8 AI Agents Powering Your Revenue Cycle
revenue cycle — maximizing reimbursements and eliminating manual bottlenecks.
Nine Functional Modules
reconciliation and financial reporting.
Revenue Cycle Management Bundle
Enterprise-Grade Features
AI-Powered Automation
Machine learning models for document classification, claim scoring, approval routing, and denial prediction.
Direct Payer Connectivity
Real-time integration with major payers including UHC, Anthem, Aetna, Cigna, Humana, and Medicare.
EDI & FHIR Standards
Full support for X12 837/835/278 transactions, FHIR R4, and FHIR Prior Authorization Support (PAS).
Analytics & Reporting
Real-time dashboards, SLA monitoring, payer scorecards, and comprehensive operational analytics.
Work Queue Management
Priority-based work queues with assignment rules, SLA tracking, and automatic escalation.
Configurable Rules Engine
Customizable business rules for routing, auto-posting, approval thresholds, and workflow automation.
Purpose-Built for Your Specialty
the unique challenges of each medical discipline.
Mental Health & Behavioral Health
Chronic Care Management
Senior Care & Geriatrics
Wound Care
Physical Therapy & Rehabilitation
Addiction Medicine & MAT
Dermatology
Autonomous AI Agents for Every RCM Task
browser bots that navigate portals, eligibility automation, and care program orchestration —
so your team can focus on patient care.
Visual Workflows
Drag-and-drop workflow builder with AI nodes, event triggers, conditional logic, and pre-built templates for eligibility, claims, and denials.
Voice AI Agents
Automated outbound payer calls with conversational intelligence, hold detection, payer-specific adaptation, and real-time monitoring.
ActionBots
AI browser agents that navigate payer portals for eligibility checks, claim submissions, prior auth requests, and EOB downloads — 24/7.
Eligibility Automation
Event-driven eligibility workflows with real-time verification, batch processing, coverage discovery, and automated patient notifications.
Care Automation
Visual care program designer with automated care plan lifecycles, milestone tracking, patient engagement workflows, and outcome-based triggers.
Robotic Process Automation
POWERED BY OPENBOTS RPA SUITE
Automation repetitive tasks across payer portals, EHR systems, and clearinghouses - from files, data extraction, claim status checks, and multi-system orchestration at scale.
Security and Compliance
Every revenue cycle workflow is built on a foundation of healthcare compliance — from HIPAA-audited claim processing and OIG billing oversight to CMS price transparency and credentialing verification. Security and regulatory adherence are not add-ons; they are embedded into every transaction.