8 AI Agents Powering Your Revenue Cycle
revenue cycle — maximizing reimbursements and eliminating manual bottlenecks.
Eligibility Verification
Real-time insurance checks
Coverage Coordinator
Benefits discovery AI
Prior Authorization
Automated PA lifecycle
Claims Validation
Pre-submission scrubbing
Denial Management
AI-powered appeals
AI Coding Assistant
CPT/ICD-10 suggestions
Payment Posting
ERA/835 parsing
Financial Clearance
Cost estimation AI
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.
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.
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.
Recover Revenue, reduce RCM costs and Denials
Automate Patient Intake & Eligibility, Referrals, Prior Authorizations, Ambient Listening & Coding, Claims and Denials with Agentic AI
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Get Started with Healthcare Agentic Automation
Autonomous Healthcare Revenue Cycle Management and much more
Automate Business Processes and Documents with OpenBots Agentic AI
OpenBots Healthcare Agentic AI Platform
Your AI Agent Never Takes a Break
No Time Off—Always Accountable, Always Working,
with Dashboards to Prove It
We deal with 55,000 pages of fax per month. Understanding their breadth in the healthcare environment and being comfortable with referral-based organizations like ours. That's really what stuck with me. I'm excited because it makes the human component of it even easier.
Roger HanChief Transformation Officer KMH Cardiology Centres
From a technical requirements and scoping perspective, it’s been excellent working with the team. I appreciate how detail-oriented they are and how clearly they define what they want to achieve. Overall, it’s been such a positive experience working with OpenBots!
Rapid implementations with
AI Agents and pre-built Document Templates
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