Azure OpenAI Decisions API: Now generally available in Microsoft Foundry
AI applications and agents do more than generate content. They constantly make decisions about what should happen next. Which model should handle this request? Is a customer issue urgent? Did an agent’s output meet the required criteria? Should a workflow continue, try another approach, or involve a person? As agents become more sophisticated, these decisions can happen hundreds or even thousands of times across a workflow, and not every one of them requires a full generative response. On October 22, we brought the OpenAI Decisions API to Microsoft Foundry, giving developers a purpose-built way to make fast, focused decisions across AI applications and agentic workflows. The Decisions API evaluates text, images, and structured inputs and turns them into actionable choices, probabilities, and scores. It brings intelligence directly into the control flow of an application, helping developers determine what should happen next without relying on traditional generative inference for every step. This represents an important evolution in how models can be used within AI systems. Sometimes you need a model to create. Sometimes you need it to reason deeply across a complex problem. And sometimes, the most valuable thing a model can do is make a focused decision that helps the rest of the system move forward. Decision-making is becoming a core part of agentic applications Consider an AI customer service agent handling an incoming request. Before it generates a response, the application may need to understand what the customer is asking about, determine how urgent the issue is, identify which model or tool is best suited to handle it, and decide whether specialized expertise is required. Once a response has been generated, the application may need to evaluate it again, determining whether it adequately addressed the customer's issue, met the application's requirements, or should be escalated for human review. For an agentic workflow, that distinction can be significant. Before work begins, an application can evaluate an incoming request and route it to the right model or tool. During execution, an agent can assess possible actions and choose the appropriate next step. After another model completes a task, the application can evaluate the output against defined criteria and decide whether to continue, retry, take a different path, or bring a person into the workflow. Before work begins: Evaluate an incoming request and route it to the right model or tool. During execution: Assess possible actions and choose the appropriate next step. After a task completes: Evaluate the output against defined criteria and decide whether to continue, retry, take a different path, or bring a person into the workflow. These decisions may be small individually, but collectively they shape how an agent behaves. Giving developers a model designed specifically for these moments creates an opportunity to build systems that can make these choices efficiently while reserving more computationally intensive reasoning and generation for the parts of the experience that need them. Turn inputs into decisions your application can use The Decisions API gives developers a dedicated endpoint for evaluating inputs against questions they define. Each question supports one of three focused outcomes: a probability, a choice from a predefined set of options, or a score against a defined rubric. Instead of parsing generated text to determine what a model meant, application code can work with defined values designed to inform what happens next. Probability: Determine whether a condition is true and return a confidence value. Multiple choice: Select from a predefined set of options. Rubric scoring: Score an input against defined criteria. Instead of parsing generated text to determine what a model meant, application code can work with defined values designed to inform what happens next. Use the right model for the right moment What makes this especially powerful is the impact on real-world agentic applications. As agents become more sophisticated, they make hundreds or even thousands of decisions across workflows. The latency and cost of each decision can quickly compound. With the Decisions API, developers can bring intelligence directly into these critical decision points, from dynamically routing requests and prioritizing customer issues to evaluating agent outputs and deciding when human intervention is needed. This is an important shift from using AI primarily to generate content toward using AI to drive responsive, efficient, and intelligent systems. For developers, the opportunity isn't simply to build agents capable of doing more. It's to make those agents faster, more cost-efficient, and practical to operate at enterprise scale. That could mean routing a request to the appropriate model rather than automatically using a larger model, prioritizing customer issues before an agent begins working on them, or evaluating an agent's output before deciding whether a workflow can continue autonomously. In each of these cases, the model isn't responsible for producing the final experience. It's helping the application intelligently decide how that experience should unfold. Building AI systems that can decide what comes next The broader shift here is from thinking about AI primarily as something that generates an answer to thinking about intelligence as something that can be embedded throughout an application. Generative models remain essential for creating, reasoning, and interacting with users, but increasingly sophisticated agents also need intelligence between those moments to continuously determine what to do next. Developers can use it alongside other models to create workflows where reasoning, generation, evaluation, routing, and decision-making each happen where they make the most sense. As those workflows become longer and more autonomous, having a focused way to make the many smaller decisions along the way can become just as important as the models performing the largest tasks. Get started with the Decisions API For developers, the Decisions API is available through a dedicated /openai/v1/decisions endpoint on an Azure OpenAI resource and is available with GPT-6 Luna. Developers can call the endpoint using OpenAI SDKs or REST, pass their GPT-6 Luna deployment name in the model field, and authenticate using an API key or Microsoft Entra ID. Learn more about the Decisions API → Learn how it works here. Try the Decisions API in Microsoft Foundry → https://ai.azure.com As we continue expanding the models and capabilities available through Microsoft Foundry, I'm particularly excited about what this unlocks for developers building the next generation of AI applications. The opportunity isn't simply to give agents access to increasingly capable models. It's to build systems that can apply the right intelligence at the right moment, from the complex reasoning and generation that users see to the many decisions happening behind the scenes. The next generation of AI applications won't just be defined by how well they generate. They'll also be defined by how intelligently and efficiently they decide what to do next. Pricing (per 1M tokens) Decision API supported model Input Output Cached input 30-minute cached write GPT-6 Luna $0.10 N/A $0.01 $0.125 Start building with the Azure OpenAI Decisions API in Microsoft Foundry today to bring reliable, structured decision-making to your apps and agents.How to make AI responses faster on Microsoft Foundry: lessons from 2,040 measurements
A reproducible Microsoft Foundry performance study covering prompt caching, multimodal input, tool orchestration, MCP lifecycle, Toolbox tool search, and Priority Processing - with correctness and reliability measured alongside latency.Choosing a real-time voice architecture on Microsoft Foundry: three enterprise patterns
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Three tiers of Agentic AI - and when to use none of them
Every enterprise has an AI agent. Almost none of them work in production. Walk into any enterprise technology review right now and you will find the same thing. Pilots running. Demos recorded. Steering committees impressed. And somewhere in the background, a quiet acknowledgment that the thing does not actually work at scale yet. OutSystems surveyed nearly 1,900 global IT leaders and found that 96% of organizations are already running AI agents in some capacity. Yet only one in nine has those agents operating in production at scale. The experiments are everywhere. The production systems are not. That gap is not a capability problem. The infrastructure has matured. Tool calling is standard across all major models. Frameworks like LangGraph, CrewAI, and Microsoft Agent Framework abstract orchestration logic. Model Context Protocol standardizes how agents access external tools and data sources. Google's Agent-to-Agent protocol now under Linux Foundation governance with over 50 enterprise technology partners including Salesforce, SAP, ServiceNow, and Workday standardizes how agents coordinate with each other. The protocols are in place. The frameworks are production ready. The gap is a selection and governance problem. Teams are building agents on problems that do not need them. Choosing the wrong tier for the ones that do. And treating governance as a compliance checkbox to add after launch, rather than an architectural input to design in from the start. The same OutSystems research found that 94% of organizations are concerned that AI sprawl is increasing complexity, technical debt, and security risk and only 12% have a centralized approach to managing it. Teams are deploying agents the way shadow IT spread through enterprises a decade ago: fast, fragmented, and without a shared definition of what production-ready actually means. I've built agentic systems across enterprise clients in logistics, retail, and B2B services. The failures I keep seeing are not technology failures. They are architecture and judgment failures problems that existed before the first line of code was written, in the conversation where nobody asked the prior question. This article is the framework I use before any platform conversation starts. What has genuinely shifted in the agentic landscape Three changes are shaping how enterprise agent architecture should be designed today and they are not incremental improvements on what existed before. The first is the move from single agents to multi-agent systems. Databricks' State of AI Agents report drawing on data from over 20,000 organizations, including more than 60% of the Fortune 500 found that multi-agent workflows on their platform grew 327% in just four months. This is not experimentation. It is production architecture shifting. A single agent handling everything routing, retrieval, reasoning, execution is being replaced by specialized agents coordinating through defined interfaces. A financial organization, for example, might run separate agents for intent classification, document retrieval, and compliance checking each narrow in scope, each connected to the next through a standardized protocol rather than tightly coupled code. The second is protocol standardization. MCP handles vertical connectivity how agents access tools, data sources, and APIs through a typed manifest and standardized invocation pattern. A2A handles horizontal connectivity how agents discover peer agents, delegate subtasks, and coordinate workflows. Production systems today use both. The practical consequence is that multi-agent architectures can be composed and governed as a platform rather than managed as a collection of one-off integrations. The third is governance as the differentiating factor between teams that ship and teams that stall. Databricks found that companies using AI governance tools get over 12 times more AI projects into production compared to those without. The teams running production agents are not running more sophisticated models. They built evaluation pipelines, audit trails, and human oversight gates before scaling not after the first incident. Tier 1 - Low-code agents: fast delivery with a defined ceiling The low-code tier is more capable than it was eighteen months ago. Copilot Studio, Salesforce Agentforce, and equivalent platforms now support richer connector libraries, better generative orchestration, and more flexible topic models. The ceiling is higher than it was. It is still a ceiling. The core pattern remains: a visual topic model drives a platform-managed LLM that classifies intent and routes to named execution branches. Connectors abstract credential management and API surface. A business team — analyst, citizen developer, IT operations — can build, deploy, and iterate without engineering involvement on every change. For bounded conversational problems, this is the fastest path from requirement to production. The production reality is documented clearly. Gartner data found that only 5% of Copilot Studio pilots moved to larger-scale deployment. A European telecom with dedicated IT resources and a full Microsoft enterprise agreement spent six months and did not deliver a single production agent. The visual builder works. The path from prototype to production, production-grade integrations, error handling, compliance logging, exception routing is where most enterprises get stuck, because it requires Power Platform expertise that most business teams do not have. The platform ceiling shows up predictably at four points. Async processing anything beyond a synchronous connector call, including approval chains, document pipelines, or batch operations cannot be handled natively. Full payload audit logs platform logs give conversation transcripts and connector summaries, not structured records of every API call and its parameters. Production volume concurrency limits and message throughput budgets bind faster than planning assumptions suggest. Root cause analysis in production you cannot inspect the LLM's confidence score or the alternatives it considered, which makes diagnosing misbehavior significantly harder than it should be. The correct diagnostic: can this use case be owned end-to-end by a business team, covered by standard connectors, with no latency SLA below three seconds and no payload-level compliance requirement? Yes, low code is the correct tier. Not a compromise. If no on any point, continue. If low-code is the right call for your use case: Copilot Studio quickstart Tier 2 - Pro-code agents: the architecture the current landscape demands The defining pattern in production pro-code architecture today is multi-agent. Specialized agents per domain, coordinating through MCP for tool access and A2A for peer-to-peer delegation, with a governance layer spanning the entire system. What this looks like in practice: a financial organization handling incoming compliance queries runs separate agents for intent classification, document retrieval, and the compliance check itself. None of these agents tries to do all three jobs. Each has a narrow responsibility, a defined input/output contract typed against a JSON Schema, and a clear handoff boundary. The 327% growth in multi-agent workflows reflects production teams discovering that the failure modes of monolithic agents topic collision, context overflow, degraded classification as scope expands are solved by specialization, not by making a single agent more capable. The discipline that makes multi-agent systems reliable is identical to what makes single-agent systems reliable, just enforced across more boundaries: the LLM layer reasons and coordinates; deterministic tool functions enforce. In a compliance pipeline, no LLM decides whether a document satisfies a regulatory requirement. That evaluation runs in a deterministic tool with a versioned rule set, testable outputs, and an immutable audit log. The LLM orchestrates the sequence. The tool produces the compliance record. Mixing these letting an LLM evaluate whether a rule pass collapses the audit trail and introduces probabilistic outputs on questions that have regulatory answers. MCP is the tool interface standard today. An MCP server exposes a typed manifest any compliant agent runtime can discover at startup. Tools are versioned, independently deployable, and reusable across agents without bespoke integration code. A2A extends this horizontally: agents advertise capability cards, discover peers, and delegate subtasks through a standardised protocol. The practical consequence is that multi-agent systems built on both protocols can be composed and governed as a platform rather than managed as a collection of one-off integrations. Observability is the architectural element that separates teams shipping production agents from teams perpetually in pilot. Build evaluation pipelines, distributed traces across all agent boundaries, and human review gates before scaling. The teams that add these after the first production incident spend months retrofitting what should have been designed in. If pro-code is the right call for your use case: Foundry Agent Service The hybrid pattern: still where production deployments land The shift to multi-agent architecture does not change the hybrid pattern it deepens it. Low-code at the conversational surface, pro-code multi-agent systems behind it, with a governance layer spanning both. On a logistics client engagement, the brief was a sales assistant for account managers shipment status, account health, and competitive context inside Teams. The business team wanted everything in Copilot Studio. Engineering wanted a custom agent runtime. Both were wrong. What we built: Copilot Studio handled all high-frequency, low-complexity queries shipment tracking, account status, open cases through Power Platform connectors. Zero custom code. That covered roughly 78% of actual interaction volume. Requests requiring multi-source reasoning competitive positioning on a specific lane, churn risk across an account portfolio, contract renewal analysis delegated via authenticated HTTP action to a pro-code multi-agent service on Azure. A retrieval agent pulled deal history and market intelligence through MCP-exposed tools. A synthesis agent composed the recommendation with confidence scoring. Structured JSON back to the low-code layer, rendered as an adaptive card in Teams. The HITL gate was non-negotiable and designed before deployment, not added after the first incident. No output reached a customer without a manager approval step. The agent drafts. A human sends. This boundary low-code for conversational volume, pro-code for reasoning depth maps directly to what the research shows separates teams that ship from teams that stall. The organizations running agents in production drew the line correctly between what the platform can own and what engineering needs to own. Then they built governance into both sides before scaling. The four gates - the prior question that still gets skipped Run every candidate use case through these four checks before the platform conversation begins. None of the recent infrastructure improvements change what they are checking, because none of them change the fundamental cost structure of agentic reasoning. Gate 1 - is the logic fully deterministic? If every valid output for every valid input can be enumerated in unit tests, the problem does not need an LLM. A rules engine executes in microseconds at zero inference cost and cannot produce a plausible-but-wrong answer. NeuBird AI's production ops agents which have resolved over a million alerts and saved enterprises over $2 million in engineering hours work because alert triage logic that can be expressed as rules runs in deterministic code, and the LLM only handles cases where pattern-matching is insufficient. That boundary is not incidental to the system's reliability. It is the reason for it. Gate 2 - is zero hallucination tolerance required? With over 80% of databases now being built by AI agents per Databricks' State of AI Agents report the surface area for hallucination-induced data errors has grown significantly. In domains where a wrong answer is a compliance event financial calculation, medical logic, regulatory determinations irreducible LLM output uncertainty is disqualifying regardless of model version or prompt engineering effort. Exit to deterministic code or classical ML with bounded output spaces. Gate 3 - is a sub-100ms latency SLA required? LLM inference is faster than it was eighteen months ago. It is not fast enough for payment transaction processing, real-time fraud scoring, or live inventory management. A three-agent system with MCP tool calls has a P50 latency measured in seconds. These problems need purpose-built transactional architecture. Gate 4 - is regulatory explainability required? A2A enables complex agent coordination and delegation. It does not make LLM reasoning reproducible in a regulatory sense. Temperature above zero means the same input produces different outputs across invocations. Regulators in financial services, healthcare, and consumer credit require deterministic, auditable decision rationale. Exit to deterministic workflow with structured audit logging at every Five production failure modes - one of them new The four original anti-patterns are still showing up in production. A fifth has been added by scale. Routing data retrieval through a reasoning loop. A direct API call returns account status in under 10ms. Routing the same request through an LLM reasoning step adds hundreds of milliseconds, consumes tokens on every call, and introduces output parsing on data that is already structured. The agent calls a structured tool. The tool calls the API. The agent never acts as the integration layer. Encoding business rules in prompts. Rules expressed in prompt text drift as models update. They produce probabilistic output across invocations and fail in ways that are difficult to reproduce and diagnose. A rule that must evaluate correctly every time belongs in a deterministic tool function unit-tested, version-controlled, independently deployable via MCP. No approval gate on CRUD operations. CRUD operations without a human approval step will eventually misfire on the input that testing did not cover. The gate needs to be designed before deployment, not added after the first incident involving a financial posting, a customer-facing communication, or a data deletion. Monolithic agent for all domains. A single agent accumulating every domain leads predictably to topic collision, context overflow, and maintenance that becomes impossible as scope expands. Specialized agents per domain, coordinating through A2A, is the architecture that scales. Ungoverned agent sprawl. This is the new one and currently the most prevalent. OutSystems found 94% of organizations concerned about it, with only 12% having a centralized response. Teams building agents independently across fragmented stacks, without shared governance, evaluation standards, or audit infrastructure, produce exactly the same organizational debt that shadow IT created but with higher stakes, because these systems make autonomous decisions rather than just storing and retrieving data. The fix is treating governance as an architectural input before deployment, not a compliance requirement after something breaks. The infrastructure is ready. The judgment is not. The tier decision sequence has not changed. Does the problem need natural language understanding or dynamic generation? No — deterministic system, stop. Can a business team own it through standard connectors with no sub-3-second latency SLA and no payload-level compliance requirement? Yes — low-code. Does it need custom orchestration, multi-agent coordination, or audit-grade observability? Yes — pro-code with MCP and A2A. Does it need both a conversational surface and deep backend reasoning? Hybrid, with a governance layer spanning both. What has changed is that governance is no longer optional infrastructure to add when you have time. The data is unambiguous. Companies with governance tools get over 12 times more AI projects into production than those without. Evaluation pipelines, distributed tracing across agent boundaries, human oversight gates, and centralised agent lifecycle management are not overhead. They are what converts experiments into production systems. The teams still stuck in pilot are not stuck because the technology failed them. They are stuck because they skipped this layer. The protocols are standardised. The frameworks are mature. The infrastructure exists. None of that is what is holding most enterprise agent programmes back. What is holding them back is a selection problem disguised as a technology problem — teams building agents before asking whether agents are warranted, choosing platforms before running the four gates, and treating governance as a checkpoint rather than an architectural input. I have built agents that should have been workflow engines. Not because the technology was wrong, but because nobody stopped early enough to ask whether it was necessary. The four gates in this article exist because I learned those lessons at clients' expense, not mine. The most useful thing I can offer any team starting an agentic AI project is not a framework selection guide. It is permission to say no — and a clear basis for saying it. Take the four gates framework to your next architecture review. If you have already shipped agents to production, I would like to hear what worked and what did not - comment below What to do next Three concrete steps depending on where you are right now. If you have pilots that have not reached production: Run them through the four gates in this article before the next sprint. Gate 1 alone will eliminate a meaningful percentage of them. The ones that survive all four are your real candidates for production investment. Download the attached file for gated checklist and take it into your next architecture review. If you are starting a new agent project: Do not open a platform before you have answered the gate questions. Once you have confirmed an agent is warranted and identified the tier, start here: Copilot Studio guided setup for low-code scenarios, or Foundry Agent Service for pro-code patterns with MCP and multi-agent coordination built in. Build governance infrastructure - evaluation pipeline, distributed tracing, HITL gates - before you scale, not after. If you have already shipped agents to production: Share what worked and what did not in the Azure AI Tech Community — tag posts with #AgentArchitecture. The most useful signal for teams still in pilot is hearing from practitioners who have been through production, not vendors describing what production should look like. References OutSystems — State of AI Development Report - https://www.outsystems.com/1/state-ai-development-report Databricks — State of AI Agents Report - https://www.databricks.com/resources/ebook/state-of-ai-agents Gartner — 2025 Microsoft 365 and Copilot Survey - https://www.gartner.com/en/documents/6548002 (Paywalled primary source — publicly reported via techpartner.news: https://www.techpartner.news/news/gartner-microsoft-copilot-hype-offset-by-roi-and-readiness-realities-618118) Anthropic — Model Context Protocol (MCP) - https://modelcontextprotocol.io Google Cloud — Agent-to-Agent Protocol (A2A) . https://developers.googleblog.com/en/a2a-a-new-era-of-agent-interoperability NeuBird AI — Production Operations Deployment Announcement NeuBird AI Closes $19.3M Funding Round to Scale Agentic AI Across Enterprise Production Operations ReAct: Synergizing Reasoning and Acting in Language Models — Yao et al. https://arxiv.org/abs/2210.03629 Enterprise Integration Patterns — Gregor Hohpe & Bobby Woolf, Addison-Wesley https://www.enterpriseintegrationpatterns.com
Automate Prior Authorization with AI Agents - Now Available as a Foundry Template
By Amit Mukherjee · Principal Solutions Engineer, Microsoft Health & Life Sciences Lindsey Craft-Goins · Technology Leader - Cloud & AI Platforms, Health & Life Sciences Joel Borellis · Director Solutions Engineering - Cloud & AI Platforms, Health & Life Sciences Prior authorization (PA) is one of the most expensive bottlenecks in U.S. healthcare. Physicians complete an average of 39 PA requests per week, spending roughly 13 hours of physician-and-staff time on PA-related work (AMA 2024 Prior Authorization Physician Survey). Turnaround averages 5–14 business days, and PA alone accounts for an estimated $35 billion in annual administrative spending (Sahni et al., Health Affairs Scholar, 2024). The regulatory clock is now ticking. CMS-0057-F mandates electronic PA with 72-hour urgent response starting in 2026. Forty-nine states plus DC already have PA laws on the books, and at least half of all U.S. state legislatures introduced new PA reform bills this year, including laws specifically targeting AI use in PA decisions (KFF Health News, April 2026). Today we’re making the Prior Authorization Multi-Agent Solution Accelerator available as a Microsoft Foundry template. Health plan payers can deploy a working, four-agent PA review pipeline to Azure using the Azure Developer CLI (“azd”) with a single command in supported environments, then customize it to their policies, workflows, and EHR environment. Try it now: Find the template in the Foundry template gallery, or clone directly from github.com/microsoft/Prior-Authorization-Multi-Agent-Solution-Accelerator What the template delivers The accelerator deploys four specialist Foundry hosted agents (Compliance, Clinical Reviewer, Coverage, and Synthesis), each independently containerized and managed by Foundry. In internal testing with synthetic demo cases, the pipeline reduced review workflow, from beginning to completion in under 5 minutes per case. Agent Role Key capability Compliance Documentation check 10-item checklist with blocking/non-blocking flags Clinical Reviewer Clinical evidence ICD-10 validation, PubMed + ClinicalTrials.gov search Coverage Policy matching CMS NCD/LCD lookup, per-criterion MET/NOT_MET mapping Synthesis Decision rubric 3-gate APPROVE/PEND with weighted confidence scoring Compliance and Clinical run in parallel. Coverage runs after clinical findings are ready. Synthesis evaluates all three outputs through a three-gate rubric. The result is a structured recommendation with per-criterion confidence scores and a full audit trail, not a black-box answer. Solution architecture The accelerator runs entirely on Azure. The frontend and backend deploy as Azure Container Apps. The four specialist agents are hosted by Microsoft Foundry. Real-time healthcare data flows through third-party MCP servers. Figure 1: Azure solution architecture How the pipeline works The four agents execute in a structured parallel-then-sequential pipeline. Compliance and Clinical run simultaneously in Phase 1. Coverage runs after clinical findings are ready. The Synthesis agent applies a three-gate decision rubric over all prior outputs. Figure 2: Agentic architecture, hosted agent pipeline Compliance and Clinical run in parallel via asyncio.gather, since neither depends on the other. Coverage runs sequentially after Clinical because it needs the structured clinical profile for criterion mapping. Synthesis evaluates all three outputs through a three-gate rubric (Provider, Codes, Medical Necessity) with weighted confidence scoring: 40% coverage criteria + 30% clinical extraction + 20% compliance + 10% policy match. The total pipeline time is bound by the slowest parallel agent plus the sequential agents, not the sum. In internal testing with synthetic demo cases, this architecture indicated materially reduced processing time compared to sequential manual workflows. Under the hood For the architect in the room, here are four design decisions worth knowing about: Foundry hosted agents: Each agent is independently containerized, versioned, and managed by Foundry’s runtime. The FastAPI backend is a pure HTTP dispatcher. All reasoning happens inside the agent containers, and there are no code changes between local (Docker Compose) and production (Foundry); the environment variable is the only switch. Structured output: Every agent uses MAF’s response_format enforcement to produce typed Pydantic schemas at the token level. No JSON parsing, no malformed fences, no free-form text. The orchestrator receives typed Python objects; the frontend receives a stable API contract. Keyless security: DefaultAzureCredential throughout, so no API keys are stored anywhere. Managed Identity handles production; azd tokens handle local development. Role assignments are provisioned automatically by Bicep at deploy time. Observability: All agents emit OpenTelemetry traces to Azure Application Insights. The Foundry portal shows per-agent spans correlated by case ID. End-to-end latency, per-agent contribution, and error rates are visible from day one with no additional configuration. For the full architecture documentation, agent specifications, Pydantic schemas, and extension guides, see the GitHub repository. Why this matters now Human-in-the-loop by design The system runs in LENIENT mode by default: it produces only APPROVE or PEND and is not designed to produce automated DENY outcomes in its default configuration. Every recommendation requires a clinician to Accept or Override with documented rationale before the decision is finalized. Override records flow to the audit PDF, notification letters, and downstream systems. This directly addresses the emerging wave of state legislation governing AI use in PA decisions. Domain experts own the rules Agent behavior is defined in markdown skill files, not Python code. When CMS updates a coverage determination or a plan changes its commercial policy, a clinician or compliance officer edits a text file and redeploys. No engineering PR required. Real-time healthcare data via MCP Agents connect to five MCP servers for real-time data: ICD-10 codes, NPI Registry, CMS Coverage policies, PubMed, and ClinicalTrials.gov. This incorporates real‑time clinical reference data sources to inform agent recommendations. Third-party MCP servers are included for demonstration with synthetic data only. Their inclusion does not constitute an endorsement by Microsoft. See the GitHub repository for production migration guidance. Audit-ready from day one Every case generates an 8-section audit justification PDF with per-criterion evidence, data source attribution, timestamps, and confidence breakdowns. Clinician overrides are recorded in Section 9. Notification letters (approval and pend) are generated automatically. These artifacts are designed to support CMS-0057-F documentation requirements. Deploy in under 15 minutes From the Foundry template gallery or from the command line: git clone https://github.com/microsoft/Prior-Authorization-Multi-Agent-Solution-Accelerator cd Prior-Authorization-Multi-Agent-Solution-Accelerator azd up That single command provisions Foundry, Azure Container Registry, Container Apps, builds all Docker images, registers the four agents, and runs health checks. The demo is live with a synthetic sample case as soon as deployment completes. What’s included What you customize 4 Foundry hosted agents Payer-specific coverage policies FastAPI orchestrator + Next.js frontend EHR/FHIR integration for clinical notes 5 MCP healthcare data connections Self-hosted MCP servers for production PHI Audit PDF + notification letter generation Authentication (Microsoft Entra ID) Full Bicep infrastructure-as-code Persistent storage (Cosmos DB / PostgreSQL) OpenTelemetry + App Insights observability Additional agents (Pharmacy, Financial) Built on Microsoft Foundry + Foundry hosted agents · Microsoft Agent Framework (MAF) · Azure OpenAI gpt-5.4 · Azure Container Apps · Azure Developer CLI + Bicep · OpenTelemetry + Azure Application Insights · DefaultAzureCredential (keyless, no secrets) Full architecture documentation, agent specifications, and extension guides are in the GitHub repository. Get started Foundry template gallery: Search “AI-Powered Prior Authorization for Healthcare” in the Foundry template section GitHub: github.com/microsoft/Prior-Authorization-Multi-Agent-Solution-Accelerator Disclaimers Not a medical device. This solution accelerator is not a medical device, is not FDA-cleared, and is not intended for autonomous clinical decision-making. All AI recommendations require qualified clinical review before any authorization decision is finalized. Not production-ready software. This is an open-source reference architecture (MIT License), not a supported Microsoft product. Customers are solely responsible for testing, validation, regulatory compliance, security hardening, and production deployment. Performance figures are illustrative. Metrics cited (including processing time reductions) are based on internal testing with synthetic demo data. Actual results will vary based on case complexity, infrastructure, and configuration. Third-party services included for demonstration only; not endorsed by Microsoft. Customers should evaluate providers against their compliance and data residency requirements. The demo uses synthetic data only. Customers deploying real patient data are responsible for HIPAA compliance and establishing appropriate Business Associate Agreements. This accelerator is intended to help customers align documentation workflows with CMS‑0057‑F requirements but has not been independently validated or certified for regulatory compliance.Now in Foundry: Qwen3-Coder-Next, Qwen3-ASR-1.7B, Z-Image
This week's spotlight features three models from that demonstrate enterprise-grade AI across the full scope of modalities. From low latency coding agents to state-of-the-art multilingual speech recognition and foundation-quality image generation, these models showcase the breadth of innovation happening in open-source AI. Each model balances performance with practical deployment considerations, making them viable for production systems while pushing the boundaries of what's possible in their respective domains. This week's Model Mondays edition highlights Qwen3-Coder-Next, an 80B MoE model that activates only 3B parameters while delivering coding agent capabilities with 256k context; Qwen3-ASR-1.7B, which achieves state-of-the-art accuracy across 52 languages and dialects; and Z-Image from Tongyi-MAI, an undistilled text-to-image foundation model with full Classifier-Free Guidance support for professional creative workflows. Models of the week Qwen: Qwen3-Coder-Next Model Specs Parameters / size: 80B total (3B activated) Context length: 262,144 tokens Primary task: Text generation (coding agents, tool use) Why it's interesting Extreme efficiency: Activates only 3B of 80B parameters while delivering performance comparable to models with 10-20x more active parameters, making advanced coding agents viable for local deployment on consumer hardware Built for agentic workflows: Excels at long-horizon reasoning, complex tool usage, and recovering from execution failures, a critical capability for autonomous development that go beyond simple code completion Benchmarks: Competitive performance with significantly larger models on SWE-bench and coding benchmarks (Technical Report) Try it Use Case Prompt Pattern Code generation with tool use Provide task context, available tools, and execution environment details Long-context refactoring Include full codebase context within 256k window with specific refactoring goals Autonomous debugging Present error logs, stack traces, and relevant code with failure recovery instructions Multi-file code synthesis Describe architecture requirements and file structure expectations Financial services sample prompt: You are a coding agent for a fintech platform. Implement a transaction reconciliation service that processes batches of transactions, detects discrepancies between internal records and bank statements, and generates audit reports. Use the provided database connection tool, logging utility, and alert system. Handle edge cases including partial matches, timing differences, and duplicate transactions. Include unit tests with 90%+ coverage. Qwen: Qwen3-ASR-1.7B Model Specs Parameters / size: 1.7B Context length: 256 tokens (default), configurable up to 4096 Primary task: Automatic speech recognition (multilingual) Why it's interesting All-in-one multilingual capability: Single 1.7B model handles language identification plus speech recognition for 30 languages, 22 Chinese dialects, and English accents from multiple regions—eliminating the need to manage separate models per language Specialized audio versatility: Transcribes not just clean speech but singing voice, songs with background music, and extended audio files, expanding use cases beyond traditional ASR to entertainment and media workflows State-of-the-art accuracy: Outperforms GPT-4o, Gemini-2.5, and Whisper-large-v3 across multiple benchmarks. English: Tedlium 4.50 WER vs 7.69/6.15/6.84; Chinese: WenetSpeech 4.97/5.88 WER vs 15.30/14.43/9.86 (Technical Paper) Language ID included: 97.9% average accuracy across benchmark datasets for automatic language identification, eliminating the need for separate language detection pipelines Try it Use Case Prompt Pattern Multilingual transcription Send audio files via API with automatic language detection Call center analytics Process customer service recordings to extract transcripts and identify languages Content moderation Transcribe user-generated audio content across multiple languages Meeting transcription Convert multilingual meeting recordings to text for documentation Customer support sample prompt: Deploy Qwen3-ASR-1.7B to a Microsoft Foundry endpoint and transcribe multilingual customer service calls. Send audio files via API to automatically detect the language (from 52 supported options including 30 languages and 22 Chinese dialects) and generate accurate transcripts. Process calls from customers speaking English, Spanish, Mandarin, Cantonese, Arabic, French, and other languages without managing separate models per language. Use transcripts for quality assurance, compliance monitoring, and customer sentiment analysis. Tongyi-MAI: Z-Image Model Specs Parameters / size: 6B Context length: N/A (text-to-image) Primary task: Text-to-image generation Why it's interesting Undistilled foundation model: Full-capacity base without distillation preserves complete training signal with Classifier-Free Guidance support (a technique that improves prompt adherence and output quality), enabling complex prompt engineering and negative prompting that distilled models cannot achieve High output diversity: Generates distinct character identities in multi-person scenes with varied compositions, facial features, and lighting, critical for creative applications requiring visual variety rather than consistency Aesthetic versatility: Handles diverse visual styles from hyper-realistic photography to anime and stylized illustrations within a single model, supporting resolutions from 512×512 to 2048×2048 at any aspect ratio with 28-50 inference steps (Technical Paper) Try it Use Case Prompt Pattern Multilingual transcription Send audio files via API with automatic language detection Call center analytics Process customer service recordings to extract transcripts and identify languages Content moderation Transcribe user-generated audio content across multiple languages Meeting transcription Convert multilingual meeting recordings to text for documentation E-commerce sample prompt: Professional product photography of a modern ergonomic office chair in a bright Scandinavian-style home office. Natural window lighting from left, clean white desk with laptop and succulent plant, light oak hardwood floor. Chair positioned at 45-degree angle showing design details. Photorealistic, commercial photography, sharp focus, 85mm lens, f/2.8, soft shadows. Getting started You can deploy open‑source Hugging Face models directly in Microsoft Foundry by browsing the Hugging Face collection in the Foundry model catalog and deploying to managed endpoints in just a few clicks. You can also start from the Hugging Face Hub. First, select any supported model and then choose "Deploy on Microsoft Foundry", which brings you straight into Azure with secure, scalable inference already configured. Learn how to discover models and deploy them using Microsoft Foundry documentation. Follow along the Model Mondays series and access the GitHub to stay up to date on the latest Read Hugging Face on Azure docs Learn about one-click deployments from the Hugging Face Hub on Microsoft Foundry Explore models in Microsoft FoundryThe Future of AI: Unleashing the Potential of AI Translation
The Co-op Translator automates the translation of markdown files and text within images using Azure AI Foundry. This open-source tool leverages advanced Large Language Model (LLM) technology through Azure OpenAI Services and Azure AI Vision to provide high-quality translations. Designed to break language barriers, the Co-op Translator features an easy-to-use command line interface and Python package, making technical content globally accessible with minimal manual effort.Automate Quota Discovery in Azure AI Foundry: A Tale of 3 APIs
Automate the discovery of Azure regions that meet your AI deployment needs using three essential APIs: Models API, Usages API, and Locations API. This process helps reduce decision fatigue and ensures compliance with enterprise-wide model deployment standards. Key learnings: Model Deployment Requirements: Understand the needs of a standard Retrieval-Augmented Generation (RAG) application, which involves deploying multiple models. Automation Benefits: Streamline your deployment process and ensure compliance with enterprise standards. Three Essential APIs: Models API: Query available models for a specific subscription within a chosen location. Usages API: Assess current usages and limits to infer available quotas. Locations API: Obtain a list of all available regions. A comprehensive Jupyter notebook with the implementation steps is available in the accompanying GitHub repository. This resource is invaluable for AI developers looking to streamline their deployment processes and ensure their applications meet all necessary requirements
