AI Automation for RCM in Healthcare

From eligibility checks to denied claims – our AI Agents and custom automations fix broken RCM workflows end-to-end. No API required.

3x featured in
Forbes logo
Book a call
Meet the Agents
Young healthcare professional with short hair and glasses wearing light blue scrubs looking down thoughtfully.
We have AUTOMATED processes for:
automation

Elevate your RCM, one workflow at a time

And when you need more, our solutions scale across your entire operation.

Eligibility Check

Instant PHI verification, fewer manual lookups, 
cleaner front-end data.

Faster cash flow
80% automated by the agent
Higher revenue capture
Faster cash flow
80% automated by the agent
Higher revenue capture
View agent
Eligibility Check Illustration

Prior Authorization

Faster submissions, fewer manual forms, 
predictable follow-ups.

60% faster pre-auth turnaround.
+65K monthly revenue recovered.
Reduced payer backlogs by 55%.
60% faster pre-auth turnaround.
+65K monthly revenue recovered.
Reduced payer backlogs by 55%.
View agent
Prior Authorization Illustration

Claims Management

Cleaner claims sent faster with consistent data prep and status checks.

+30% higher team efficiency
99% payment tracking accuracy
2x faster issue resolution
+30% higher team efficiency
99% payment tracking accuracy
2x faster issue resolution
View agent
Claims Management Illustration

Denials Management

Quicker identification, faster corrections, and immediate resubmission steps.

4x faster re-submission turnaround
47% fewer denial write-offs
+$120K monthly revenue recovered
4x faster re-submission turnaround
47% fewer denial write-offs
+$120K monthly revenue recovered
View agent
Denials Management Illustration

Not sure what to choose?

You’re 3 clicks away from finding the right automation for your RCM workflow.

your obstacle
your goal
our solution
Start quiz
custom automation

Automating beyond RCM

When your system doesn’t fit the typical automation pattern, we design it to fit the way you actually work – not the other way around.

See all automation
Male doctor and female nurse reviewing information on a digital tablet in a medical setting.

CRM / EHR integrations

CRM / EHR integrations
CRM / EHR integrations
Smiling man with glasses and beard working on a laptop, wearing a light denim shirt.

Invoice processing

Invoice processing
Invoice processing
Female medical professional wearing scrubs and glasses working on a laptop at a desk with a stethoscope and clipboard.

Report generation

Report generation
Report generation
Senior woman with short white hair and glasses holding a glass of water while looking at a laptop screen.

HR & Payroll automation

HR & Payroll automation
HR & Payroll automation
Previous
Next
Trusted by 50+ healthcare providers
Logo of Pain Treatment Centers of America with a stylized human figure next to the text.
Button Text
careviso logo
Gentem logo
Button Text
PathGroup logo
axpo logo
Button Text
Docplanner company logo with stylized abstract symbol to the left of the text.
results

Proof, not promises.

We combine specialized AI Agents with custom automations to eliminate manual work across your entire revenue cycle – and beyond.

Read all
Eligibility Checks

Halving Monthly Backlog – Eligibility Automation in Action

This case shows how automated eligibility verification across multiple portals reduces processing time by 90%, cuts manual work by over 90%, and increases verification speed from ~5 minutes to ~1 minute per case.

+50%

Restored capacity. See how AI automation simplified eligibility checks across multiple systems and halved monthly backlog.

Halving Monthly Backlog – Eligibility Automation in Action
Eligibility Checks

100% ROI in just 23 days. We Automated Eligibility Checks!

PTCoA’s case demonstrates how automated eligibility checks can be executed in ~40 seconds, saving 3 FTEs per month and achieving 100% ROI in 23 days with $180K in projected first-year savings.

100%

ROI in just 23 days. Learn about the MVP project which brought +$180,000 worth of savings after year one. 

100% ROI in just 23 days. We Automated Eligibility Checks!
Previous
Next
Pre-Auths

90% Faster Packet Submissions | Prior Authorization Automation

This case shows how prior authorization automation eliminated manual data entry for a high-volume genetic diagnostic lab, accelerating patient turnaround and improving competitive advantage without replacing existing systems.

-90%

Faster packet submissions.See how Agentic AI bridged the gap between Laboratory Information Management System (LIMS) and Payer Portals.

90% Faster Packet Submissions | Prior Authorization Automation
Pre-Auths

85% Faster Submissions, 8+ FTEs Saved | Prior Authorization Automation

This case demonstrates how a fully autonomous AI agent standardized prior authorization submissions across payer portals, eliminating inconsistencies in a large U.S. pain management network.

+8

FTEs saved. Learn how agentic AI freed 8+ FTEs for a leading U.S. health-tech platform and their RCM team.

85% Faster Submissions, 8+ FTEs Saved | Prior Authorization Automation
Previous
Next
Claims Management

70% Faster Claim Turnaround Time (CTT) | Claim Management Automation

SuperBill’s case shows the power of document-to-claim automation. Our prior authorization AI agent made Claim Turnaround Time (CTT) by ~70%

70%

Faster Claim Turnaround Time (CTT). See how document-to-claim automation accelerated out-of-network reimbursement workflows.

70% Faster Claim Turnaround Time (CTT) | Claim Management Automation
Claims Management

98% Reduction in Manual Claim Prep | Claims Management Automation

Gentem’s case demonstrates how an agentic AI automation layer strengthens the entire claims lifecycle without adding headcount or forcing changes to existing EHRs with 1,2 FTE saved a month

98%

Reduction in manual claim prep. See how an automated EHR-to-claim data pipeline removed up to 250 hours per week of manual RCM work.

98% Reduction in Manual Claim Prep | Claims Management Automation
Previous
Next
Denials Management

+$50K Saved in 1 Month | AI Agent For Denials Management

This case demonstrates how AI-driven denial automation eliminated ~90% of manual rework, reduced claim processing time from ~6 minutes to ~30 seconds, cleared 80% of a 3,000-record backlog in three weeks, and delivered $90K+ in savings with 500+ hours saved monthly.

+$50K

Saved in 1 Month. Discover AI automations that reduce 90% of manual re-work for RCM teams.

+$50K Saved in 1 Month | AI Agent For Denials Management
Denials Management

Up to 80% Higher Throughput in RCM – Denials Management Automation

PathGroup’s case shows how automated denial handling across athenahealth and PathSys reduced processing time from ~10 minutes to ~55 seconds, cleared backlogs to near-zero, and scaled to ~300 automated resubmissions per day.

98%

Reduction in manual claim prep. See how an automated EHR-to-claim data pipeline removed up to 250 hours per week of manual RCM work.

Up to 80% Higher Throughput in RCM – Denials Management Automation
Previous
Next

No bullshit. Just better revenue.

Let Karl, our CTO answer any of your questions.

let’s talk
Portrait of a man with short dark hair, beard, and blue eyes wearing a white collared shirt against a gradient blue background.
Karl Mielnicki
Co-founder, CTO
Book a call

They were easy to get in contact with and the whole collaboration went smoothly. The automation has saved us a considerable amount of time. Everyone in the team confirmed it works fantastically and that it’s freed them up a lot of time.

Manny Akintayo
Co-founder & CTO at Gentem Health
Read full case study

Thanks to Flobotics, we have increased our sales conversion rate by 3%. The team communicates effectively and is proactive both in the product discovery and development stages. I love the business drive of the team as well as their flexibility and readiness to address all the needs.

Kamil Walczak
Product Lead, DocPlanner
Read full case study

Our work with Flobotics helps facilitate the process. It leverages the capabilities of different systems, to make it happen, as no individual system has the capability on its own.We’re very satisfied with their work.

Brent Williams
Enterprise Architect at PRMG
Read full case study

Find the right automation Fit
for your RCM Workflows.

You are 3 clicks away.

your obstacle
your goal
our solution
Start quiz
Resources

Real insights for real results – not generic RPA talk.

That’s why we also build tailored automations – for workflows outside of RCM, integrations between systems, and unique business processes.

Success stories

No buzzwords. Just field-tested automation stories.

Explore case studies
Success stories

ROI calculator

x=Your CFO will love this one.

Calculate your savings
ROI calculator

Glossary

No fluff. Just plain-English definitions of key RCM and automation terms.

Browse terms
Glossary