NEWHIP One Medical Necessity Agent is live on Microsoft Marketplace — the same medical-necessity reasoning running in CMS Medicare via WISeR.See the agent →
Healthcare provider in NJ submitting a Medicare PA?Provider Portal
WISeR · live since Jan 2026 · 25K+ auths cumulative
Mapped to your operating model — and already live across it.
Three production capability arcs for payers. Three for providers. A sovereign reference deployment for government. All on the same platforms, all buyable three ways.
For payers
Three production capability arcs. One HIP One platform.
Intake, routing, and duplicate detection at production volume.
Utilization Management & Claims Review
UM and complex claims on the same clinical substrate.
The 2026 AI PA vendor landscape — payer summary
We coexist with your existing partners — platform, single agents, or Aether One™ Sovereign. See how the AI PA vendors actually compare in our published 2026 vendor landscape.
For providers
Engagement, referrals, intake.
Patient Engagement
PES One across voice, digital, and mobile — 16 health systems live.
Referral Management
A Healthcare Brain capability delivered today by the Healthcare FDE team as a custom solution.
Patient Intake & Orchestration
Digital intake wired to insurance verification and scheduling.
For government programs
Three things only the right architecture gives you.
The brain stays in your perimeter
Tier 3 sovereign deployment — weights, knowledge, decisions inside.
Audit packets are build artifacts
Compliance evidence generated by the pipeline, not scrambled for.
Architectural, not policy
No-auto-deny and audit trails enforced by structure.
Where else government can deploy: other MAC service categories, outcome-aligned payment infrastructure, sovereign UM & PA, high-security health systems.
The reference deployment
WISeR: a six-year CMS innovation model, in production since January 2026.
One platform, four surfaces, end to end: submission & status, intake & routing, medical review, CMS connectivity. 25K+ authorizations cumulative · 12,609 in Q1 2026 (CMS-audited) · 100% three-day TAT · zero auto-denials. The provider-facing WISeR Portal serves 1M+ Medicare beneficiaries in New Jersey (MAC JL, Novitas).
