RISA Labs: Revolutionizing Oncology Workflow Automation

RISA Labs is an innovative AI-powered workflow automation platform designed specifically for the oncology field, streamlining complex administrative and clinical processes to eliminate treatment delays. Built with cutting-edge technology including a Gen AI multi-agent system, LLMs, RPA, and a dynamic rules engine, it supports a wide range of oncology sub-specialties such as Medical, Surgical, Radiation, Hematology, Urology, Neuro, and Gynecology Oncology. The platform automates critical workflows like Eligibility & Benefits Verification, Medical Necessity Determination, Prior Authorization (including Pharmacy, Medical, Radiology, and Radiation Oncology), Denial Management & Appeals, Claims Submission, Payment Posting, and Clinical Decision Support. With seamless integration across over 90 EHRs, 50+ HIEs & HINs, and advanced data normalization capabilities—handling HL7®v2/DICOM®, X12, CDA/XML, and JSON formats and transforming them into HL7®/FHIR®—RISA Labs ensures interoperability and data accuracy. It further enhances reliability by collaborating with industry leaders Availity, MCG, and Interqual for up-to-date clinical guidelines and clearinghouse connectivity. Human experts remain involved to review AI outputs and manage complex cases, combining automation precision with clinical oversight. Ideal for health plans and providers seeking efficiency, accuracy, and faster patient care delivery.

Key Features:

• AI-driven multi-agent system architecture
• Generative AI and Large Language Models (LLMs)
• Robotic Process Automation (RPA)
• Dynamic rules engine for adaptive workflows
• Support for multiple oncology sub-specialties
• Automated Eligibility & Benefits Verification
• Patient Financial Responsibility Calculation
• Medical Necessity Determination
• Pharmacy, Medical, Radiology, and Radiation Oncology Prior Authorization
• Clinical Decision Support
• Denial Management & Appeals automation
• Claims Submission & Management
• Payment Posting & Reconciliation
• Integration with 90+ EHRs and 50+ HIEs/HINs
• Normalized data ingestion across disparate systems
• Legacy standard transformation (HL7®v2/DICOM®, X12, CDA/XML, JSON → HL7®/FHIR®)
• Collaboration with Availity, MCG, and Interqual for real-time guideline updates
• Human-in-the-loop oversight for complex cases

Pricing: RISA Labs operates on a subscription-based model, tailored to meet the needs of health plans and providers, with pricing available upon request.

Conclusion: RISA Labs is a transformative force in oncology care delivery, combining intelligent automation with expert validation to accelerate workflows, reduce administrative burden, and improve patient outcomes—making it an essential tool for modern healthcare providers and health plans.