Azure reference architectureAutomated patient intake and eligibility checks
A Azure reference architecture for automated patient intake and eligibility checks in Healthcare. Triggered by new patient form submitted (portal, fax, or referral), Padiso orchestrates 3 specialist agents on Azure AI Foundry, reaching ehr (epic / cerner) and your tools through the Model Context Protocol, with budgets, approvals and an audit trail throughout.
AzureRuntime: Azure AI FoundryTrigger
New patient form submitted (portal, fax, or referral)
Healthcare
Orchestration
Padiso Orchestrator
goals · tasks · heartbeat
Governance
budgets · approvals · audit
Runtime & agents
Agent runtime
Azure AI Foundry
Intake coordinator
agent
Claims & billing agent
agent
Scheduling agent
agent
Integrations · MCP
MCP gateway
Your systems
EHR (Epic / Cerner)
Payer eligibility (X12 270/271)
Document store
How the data flows
Trigger: New patient form submitted (portal, fax, or referral)
- 1
Intake agent parses the form and structures demographics and insurance into your schema
- 2
Eligibility agent sends an X12 270 to the payer and reconciles the 271 response
- 3
Records agent writes the verified patient and coverage into the EHR, flagging gaps
- 4
Any coverage mismatch is held for staff approval before the chart is finalized
Agent team
- Intake coordinator
- Claims & billing agent
- Scheduling agent
Integrations
Reached through the Model Context Protocol, scoped and governed.
Runtime & data
Azure AI Foundry
EHR (Epic / Cerner)
Payer eligibility (X12 270/271)
Document store
Security & operational considerations
- PHI stays in your environment; only minimum-necessary fields leave it
- HIPAA audit trail on every read and write
- Human approval before chart finalization
Azure deployment
Deployed in your Azure tenant on AI Foundry, with Entra ID scoping, Private Endpoints into your VNet, and Azure Monitor for audit and observability.
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