and integrated to reduce friction and rework.
Health Plan Operations
The workflows behind the plan: member services, appeals and grievances, provider data management, and operational reporting.
Healthcare Data Integration
Connecting clinical, claims, and member data across systems and vendors so the organization works from one version of the truth.
Regulatory & Compliance
HIPAA-aware analysis and delivery, with compliance requirements built into system design from day one.
AI agents that cut the admin, not the accountability.
Healthcare runs on administrative work that agents can genuinely reduce — when they are designed with clinical safety boundaries, audit trails, and human oversight from day one.
Payer Operations Agents
- Prior authorization intake, completeness checks, and status agents
- Claims triage and coding review support with adjudicator sign-off
- Appeals and grievances preparation that assembles the full case file
Member & Provider Experience Agents
- Member service agents for benefits and claims questions, with warm handoff to humans
- Provider data validation and directory upkeep agents
- Enrollment support during peak seasons without peak staffing