United StatesHealthcare and life sciences2025 – ongoingAstrana Health
AI claims agents and agentic care-management workflows
Astrana Health said its AI claims agents paid providers in less than half the time of manual processing
Problem
Astrana runs value-based care operations that involve high claims volumes and outreach to many health plan members. Manual claims handling was slow for providers.
Approach
Astrana built AI claims agents and, over about six months, agentic care-management workflows that use voice and text outreach to members. Management described both on its Q1 2026 earnings call.
Results
Takeaway
Management could point to cycle time but not to cost: it said the AI share of its lower G&A ratio was hard to quantify.
Categories
- Industry
- Healthcare and life sciences
- Business function
- Production and qualityFinance, risk and legal
- Innovation type
- Process innovation
- AI technology
- AI agentsConversational and voice AI
- Adoption
- Built in-house
- Evidence
- Company's own claim
Sources
Source summaries
Transcript of Astrana's Q1 2026 earnings call, held May 7. Management said AI claims agents cut provider payment cycle times to less than half those of manual claims, that care-management workflows built over about six months were in use, and that about 500,000 automated member interactions occurred monthly. All figures are management's.
Full details are in the original sources.