Mandolin

Payers are reached through their portals, by outbound phone calls and by fax, and referral data goes into the customer's EHR. No APIs or integrations are required, and there is no connector catalogue, list of supported EHRs or way to add tools. The agents reach those systems by logging in and working their screens the way staff do, which is how one national infusion group now moves 250 documents a day into its EHR in under two hours each, against up to three days before.

Sourcemandolin.comread 2026-10-09

One patient moves through a chain of stages run by the agents: intake and onboarding into the EHR, a full benefits investigation, the patient's out of pocket estimate, medical policy review against the chart, prior authorization submission, then claim status checks, remit interpretation and appeals. Mandolin calls the layer underneath its Agentic Operating System and says it keeps one context across structured records, clinical notes, imaging and payer policy so each decision draws on the same picture of the patient.

Sourcemandolin.comread 2026-10-09

Before submitting, the agents compare each payer's medical policy requirements with the patient's chart, weaving structured records, clinical notes, imaging and medical literature into one workflow. Policy review runs case by case, without a standing payer policy library offered to customers. Mandolin's own writing on the subject, by a former infusion operations leader, recommends tracking each payer's live policy pages rather than saved PDFs, because payer policies change once or twice a year, often by tightening details such as a lab draw window.

Sourcemandolin.comread 2026-10-09

Strict safety checks with human oversight guard every action, by Mandolin's account, and customers describe staff refocused on complex cases while the agents take routine ones, as when a national infusion group moved 13 outsourced roles onto exceptions. There is no approval queue or setting that lets a clinic hold a submission before it goes out, so oversight rests on Mandolin's own checks.

Sourcemandolin.com/post/40-million-to-obliterate-specialty-drug-paperworkread 2026-10-09

Mandolin keeps its security documentation in a gated trust center at trust.mandolin.com, so its certifications and access controls are not visible from outside. The product site itself commits only to the agents acting in line with payer requirements and healthcare regulations.

Sourcetrust.mandolin.comread 2026-10-09

Every action the agents take is logged and traceable, and Mandolin positions each as transparent, auditable and aligned with payer requirements and healthcare regulations. Where that log lives, what it records and whether a clinic can open and search it are unclear.

Sourcemandolin.comread 2026-10-09

Mandolin keeps a universal context across each patient's journey, so intake, benefits and authorization work draw on the same picture of the patient. There is no memory store with its own scope or lifetime beyond that, and the records the agents work from are the customer's own EHR and payer data.

Sourcemandolin.com/post/40-million-to-obliterate-specialty-drug-paperworkread 2026-10-09

The service is hosted, and its agents log into the customer's existing systems from there. No hosting provider or region, region choice or option to run inside the customer's environment is named.

Sourcemandolin.comread 2026-10-09

The whole specialty drug lifecycle is sold as one AI back office, with intake, benefits, cost estimates, policy review, authorization and claims as its stages. There are no separately sold agents, templates or library for a customer to pick from, so a buyer takes on the full workflow rather than a single task.

Sourcemandolin.comread 2026-10-09

Work begins as documents arrive. Referral forms, lab reports and clinical notes are read and acted on in whatever format they come, and a specialty pharmacy customer reports new prescriptions now processed in real time with no backlog. After submission, claim status is checked automatically through portal checks or payer calls, with remits interpreted as they return.

Sourcemandolin.comread 2026-10-09

The agents draw on the latest advances in vision, language and multimodal reasoning, according to the company, but the models themselves are undisclosed. Customers get no choice of model.

Sourcemandolin.com/post/40-million-to-obliterate-specialty-drug-paperworkread 2026-10-09

Mandolin is built to need no APIs or integrations on the customer's side, and it has no public API, SDK or MCP server of its own for customers or partners to build on.

Sourcemandolin.comread 2026-10-09

Customer results carry the case for the agents, such as intake falling from 20 minutes to 3 minutes a document and a top 20 specialty pharmacy clearing a four day prescription backlog. There is no evaluation harness, test set or accuracy measure a customer can run against the agents before or after a change.

Sourcemandolin.comread 2026-10-09

The agents log into the clinic's EHR and payers' portals and work them like a staff member, with no API or EHR integration behind them. Mandolin describes them as software that can reason, click, call and follow up: navigating payer portals for eligibility, entering referral data into the EHR and submitting prior authorizations through portals.

Sourcemandolin.comread 2026-10-09