From referral to reimbursement — every back-office task, handled.
No APIs. No integrations. Every step, fully automated. From intake to appeals, Mandolin logs into your systems and completes the entire patient access and revenue cycle — triage, benefits, PAs, scheduling, claims, and more. All the work of a full team, done faster, with zero handoffs.
Mandolin instantly reads, interprets, and acts on referral forms, lab reports, and clinical notes — regardless of formatting or source. Using advanced multimodal AI, it extracts the right data points and intelligently routes each patient to the correct workflow, system, and care team — based on urgency, diagnosis, payer, and site-of-care logic.
It eliminates the bottlenecks of manual document handling and ensures nothing slips through the cracks, even across complex multi-site operations.
Each referral is read, understood, and sent to the right place — no guesswork required.
Mandolin eliminates the need to sift through documents — everything’s handled automatically.
No integration needed — Mandolin logs in and works just like a staff member.
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Mandolin performs full benefits investigations by navigating payer portals, extracting eligibility data, and making outbound calls — just like a trained back-office specialist.
The result: accurate coverage insights delivered at record speed, without manual effort.
We run full benefits investigations across payers, including carve-outs and limitations.
Calls payers for reference numbers, eligibility, and status updates without delays.
Confirms hidden coverage details through real-time payer calls.
Calculates patient out-of-pocket costs with precision — factoring in real-time benefits, site-specific fee schedules, GPO and 340B pricing, and drug acquisition costs. Highlights the most profitable site of care for each drug while keeping patient affordability front and center.
This enables smarter financial decisions at the point of intake, helping teams reduce friction, maximize margins, and improve patient access.
Identifies the highest-margin option for each drug and payer setup.
Surfaces accurate out-of-pocket costs upfront to reduce delays.
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Balances patient affordability with financial performance in real time.
Connects across payer portals, sends required faxes, and follows up on status — automatically. Pulls in clinical documentation, reviews policy criteria, and prepares complete submissions that align with each payer’s rules. Every step — from chasing notes to tracking approvals — is handled behind the scenes.
Handles complex cases requiring multiple submissions across payers or drugs.
Captures and stores each step of the submission process for full compliance visibility.
Saves completed PAs and notes directly into your system.
Tracks claim status automatically by making outbound payer calls and interpreting remits, so your team doesn’t have to spend hours chasing updates. When a denial is detected, the system assembles a draft appeal packet — pulling in payer-specific denial criteria, clinical documentation, and supporting notes. This helps teams respond faster and more accurately, accelerating revenue recovery and reducing the risk of missed appeal windows.
Monitors claims through phone calls and remits — no waiting or wondering.
Auto-generates appeals with payer criteria, supporting notes, and documentation.
Helps you recover denied revenue faster, with less back-and-forth.
Mandolin’s AI workers perform back office tasks directly within your EHR and are trained on millions of buy-and-bill datapoints, so you can make sure your infusion center operates at its peak.
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