Our Products
Purpose-built AI for healthcare operations
Two products, one goal: take the manual, error-prone work out of healthcare administration. Our flagship AI Rule Engine is built in-house. AI Care Outreach, powered by Konfyre, is a partner platform we implement and support for our customers.
AI Rule Engine
From plain-English requirements to production-ready healthcare rules — in seconds, not sprints.
An AI-powered rule engine built on proven, industry-standard business rules technology. Instead of hand-coding rule logic, your team describes what they need in plain English, and the system generates a ready-to-use, automatically validated rule — informed by your organization’s own terminology, data model, and library of previously approved rules.
The problem it solves
Writing business rules by hand demands rare, specialized skills — rule-engine syntax, your data model, and healthcare terminology — plus hours of coding, testing, and debugging for every rule. Business needs pile up waiting on a handful of experts, and errors still slip through.
How it works
01
Describe it
Write the requirement in plain English — no special syntax.
02
It researches first
It checks your glossary, data fields, and past approved rules before writing anything.
03
Rules in seconds
A complete rule — or a full set for a multi-step workflow — comes back in seconds.
04
Auto-validated
Every rule is checked for correctness before you ever see it.
05
Easy review
Optionally preview the rule as a plain data query so business and compliance reviewers can check the logic.
Built for healthcare, out of the box
Utilization Management
Prior authorization intake, clinical review routing, medical necessity checks, turnaround-time monitoring, and cost thresholds.
Care Management
Risk stratification, care team assignment, member engagement tracking, care transitions, and readmission prevention.
Appeals & Grievances
Appeal processing, grievance handling, regulatory deadline tracking, and Medicare timeline compliance.
Why it matters
Faster
Rules that took hours or days of developer time come back in seconds.
Fewer errors
Every rule is automatically validated before it is used.
Less expert dependency
Business analysts can generate and review rules directly, in plain English.
Fits your organization
Learns your terminology, data fields, and approved-rule history.
Private when needed
Supports a fully private, local AI option alongside standard cloud AI.
Smarter over time
Every approved rule becomes a reference for the next one.
Ready from day one
3
healthcare domains out of the box
60+
real training examples built in
40+
glossary terms mapped to data fields
23
ready-made sample requests
Who it’s for: health plans, TPAs, and health-tech vendors whose teams manage prior authorizations, care management workflows, or appeals and grievances — anywhere rules still need a developer to hand-write and test.
AI Care Outreach
Powered by Konfyre
Member outreach and care-gap forms, automated end to end.
We help healthcare organizations replace manual phone outreach and paper forms with one AI-powered platform: an AI voice agent that calls members, a smart form engine that digitizes any PDF, a human review workflow so every AI decision can be checked by a person, and automatic e-signing with full audit trails. DHA AI Solutions supports evaluation, implementation, and ongoing success.
The problem it solves
Healthcare outreach still runs on manual calling and paper forms. Care-gap programs can take weeks to close, many health-risk assessments are never completed, and nurses and call-center staff lose hours to transcription and re-entry instead of member care — while inconsistent paper trails create compliance and audit risk.
How it works
01
Set up
Upload any healthcare PDF form; fields, checkboxes, and signature lines are detected automatically.
02
Configure
Each field becomes a voice question with a fallback prompt and confidence threshold, in 40+ languages.
03
Launch
Upload the member list, set call windows, time zones, and retry rules, then go live.
04
AI calls members
The agent verifies identity, captures consent, and fills the form live while supervisors can listen in.
05
Human review
Low-confidence answers route to a trained reviewer with the full transcript; urgent issues alert a care manager.
06
Deliver
The final form is validated, e-signed, and archived with a tamper-proof audit trail.
What's included
AI Voice Agent
Calls members in 40+ languages, captures consent, and flags risk, with confidence scoring on every answer.
Smart Form Engine
Turns any PDF or paper form into a voice-fillable digital form in hours.
Human Review Workflow
Low-confidence answers go to a clinical reviewer with transcript evidence — nothing is approved blind.
PDF, eSign & Audit
Signed documents generated automatically, with every action logged, timestamped, and PHI-protected.
Reported Results
90%+
less manual data entry
4–6x
first-year ROI
67%
cost savings per assessment
< 1 hr
typical assessment time
99.5%
AI field accuracy
Figures as reported by Konfyre, the platform provider, typically within 90 days of launch; not independently verified by DHA AI Solutions.
Healthcare-grade security
HIPAA-ready architecture with a BAA available, end-to-end encryption (AES-256, TLS 1.3), role-based access with MFA, and a path to SOC 2 Type II.
Who it's for
Medicare Advantage plans, care management companies, home health agencies, health plans and TPAs, hospitals and provider groups, and government health programs.
Why We Chose This Platform
- One platform for voice outreach, smart forms, human review, and e-signing — not several disconnected tools.
- Human-in-the-loop by design: every AI decision can be reviewed by a person.
- Healthcare-native from the ground up.
- Enterprise-grade compliance included out of the box.
- Scales to surge volume, like annual enrollment season, without adding headcount.
Not sure which product fits?
Tell us about your workflows and we will show you where AI can take the manual work out.
