Agentic Automation

Autonomous AI Agents That Handle RCM Tasks 24/7

Deploy intelligent workflow engines, voice AI agents, and browser automation bots that autonomously navigate payer portals, make outbound calls, and process eligibility verifications around the clock with zero manual intervention.

5
AI Agent Types
Workflow, Voice, Browser, Eligibility, Care
24/7
Autonomous Operation
always running, never stops
200+
Payer Portal Profiles
pre-configured portals
Zero
Manual Intervention
fully autonomous execution
Core Capabilities

Complete Automation Platform

Three types of AI agents working together to eliminate manual RCM tasks across workflows, voice calls, and browser-based portal interactions.

Visual Workflow Designer

Drag-and-drop workflow builder with AI nodes, event triggers, conditional logic, and pre-built templates for eligibility verification automation.

Visualdrag-and-drop builder

Voice AI Agents

Automated outbound payer calls with conversation flow design, hold detection, payer intelligence, and real-time monitoring dashboards.

Liveconversation flow design

ActionBots Browser Automation

AI agents that navigate payer web portals for eligibility checks, claim submissions, prior auth requests, and EOB downloads autonomously.

Autobrowser-based automation

Integration Hub

Webhooks with HMAC-SHA256 signing, API keys, and event-driven automation connecting to any external system for seamless data flow.

HMACsecured event-driven integrations
Eligibility Automation

Intelligent Eligibility Verification Engine

Event-driven workflows that automate the entire eligibility verification lifecycle — from real-time insurance checks to batch processing and automated patient notifications.

Real-Time Verification

Instant 270/271 eligibility checks triggered by scheduling events, patient check-in, or on-demand requests.

Batch Processing

Scheduled nightly or weekly batch verification of upcoming appointments to catch coverage lapses early.

Coverage Discovery

AI-powered search across multiple payers to find active coverage for uninsured or underinsured patients.

Benefits Extraction

Automated parsing of benefit details including copays, deductibles, coinsurance, and out-of-pocket maximums.

Patient Notifications

Automated alerts to patients about coverage issues, financial responsibility estimates, and required actions.

Analytics Dashboard

Real-time metrics on verification rates, coverage gaps, denial predictions, and workflow performance.

Care Automation

Visual Care Program Designer

Design, deploy, and monitor automated care programs with a visual drag-and-drop builder. Manage care plan lifecycles, track milestones, and trigger interventions based on patient outcomes.

Visual Program Builder

Drag-and-drop designer for care programs with conditional branching, time-based triggers, and outcome gates.

Milestone Tracking

Automated milestone detection with configurable thresholds, alerts for care gaps, and progress visualization.

Patient Engagement

Automated outreach workflows including reminders, educational content delivery, and satisfaction surveys.

AI-Powered Interventions

Predictive models that identify at-risk patients and trigger proactive care team notifications.

Multi-Program Coordination

Manage multiple concurrent care programs per patient with conflict detection and priority ordering.

Outcome Analytics

Track program effectiveness with outcome metrics, cohort analysis, and quality measure reporting.

Automation Lifecycle

From Design to Autonomous Execution

Build, configure, deploy, and monitor autonomous AI agents with a streamlined four-step lifecycle.

1

Design

Build automation flows with the visual designer

2

Configure

Set up payer profiles, credentials, and guard policies

3

Execute

AI agents run autonomously 24/7

4

Monitor

Real-time dashboards, execution history, and analytics

AI-Powered

Intelligent Agent Capabilities

Advanced AI capabilities that enable autonomous agents to handle complex payer interactions, navigate web portals, and optimize execution at scale.

Conversational Intelligence

Voice agents with memory, payer-specific behavior adaptation, hold detection, and PII/PHI scrubbing for secure automated conversations.

Conversational memory
Payer behavior adaptation
Hold detection
PII/PHI scrubbing

Computer Use Agents

ActionBots powered by Anthropic Claude for browser automation with noVNC live viewing, CAPTCHA solving, and screenshot-based navigation.

Anthropic Claude integration
noVNC live viewing
CAPTCHA solving
Screenshot navigation

Predictive Orchestration

Smart queue management with workload distribution, failure prediction, and automatic retry with exponential backoff for maximum throughput.

Smart queue management
Workload distribution
Failure prediction
Exponential backoff retry
Differentiators

Why Choose Our Automation Platform

Enterprise-grade safety, security, and intelligence built into every autonomous agent.

Guard Policies

Safety rails preventing bots from taking unauthorized actions on payer portals.

Credential Vault

AES-256-GCM encrypted credential storage for secure portal access management.

Skill Marketplace

Reusable automation components shared across organizations for rapid deployment.

Memory System

Agents learn from past interactions to improve success rates over time.

Live Monitoring

noVNC viewer for real-time bot observation and human takeover when needed.

Conference Bridge

Seamless human takeover during voice calls when complex situations arise.

ROI Impact

Transform Your Revenue Cycle Operations

  • Eliminate 90% of manual payer portal interactions
  • Reduce eligibility verification time from 15 min to 30 seconds
  • Process prior authorizations 5x faster with automated submissions
  • Cut denial rates by 35% with proactive eligibility verification
  • Save $50K+/year per FTE replaced by autonomous agents
90%
Automation rate for payer portal interactions and eligibility checks
5X
Faster processing of prior authorizations with autonomous submissions
$50K+
Annual savings per FTE replaced by autonomous AI agents

Enterprise-Grade Compliance

HIPAA Compliant
SOC 2 Type II
42 CFR Part 2
PII/PHI Scrubbing
SSRF Protection
Audit Logging

Ready to Automate Your Revenue Cycle?

See how autonomous AI agents can eliminate manual payer interactions, reduce processing times, and save your organization thousands per year. Schedule a personalized demo today.

Contact Sales
Call Our Experts!