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

Clinical intelligence layer

We know what each payer actually requires.

The reason PA submissions fail isn't the fax — it's submitting without knowing the right clinical data. Simplex maintains a hand-curated, human QA'd database mapping payer × drug × indication to required fields, documentation thresholds, and policy citations.

GET /get-clinical-questions · payer × drug × diagnosis → required fields

Drug

Payer (BIN)

Required clinical fields

Humira (adalimumab 40mg)

Caremark
003858

Prior DMARD failure ≥ 3 moTB screening negativeDiagnosis confirmed (M06.xx)Prescriber specialty

Dupixent (dupilumab 300mg)

ESI
004336

Moderate-to-severe AD confirmedTopical corticosteroid trialAge at diagnosisBody surface area affected

Eliquis (apixaban 5mg)

BCBS
multiple

AFib or VTE diagnosis (ICD-10)CrCl > 25 mL/minWarfarin trial or contraindicationBleeding risk factors

Keytruda (pembrolizumab)

UHC
multiple

Cancer type + stage confirmedPD-L1 expression resultPrior platinum-based chemoECOG performance status

Hand-curated and human QA'd. Not a model. Updated when payers change criteria. Each entry includes policy citation, effective date, and documentation thresholds.

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