Platform | Workflow & Outcomes Engine
A living system that learns from every decision.
Praxis delivers AI-powered workflow modules that automate end-to-end processes with domain-specific agents, human oversight at every decision point, and continuous learning from every transaction and outcome.
Most enterprise AI generates insights and stops there. Praxis takes the next step: executing the workflow, coordinating the agents and people involved, capturing the decision, and getting smarter from the result. Every Praxis module runs a complete sense-think-act-learn cycle — not just the first three steps.
- 60-80%Automation of admin tasks
- 40-70%Task turnaround reduction
- 25-50%Efficiency lift
- +10-20 ptNPS improvements
Why Praxis Exists
Execution without learning is just expensive automation.
The healthcare industry has invested heavily in AI that generates insights. Risk scores. Care gap flags. Authorization recommendations. But most of those insights still require a human to pick them up, route them, act on them, and document the outcome.
The result: the workflow completes, but the system doesn't remember what happened. The next case starts from zero.
Praxis closes this loop. Every workflow module is built on a four-part cycle:
What Makes Praxis Different
A living system that learns from every decision
Traditional AI and ontology-driven platforms attempt to define the enterprise upfront — building structured representations of entities and relationships before action begins. But real-world operations are dynamic, fragmented, and constantly evolving. Praxis flips this model. Instead of modeling first, we orchestrate workflows in real time and learn from execution. Every interaction, exception, and outcome feeds back into the system, creating a living system graph that reflects how work actually happens — not how it was designed.
Most platforms focus on tracking data — where it came from, how it moved, and how it changed. But in complex operations, data alone is not enough. Praxis captures decision lineage: why decisions were made, what context informed them, who (or what agent) made them, and what outcomes they produced. This creates a causal layer of intelligence that makes AI not just explainable, but continuously improvable — enabling trust, governance, and better decisions over time.
Generic AI models are trained on static datasets or external corpora, limiting their relevance to real-world enterprise operations. Praxis builds a proprietary training surface from live workflows — learning from millions of transactions, interventions, and outcomes across the system. This creates domain-grounded intelligence that improves with usage, forming a data flywheel where every interaction strengthens the system's ability to drive better results.
Traditional automation focuses on individual tasks or steps, often resulting in fragmented improvements without systemic impact. Praxis introduces a new layer where workflows are transformed into reusable, outcome-driven modules. Each Praxis module combines agents, rules, clinical data, and human-in-the-loop coordination into a cohesive unit of execution. This is not automation — it is applied intelligence at scale, enabling consistent, repeatable outcomes across complex processes.
Most enterprise transformations end at deployment, leaving organizations with new tools but unchanged ways of working. Praxis drives Praxification — the continuous redesign and embedding of intelligent workflows into operations. By aligning orchestration, execution, and outcomes, Praxification ensures that transformation is not a one-time event, but an ongoing capability where systems evolve, improve, and scale with the business.
Praxis Inventory
Every workflow. Purpose-built. End to end. Praxis modules span the full managed care and provider operations stack — from the moment a request arrives to the outcome that closes the loop.
Payer Praxis
For health plans, managed care organizations, and TPAs
Utilization Management Praxis
Real-time prior authorization from multi-channel intake to determination — with AI-driven clinical review, guideline evaluation, and full decision lineage.
Care Management Praxis
End-to-end care program execution — risk stratification, assessment, care planning, next-best-action, member engagement, and quality gap closure in a unified workflow.
Claims Praxis
AI-native claims lifecycle — from intake and extraction through adjudication, integrity review, FWA detection, and closed-loop insights back to UM policy.
Eligibility & Benefits Praxis
Real-time eligibility validation and benefits verification — at intake, at point of care, and at every downstream step that depends on coverage accuracy.
Quality Gap Closure Praxis Expanding 2026
HEDIS and Stars gap identification, next-best-action recommendations, intervention tracking, and attribution of care management activities to quality outcomes.
Provider Intelligence Praxis Expanding 2026
Provider data lifecycle management — credentialing, directory accuracy, network analytics, and performance reporting that feeds UM, claims, and network strategy.
Provider Praxis
For health systems, physician groups, ACOS, and IDNS
Clinical Encounter Praxis
Ambient scribing, structured documentation, and AI-assisted coding — from pre-visit data assembly through provider review and submission-ready output.
Prior Authorization Coordination Praxis
Provider-side PA workflow — authorization requirement identification, clinical documentation packaging, submission, tracking, RFI response, and appeals management.
Care Gap Closure Praxis Expanding 2026
HEDIS and Stars gap alerts surfaced at the point of care — with next-best-action recommendations integrated directly into provider workflows for real-time closure.
Care Management Activation Praxis Expanding 2026
Patient enrollment into structured care programs, care plan initiation, cross-team coordination, referral management, and longitudinal monitoring for high-risk patients.
Revenue Cycle Management Praxis Expanding 2026
Clinical documentation to clean claim — charge capture, coding accuracy, pre-submission scrubbing, denial prevention, payment reconciliation, and closed-loop CDI.
Horizontal Enablers
Cross-Domain Praxis — Applicable Across Verticals
AI Contact Center Praxis
Intelligent member and provider servicing — AI-assisted intake, routing, resolution, and follow-up across voice, chat, and portal channels.
IT Service Management Praxis
Agentic ITSM — automated ticket intake, triage, escalation, resolution tracking, and knowledge base grounding for enterprise IT operations.
Technical Debt Management Praxis
Automated identification, prioritization, and remediation workflows for legacy system technical debt — accelerating modernization without manual audit overhead.
How it Works Together
Praxis defines the work. Symphony governs how it runs.
Each Praxis module sits on top of two things: the TruCare Digital Core, which provides the enterprise data and systems of record that ground every workflow; and Zyter Symphony, the AI orchestration control plane that executes each Praxis across agents, systems, and people in real time.
Together, they form the system that doesn't just run your workflows — it continuously improves them.
Praxification
The process by which workflows are continuously redesigned, embedded, and improved — not a one-time implementation
Zyter Symphony
The AI orchestration control plane that executes every Praxis in real time, with full governance and decision lineage
TruCare Digital Core
The enterprise foundation: TruCare PHM for managed care, or seamless integration with your existing EHR, claims, and RCM systems
Thought Leadership
