Announcing Dome Managed Agents.

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AI agents in healthcare

Give your clinicians agents that only see their own patients. Three agents for prior authorizations, visit notes and eligibility checks. The ones clinicians call act as that clinician and read only the charts they can read. Every call lands in one audit record.

Any tool, any model,any use case.

Our example demonstrates three agents for your clinical and revenue-cycle work, pulled from our template library. Our team can work with yours to build, govern, and operate your agents as you deliver on your IT strategy.

Assemble prior authorizations

Pulls the notes, orders and imaging a payer asks for into one authorization packet. A clinician reviews it and submits.

Tools
EpicAvaility
Model
Claude Sonnet 5or any approved provider
Runs
When an order needs authorization
Limits
Acts as the clinicianCannot submitBAA-covered models only

Tuned for your team

  • Payer requirements for your highest-volume commercial plans
  • Packets in the format each payer's portal accepts

Enforce care-team access,PHI handling and sign-off in one place.

Dome sits between the agents and your systems. Every call is checked against rules your team writes before it reaches Epic, Availity or a model.

Acting as

agent note-drafter · acting as dr.hollis
epic/read_chart(patient: "MRN 4471-203")
  1. Agentnote-drafter is registered and active
  2. Callerdr.hollis verified through Entra ID
  3. Toolread_chart is granted on clinical-tools
  4. Ruledr.hollis is on this patient's care team
DecisionAllowed

Show compliance exactlywhich charts an agent opened.

One record for every call: the agent, the clinician it acted for, the system, and the decision. Enable investigations, increase confidence and reduce risk in agentic operations.
Audit · clinical-tools
Events 0Denied 0
0 audit events

Answer HIPAAfor agents the way you do for staff.

Agents that touch PHI answer to the same rules as your workforce. These are the ones they reach, and what the controls above give you for each.
Answer HIPAA
RegulationWhat it asksWhat Dome gives you
HIPAA minimum necessary
What it asks
Uses of PHI are limited to the minimum necessary for the purpose, for an AI agent as for a person.
What Dome gives you
Agents act as the clinician and open only charts where that clinician is on the care team. A guard strips identifiers a note doesn't need.
Business associate agreements
What it asks
Any vendor that handles PHI needs a BAA, AI model providers included.
What Dome gives you
Agents reach only models covered by your BAA. A call to any other model is refused before PHI leaves.
HIPAA Security Rule audit controls
What it asks
Record and examine activity in systems that contain electronic PHI.
What Dome gives you
Every agent call is recorded with the agent, the clinician it acted for, the system and the decision, refused calls included.
CMS prior authorization rule (CMS-0057-F)
What it asks
Payers must decide prior authorizations within 72 hours for urgent requests and 7 days for standard ones, from 2026.
What Dome gives you
The prior auth agent assembles the request from the chart and can't submit it. A clinician reviews and sends.

Common questionsabout agents in healthcare.

Do AI agents need a BAA?
The vendor that processes PHI does, which for agents usually means the model provider. Dome routes agent calls only to models on your BAA and refuses the rest.
How do you enforce minimum necessary for AI agents?
Scope access to the person the agent acts for, then strip what the task doesn't need. Dome checks care-team membership on each call and redacts identifiers before the model call.
Can AI submit prior authorizations?
It can assemble one. On this setup the agent drafts from the chart, a clinician submits, and the agent's submit call is refused.
How do I audit AI agent access to PHI?
Put the agents behind one gateway. Every call is recorded with the agent, the clinician it acted for, the system and the decision.
How are AI agents being used in healthcare?
Prior authorizations, visit notes and eligibility checks are common first agents. Each works inside the chart access its clinician already has.

Spend 30 minuteswith our FDE team.

See the platform and how it fits your needs. Our FDE team can get your first agent under management and work with your platform team to deliver results for your AI program.

Key topics to discuss:

  • Review your AI plans, progress to date, and timeline for agentic projects in production.
  • Planning a specific agent, or agentic app, to bring under governance.
  • Learning more about our platform capabilities, from gateways to routing.
  • Defining agentic operations as repeatable golden pathways for Platform and AppDev teams.

Other industriesDome works in.

All industries

AI agents for financial services

KYC reviews, client servicing and SAR narratives. Approvals, money movement and filings stay with your people.

  • Review onboarding documents

    Checks identity and entity documents against your CDD requirements, runs sanctions screening and writes the KYC summary. An analyst approves.

  • Answer client requests

    Reads the client's accounts and open cases and drafts the reply to a servicing request. It never moves money or changes an account.

  • Draft SAR narratives

    Pulls the alert history and transactions for a case and drafts the SAR narrative. An investigator edits it and files.

Answers to

GLBA Safeguards RuleBSA/AML and the FinCEN CDD RuleNYDFS Part 500Regulation E (EFTA)CFPB UDAAPInteragency third-party risk guidanceECOA and Regulation BFCRA+10 more

AI agents for gaming and sports betting

Player support, responsible gaming review and bonus setup. Self-exclusions and limits stay out of an agent's reach.

  • Answer player questions

    Looks up a player's account, bets and withdrawal status so a specialist can answer fast. It reads. Balances and limits stay with people.

  • Review responsible gaming signals

    Reviews players flagged for risky play and drafts case notes for the responsible gaming team. It never changes a limit.

  • Configure bonuses

    Sets up deposit matches and free bets from a campaign brief, up to the cap you set. Self-excluded players are never targeted.

Answers to

State gaming regulationsBank Secrecy Act (FinCEN casino rules)Age, identity and location checks

AI agents for insurance claims

Claim intake, file summaries and fraud screening. Agents read only the claims assigned to their adjuster.

  • Triage new claims

    Reads each first notice of loss, sets severity and line of business, and routes it to the right adjuster queue. It flags. It never settles.

  • Summarize claim files

    Summarizes medical records, police reports and correspondence in a claim file for the assigned adjuster. Only claims that adjuster handles.

  • Screen claims for fraud signals

    Checks each open claim against prior claims history and flags patterns for the special investigations unit. It never denies a claim.

Answers to

NAIC Model Bulletin on AI SystemsUnfair claims settlement practices lawsInsurance data security laws

AI agents for professional services firms

Proposals, staffing and engagement status. Each agent sees only the engagements its consultant works on.

  • Draft proposals

    Reads an RFP and drafts a response from the firm's reuse library. Client names in past work are stripped before the model sees them.

  • Match staff to engagements

    Matches skills and availability to a new engagement's roles and proposes a team. Resource managers make the assignments.

  • Report engagement status

    Reads the project plan and engagement files and drafts the weekly status report. It sees only engagements its consultant is on.

Answers to

Client confidentiality termsAICPA Confidential Client Information RuleSOC 2GDPR and state privacy laws

AI agents for retail

Order lookups, replenishment and product copy. Refunds, orders and publishing stay with your people.

  • Answer order questions

    Looks up orders, shipments and returns so an associate can answer a customer fast. It reads. Refunds stay with the associate.

  • Plan replenishment

    Forecasts demand by store and drafts purchase orders against par levels. Buyers review them and send them.

  • Write product copy

    Writes product titles and descriptions from supplier data, in your voice, and saves them as drafts. Merchandisers publish.

Answers to

PCI DSS v4.0.1State privacy laws (CCPA/CPRA)SOX internal controlsFTC Act, Section 5Antitrust and algorithmic pricingPredictive scheduling lawsRouting guides and carrier contracts

AI agents for software companies

Escalation triage, incident summaries and release notes. Agents read code and incidents. Shipping stays with engineers.

  • Triage engineering escalations

    Reads an escalated ticket and the code it points to, drafts a diagnosis and sets priority. Fixes stay with the engineer.

  • Summarize incidents

    Follows an incident's timeline and recent deploys, drafts status updates and a first postmortem. It never acknowledges, pages or resolves.

  • Draft release notes

    Reads the pull requests merged since the last release and drafts customer-facing notes. The release stays a draft until an engineer publishes it.

Answers to

SOC 2ISO/IEC 42001EU AI ActState privacy laws (CCPA/CPRA)

Governance at theagent‑action boundary.

However an agent was built and wherever it runs, the same three boundaries are available to control it: the code it ships as, the tools it calls, and the model it reasons through.

Agent Registry

Make every agent known and manageable. Credentials issued, capabilities declared, lifecycle owned.

MCP Gateway

Evaluate every call against policy with full context. Allow, deny, or escalate. Filter what comes back.

Model Broker

Constrain how the agent reasons. Selection by policy, routing across providers, evals against real traffic.