Browser automation infrastructure for fast-moving healthtech companies

Prior authorization, provider enrollment, intake forms, appointment scheduling, and more can be automated with Simplex's agents.

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A team from world-
class institutions

Use Cases

Prebuilt templates for the most complex operations in healthcare.

Prior Authorization

Automate 200+ question prior auth forms across payer portals. Handle ICD code lookups, clinical criteria matching, and multi-step approvals without manual intervention.

Provider Enrollment

Submit and track credentialing applications across CAQH, payer portals, and state Medicaid systems. Keep provider rosters current automatically.

Patient Intake

Pre-populate patient intake forms across EHR and practice management systems. Map structured patient data to any portal's form fields reliably.

... and more

The problem

Simplex handles the pain of payer portal automation for you.

001

Prior Authorization — AvailityStep 3 of 5

ICD-10 M17.11 triggered 3 new required questions

Conservative therapy attempted?

✓

Yes — 6 months PT documented

X-ray confirms grade III–IV OA?

✓

Yes — attached radiology report

BMI within surgical threshold?

✓

28.4 — within range

✓ All 3 answered automatically

ICD codes surface questions you haven't seen yet

Diagnosis codes trigger new questions mid form. Not just on drug codes, but payer specific criteria and patient history too. A static automation is brittle and breaks on the next patient.

002

Structured Output — CoverMyMedsFHIR JSON

✓

Mapped 14 portal fields to schema

"resourceType": "ServiceRequest",

"status": "active",

"code": "27447",

"diagnosis": "M17.11",

"authNumber": "PA-2024-88471",

"payer": "Humana",

"approved": true

Structured output ready

Portal answers need to become structured data

Each portal labels fields differently. Turning responses into clean output -- FHIR JSON, internal schemas, EHR fields -- requires mapping form questions and updating them every time a portal changes. Simplex does this automatically.

003

Availity

CoverMyMeds

Cigna

UHC

Carelon

Simplex

+and more...

Each payer portal is different

Availity, Cigna, Carelon, CoverMyMeds -- every portal has its own UI, session flow, MFA method, and quirks. CAPTCHAs, unexpected popups, and mid-form UI changes mean automation built for one portal breaks on the next.

Features

Branching logicCode executionDeterministic scrapingCAPTCHA solvingStealth browsersStructured outputsVariable schemasWorkflow IDE

Features that handle edge cases for robust workflows.

Code execution with branching logic

Deterministic code with conditional paths, loops, and error handling.

Variables

typerequired

pharmacystring

flow.py

type="pharmacy"

1v = load("variables.json")

3await click("#login")

5if v["type"] == "pharmacy":

6 await select("Specialty Pharmacy")

8if v["type"] == "prescriber":

9 await select("Medical Clinic")

11await click("Next")

running

Structured Outputs

Type-safe schemas for predictable data extraction.

schema.json

{

"auth_number": "string",

"status": enum

}

Extracted

auth_numberstring

PA-2024-88471

statusenum

approved

Flexible variable definitions

Define inputs and test before deployment.

Test Data

patient_inforequired

{...}object

procedure_coderequired

99213string

submit_authoptional

default: Falseboolean

Ready to automate payer portals and EHRs?

Try Simplex for free