Use-Case Library

Solutions you can build in one click

Ready-made healthcare & life-science use cases across payers, providers, patients, pharma, med-device and regulators. Hit Build this and Anxya turns it into a working product.

Payer

Claims, FWA & Prior-Auth Automation

Auto-adjudicate claims, flag fraud/waste/abuse, and automate prior authorization with clinical-criteria matching.

ClaimsFWAPrior-Auth

Risk Adjustment & Predictive Stratification

HCC risk-adjustment coding, gap capture, and predictive risk stratification for care management.

HCCRiskCare-Mgmt

Star Ratings & HEDIS Gap Closure

Track Stars/HEDIS measures, surface open care gaps, and orchestrate member + provider outreach.

StarsHEDISQuality

Provider Network & Value-Based Analytics

Network performance, cost & quality benchmarking, and value-based contract tracking.

NetworkVBCBenchmarking

Speeding up prior authorization reviews

Pull coverage requirements from CMS's coverage database or your own policies, check clinical criteria against patient records and propose a determination with supporting materials for reviewer sign-off.

Utilization Management

Supporting claims appeals

Pull together patient records, coverage policies, clinical guidelines and prior documentation to help build a stronger, faster claims appeal.

Claims Processing & Adjudication

Verifying provider credentials and directory data

Look up National Provider Identifier (NPI) registry records to support provider verification, credentialing checks and network-directory accuracy.

Provider Network Management & Contracting

Triaging member messages

Help member-services teams sort through a large volume of portal messages and requests, flagging what needs immediate attention so nothing is missed.

Customer/Member Services

Surfacing anomalous billing patterns

Given claims data, flag outlier billing patterns worth investigator review, such as unusual code combinations or utilization spikes by provider.

Fraud, Waste & Abuse / Program Integrity

Closing HEDIS/Star Ratings gaps

Analyze member-level care-gap data and draft targeted outreach — member letters, provider alerts — to close specific quality measures before the reporting deadline.

Quality Management

Provider / Hospital

Point-of-Care Clinical Decision Support

Evidence-based CDS with drug-interaction, dosing and guideline alerts at the point of care.

CDSGuidelinesSafety

Ambient AI Scribe & Documentation

Turn a visit conversation into a structured clinical note, orders and coding suggestions.

AmbientNotesCoding

Revenue Cycle & Denials Management

Coding accuracy, denial prediction and automated appeals to protect revenue.

RCMDenialsCoding

Capacity, Scheduling & Patient Flow

Optimize bed capacity, OR/clinic scheduling and reduce no-shows with smart reminders.

SchedulingCapacityFlow

Coordinating care and triaging patient messages

Help care teams sort through a large volume of patient portal messages, referrals and handoffs, identifying what needs immediate attention so nothing is forgotten.

Care Coordination/Case Management

Structuring clinical documentation from notes

Turn a clinician's dictated or shorthand notes into structured documentation for review — ambient-scribing support.

Health Information Management

Coding and claims accuracy checks

Look up ICD-10 diagnosis and procedure codes and cross-check them against documentation before a claim goes out, reducing preventable denials.

Revenue Cycle Management

Provider credentialing and verification

Look up NPI registry records to support credentialing checks, license verification and medical-staff directory accuracy.

Credentialing & Medical Staff Services

Identifying care gaps across a patient panel

Using registry or EHR-extract data, identify patients overdue for screenings or chronic-disease follow-up and draft a prioritized outreach list.

Population Health Management

Drafting incident and root-cause reports

Structure a patient-safety event report into a standard root-cause-analysis format, organizing the timeline and contributing factors from staff notes.

Quality & Patient Safety

Patient

Personal Health Companion & Care Plan

A patient app that explains conditions, tracks meds & symptoms, and coaches a personalized care plan.

Care-PlanMedsCoaching

Care Navigator & Appointment Prep

Find the right care, prep questions for visits, and understand costs & coverage.

NavigationVisit-PrepCost

Remote Monitoring & Chronic Care

Log vitals from home, spot concerning trends, and alert the care team early.

RPMChronicVitals

Explaining lab results in plain language

With connected lab results or health records, explain what each value means in plain language, while pointing you to your clinician for anything that needs medical judgment.

Health Records Access & Portability

Preparing questions before an appointment

Organize your symptoms, history and questions into a short list to bring to your next visit, making the most of limited appointment time.

Care Navigation & Coordination

Spotting patterns across fitness and health data

Connected to Apple Health or Android Health Connect, detect patterns across fitness and health metrics over time and put them in plain language.

Remote Monitoring & Digital Health Engagement

Summarizing personal medical history

With connected health records, summarize your medical history and recent trends, helping you track a chronic condition between appointments.

Chronic Disease Self-Management

Explaining a medical bill or EOB

Walk you through an explanation of benefits or an itemized bill, clarifying what was billed, what insurance covered and what questions to ask billing.

Financial Navigation

Understanding when a symptom needs care

Share general guidance on when a symptom may warrant urgent versus routine care, while directing anything potentially serious to a doctor or emergency services.

Symptom Recognition & Care-Seeking

Pharma / Biotech

Trial Design, Feasibility & Recruitment

Protocol design support, site feasibility, and patient-recruitment matching.

TrialsRecruitmentFeasibility

Pharmacovigilance & Signal Detection

Triage adverse-event reports, detect safety signals, and draft regulatory narratives.

PVSafetySignals

Real-World Evidence & HEOR

Build RWE cohorts, run outcomes analyses, and generate value dossiers for payers.

RWEHEOROutcomes

Medical Affairs & Scientific Content

Literature monitoring, MSL insights capture, and compliant scientific content generation.

Med-AffairsMSLContent

GMP Manufacturing & Batch Compliance

Batch-record review, deviation/CAPA management and GMP compliance monitoring.

GMPCMCCAPA

Real-World Evidence (RWE)

Build an RWE platform that ingests EHR, claims and registry data, standardizes to OMOP, supports cohort building, study design and HEOR/outcomes analytics, and produces FDA/EMA/CDSCO-grade evidence with 21 CFR Part 11 audit trails and privacy controls.

RWD → regulatory-grade evidence

Digital Twin

Build a Digital Twin that unifies patient records, labs, genomics, vitals and wearables into a living model for in-silico trial simulation, synthetic control arms, dose optimization and risk prediction — consent-gated and privacy-preserving.

In-silico patient & trial twins

Drafting clinical trial protocols

Draft a clinical trial protocol that accounts for FDA and NIH requirements and follows your organization's preferred templates, policies and datasets.

Clinical Development

Clinical trial operations

Track indicators like enrollment and site performance from trial data (e.g. Medidata), surfacing issues before they affect a trial's timeline.

Clinical Development

Preparing regulatory submissions

Identify gaps in existing regulatory documents, draft responses to agency queries and navigate FDA guidelines.

Regulatory Affairs

Responding to medical information requests

Draft evidence-referenced responses to unsolicited medical-information requests from HCPs, pulling from PubMed and your approved labeling, for medical review before release.

Medical Affairs

Triaging pharmacovigilance case narratives

Review incoming adverse-event narratives, extract structured codable fields and flag cases that meet expedited reporting criteria for safety-team review.

Pharmacovigilance / Drug Safety

Early-stage target and compound research

Using Open Targets and ChEMBL, identify and prioritize candidate drug targets and surface relevant bioactive compound data during early discovery.

Research & Discovery

Pharmacy

e-Prescribing & Dispensing Workflow

Digitize prescription intake, interaction/allergy checks, dispensing and label generation with an audit trail.

e-RxDispensingSafety

Inventory, Expiry & Cold-Chain Control

Real-time stock, batch/expiry tracking, reorder automation and cold-chain monitoring across the pharmacy.

InventoryExpiryCold-Chain

Medication Therapy Management & Adherence

MTM reviews, adherence packaging, refill reminders and counselling with outcome tracking.

MTMAdherenceCounselling

E-Pharmacy Storefront & Claims

Online catalog, tele-pharmacy consults, home delivery and PBM/insurance claim adjudication.

E-PharmacyTele-RxClaims

Medical Device

Device Post-Market Surveillance

Complaint handling, MDR/adverse-event reporting and field-safety signal tracking.

PMSMDRComplaints

Design Controls & Quality (QMS)

Design history file, risk management (ISO 14971) and QMS document control.

QMSISO-14971DHF

SaMD Performance & Regulatory Pathway

Monitor Software-as-a-Medical-Device performance and map the regulatory submission pathway.

SaMDPerformancePathway

Preparing regulatory submission files

Draft sections of a regulatory submission — device description, predicate comparison, substantial-equivalence rationale — using your design history file and existing templates.

Regulatory Affairs

Managing CAPA documentation

Draft a CAPA record from an initial nonconformance report, structuring the root-cause analysis and proposed corrective actions to your QMS format.

Quality Management System

Triaging complaint reports

Review incoming complaint narratives, classify them against vigilance reportability criteria and draft the initial event description for regulatory filing.

Post-Market Surveillance / Vigilance

Drafting clinical evaluation reports

Assemble a Clinical Evaluation Report, pulling supporting literature from PubMed alongside your PMCF data and risk-benefit analysis, organized to your CER template.

Clinical Affairs

Building payer value dossiers

Draft a reimbursement dossier and CPT/HCPCS coding guide for a new device, pulling clinical evidence and health-economic data into a payer-ready format.

Reimbursement & Health Economics

Drafting field service documentation

Turn a field engineer's notes into structured service reports and a searchable troubleshooting guide for the technical-support team.

Field Service & Technical Support

Regulator / Agency

Submission Intake & Review (IND/NDA/BLA)

Triage regulatory submissions, check completeness, and route for structured review.

SubmissionsRevieweCTD

Pharmacovigilance Signal Oversight

Aggregate adverse-event data, detect population-level safety signals and prioritize action.

SignalsSafetySurveillance

GxP / GMP Inspection & Oversight

Plan risk-based inspections, capture findings, and track corrective actions to closure.

GxPInspectionCAPA

RWE Framework & Post-Approval Monitoring

Assess real-world-evidence submissions and monitor post-approval risk & designation programs.

RWEPost-ApprovalPolicy

Reviewing submission dossiers for completeness

Review an incoming application against the required submission checklist and flag missing sections or inconsistencies before it's assigned for full review.

Premarket Review & Application Assessment

Analyzing adverse event trends

Analyze aggregated adverse-event report data to identify emerging safety signals worth flagging for deeper review.

Post-Market Surveillance

Drafting inspection findings summaries

Convert raw inspection notes into a structured findings report, with clear citations to the relevant regulation.

Manufacturing Inspection

Reviewing promotional material for compliance

Review a draft promotional piece against labeling and advertising regulations, flagging unsupported claims or missing fair-balance language.

Labeling & Advertising Review

Comparing guidance across jurisdictions

Compare a draft guidance document against equivalent requirements in other regions and summarize where they diverge.

Standards Harmonization

Summarizing registry data for public reporting

Draft the plain-language summary of registry or surveillance data intended for a public-facing transparency report.

Data & Registry Management

Diagnostic Lab

Analyzing pathology images

Via a connector like Owkin's Pathology Explorer, analyze tissue images to detect cells and map tumor regions, supporting pathologist review.

Analytical Testing

Drafting result narratives and critical-value notes

Draft the interpretive narrative accompanying a complex result — like a molecular panel — and flag critical values that need immediate physician notification.

Post-Analytical Reporting

Reviewing QC trends for CLIA compliance

Given Levey-Jennings QC data, flag Westgard-rule violations or drift patterns before they affect patient results.

Quality Control & Assurance

Preparing for CAP/CLIA inspections

Review lab SOPs and proficiency-testing records against current CAP checklist requirements, flagging documentation gaps ahead of inspection.

Regulatory & Accreditation

Drafting variant interpretation summaries

Draft a plain-language summary of a genetic result for the ordering clinician, citing ACMG classification and relevant PubMed literature for review.

Genetic Counseling

Checking prior-auth requirements for molecular tests

Check a test order against CMS or payer-specific coverage criteria and draft the documentation needed to support the claim.

Billing & Reimbursement

Clinic

Drafting visit notes and after-visit summaries

Draft a structured note and an easy-to-read after-visit summary from a clinician's encounter shorthand, ready for review before it's added to the chart.

Clinical Care Delivery

Drafting specialist referral letters

Draft a referral letter that pulls the relevant history, medications and reason for referral from the chart, formatted to the receiving specialist's intake requirements.

Referral Management

Checking claims for coding accuracy

Look up ICD-10 codes and flag mismatches between documentation and the codes selected before a claim goes out.

Billing & Revenue Cycle

Drafting patient reminders and follow-up messages

Draft appointment reminders, post-visit follow-ups and recall outreach for overdue preventive care, in the practice's tone and portal format.

Patient Engagement

Preparing for HIPAA and practice audits

Review practice policies and documentation samples against current HIPAA and state requirements, flagging gaps ahead of an audit.

Compliance & Regulatory Affairs

Verifying provider credentials for payer enrollment

Look up NPI registry records to support payer enrollment and credentialing paperwork for a new provider joining the practice.

Credentialing

Government

Public Health Surveillance

Flag early outbreak or adverse-event signals from literature, case reports and health bulletins.

Outbreak & signal detection

Policy Evidence Synthesis

Synthesize peer-reviewed and real-world evidence on a proposed policy or intervention for decision-makers.

Evidence briefs for policymakers

National Program Monitoring

Track outcomes of government health programs (e.g. immunization, TB control) against stated targets.

Scheme outcome tracking

Population Genomics

Analyze population-scale genomic data (e.g. Genome India, national biobanks) to inform screening policy.

National variant/biobank analysis

Research Funding Strategy

Map research volume vs. disease burden to flag underfunded, high-impact areas for grant bodies.

Funding gap mapping

Emergency Preparedness

Model resource needs (beds, therapeutics, vaccines) under different outbreak spread scenarios.

Outbreak scenario planning

Academia

Literature Review

Screen and synthesize literature, flagging consensus, live debate and under-researched gaps.

Systematic review acceleration

Grant Support

Draft citation-backed background/significance sections for grant proposals.

Proposal background drafting

Translational Research

Combine genomics, proteomics and clinical data (TCGA, HPA, STRING) to surface candidate biomarkers.

Multi-omics data integration

Trial Recruitment

Match university patient registries/biobanks against active trial eligibility criteria.

Cohort-to-trial matching

Publication Support

Check that manuscript claims are accurately supported by their cited sources.

Citation verification

Collaboration Discovery

Identify labs publishing on related targets or pathways to support outreach.

Collaborator/lab mapping

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