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Diagrid
Built for hospitals and ambulatory care · Diagrid agent governance · HIPAA-ready by design

Agentic clinical workflows.

Diagrid gives provider engineering teams the identity, policy, durability, and cost control to run AI agents in production without breaking compliance.

No credit card required · HIPAA, SOC 2, and ISO 27001 environments

High-impact agent workflows

Patient TriageDenial ReworksEquipment TrackingCare ManagementContact CenterPrior Auth Submission

The reality

We Know Your Pain

01

Agents that touch PHI without an audit trail

Compliance asked which agent accessed which chart, when, and why. The application logs gave us five different answers in three different formats.

Clinical agents pull from charts, lab systems, imaging, and scheduling. Without per-agent identity and per-call audit logs, every PHI access question turns into a forensic exercise that compliance teams cannot afford to run on every audit.

02

Workflows that fail mid-clinical-process

The triage workflow timed out calling the EHR. The patient sat in queue while the workflow restarted from zero and called the same APIs again. Care got delayed.

A failed downstream call in a triage, denial rework, or care coordination workflow is a clinical quality issue, not a backend issue. A patient is waiting. A care gap is opening. Restarting from zero is not acceptable.

03

LLM costs that scale with patient volume

Our denial rework agent runs the same payer policy queries thousands of times a week. The cost trajectory does not pencil at our patient volume.

Repeated semantic queries against unchanged payer policies, clinical guidelines, and protocol documents waste LLM spend. Without semantic caching at the data plane, every patient case pays the full provider call.

Workflows

High-impact agent workflows for providers

The workflows where agentic AI helps clinical staff work at the top of their licenses share the same shape: stage-gated, multi-step, branching, frequent. Catalyst is built to govern exactly this shape.

Patient Triage

Triage agents that do the prep work before a clinician picks up

Specialized agents stage eligibility, surface clinical context, identify intent, and pre-draft outbound communications before a human takes the call. Catalyst gives every agent a verifiable identity and enforces which patient data sources each can access.

eligibility checkclinical contextintent detectclinician handoff

Denial Reworks

Detect, research, draft loops with human approval gates

A categorization agent classifies the denial, a research agent retrieves payer policy and supporting clinical evidence, a drafting agent assembles the appeal package. Every step is durable. Final submission requires a human approval gate that Catalyst makes explicit and auditable.

categorizeresearchdraft appealhuman approval

Equipment Tracking

Real-time agents that prevent clinician delay from missing equipment

Agents combine signals from sensors, RFID, and clinical scheduling to maintain a real-time view of where medical devices and equipment are in the hospital. Catalyst's resilient pub/sub guarantees event delivery, so a sensor blip never leads to a lost device or a delayed procedure.

sensor eventslocation agentavailability agentnotify clinician

Care Management

Clinical review agents that don't drop patients between handoffs

Agents structure clinical data, summarize patient histories, recommend interventions, and route to a care manager based on confidence. The Workflow API checkpoints state at every step, so a care plan never gets lost when a downstream service times out.

data extractionhistory summaryintervention reccare manager review

Contact Center

Patient service agents that initiate the right downstream workflow

Note-taking, patient identification across systems, scheduling triage, and grievance routing. Instead of siloed copilots that humans must stitch together, Catalyst lets one agent kick off the next workflow with full audit trail across the handoff.

call notespatient identifyscheduling intentworkflow initiate

Prior Auth Submission

Provider-side prior auth agents that submit clean packages

Agents structure clinical documentation, retrieve payer-specific requirements, assemble submission packages, and track status. Catalyst enforces which payer connectors and which patient data each agent can access, and Workflow API ensures resubmissions never duplicate.

clinical doc structuringpayer requirement matchpackage assemblyclinician sign-off

The answer

How Diagrid Helps

01

Identity and policy for every agent and tool

Cryptographic IdentityPer-Tool PolicyZero-TrustNo Shadow Agents

Every triage agent, denial rework agent, and care coordination agent gets a verifiable identity. Policies define which EHR systems, lab feeds, scheduling services, and payer tools each agent can access. Shadow agents touching PHI without authorization stop being a category of incident.

02

Durable execution across every step

Workflow APICheckpointed StateCompensating ActionsNo Lost Patients

Multi-step triage, denial rework, and care coordination runs survive timeouts, EHR rate limits, and downstream failures. The Workflow API checkpoints state at every step. A run that fails at step five resumes from step five, not from zero. Patient cases never get silently dropped or duplicated.

03

Cost control at the data plane

Semantic CacheAvoid Provider CallsCross-ProviderUp to 70% Reduction

Repeated semantic queries against the same payer policies, clinical guidelines, and protocol documents get cached at the data plane and never hit the provider. Unlike API gateway caching that still pays for the call and expires in 24 hours, Catalyst's semantic cache works across providers and has no time limit, with documented LLM spend reductions of up to 70%.

04

Audit trail that satisfies HIPAA and clinicians

Per-Agent LogsSIEM ExportTool Call HistoryEvidence on Demand

Every agent invocation, every PHI access, every retrieval, every clinical recommendation is logged with agent identity and timestamp. When compliance asks which agent accessed which chart and clinicians ask why an agent made a particular recommendation, the answer is one query away, exportable to Splunk or any SIEM.

Bring the focus back to the patient

Workforce shortages are real. Agentic workflows offload the multistep work that does not require clinical judgment, but only if the infrastructure underneath them is governed, durable, and auditable.

Without Diagrid

  • Agents calling charts, labs, imaging, and scheduling without consistent identity, policy, or rate limits, and no way to see who accessed what PHI
  • Triage and care coordination workflows that restart from zero on a single EHR timeout, sometimes duplicating outreach and sometimes silently losing patients
  • LLM spend that scales with patient volume because the same payer policy queries run thousands of times a week with no cache
  • Each agent framework reinventing identity, retry, observability, and policy enforcement, leaving every new clinical agent as a one-off integration project
  • No unified audit trail across agent decisions, PHI access events, and human handoffs, making every HIPAA audit a multi-day reconstruction effort

With Diagrid

  • Cryptographic identity for every agent, policy enforcement on every tool call, and centralized governance that platform and security teams configure once
  • Durable Workflow API checkpoints every step, so triage and care coordination resume exactly where they failed and patient cases are never lost or duplicated
  • Semantic caching at the data plane that avoids the provider call entirely, works across providers, and reduces LLM spend by up to 70%
  • Three lines of code makes any agent framework durable, including Microsoft Agent Framework, with identity and policy enforced without application code
  • Immutable audit logs covering every agent invocation, PHI access, and human handoff, exportable to Splunk or any SIEM, ready for any HIPAA audit

We have Compliance Covered

Compliant

HIPAA

Privacy & Security

Compliant

PCI DSS

Standard

Compliant

SOC 2

Type II

Frequently asked questions

Common questions from platform engineers, clinical informaticists, and VPs of operations at hospitals and health systems evaluating Catalyst for agentic workflows.

Ready to Move Provider Agents Into Production?

Talk to our team about how Diagrid Catalyst can help you govern, run, and audit multi-step agent workflows across triage, denial reworks, and care management.