healthcare
rcm
agentic ai

eligibility check automation

Accurate patient coverage verification – across all EHRs. Fits every EHR – no matter how complicated your processes are.

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Integrates with my system? Yes, Epic, Meditech & more.

Setup time? Weeks, not months.

Secure? 100%. HIPAA-compliant, fully encrypted.

No more tedious lookups.

without agent

Manual work bloats Cost-To-Collect (CTC)

PHI verification across different systems is tedious and often gets rushed, delayed, or even skipped.


This situation leads straight to re-work, bloated backlog and slower reimbursement.

with agent

Agentic AI unlocks capacity and pays for itself

Plan type, effective dates, term dates, PCP assignment, copay / deductible info, COB - our AI agent takes end-to-end care of eligibility checks.

No more manual lookups. No more avoidable costs.

how it works

How Eligibility Check Automation Work

1st step

Patient Lookup

Eligibility check automation retrieves all required patient insurance information from your EHR to prepare clean identifiers for payer eligibility check. No more PHI hunting.

No more tedious system hopping.

100% HIPAA compliant
2nd step

Eligibility Check

Coverage is verified directly with payer systems, confirming active status and patient financial responsibility (copay, coinsurance, deductible) – all without manual work.

100% HIPAA compliant
3rd step

Data Logged & Synced

Results like patient coverage and copay/deductibles, are captured, logged, and ready for further processing. Accurate data on every patient, visit and case.

100% HIPAA compliant
automate with ai

Ready to automate your eligibility check process?

Karl – our CTO loves to discuss the ROI. Feel free to book a call with him.

Book a call

In just 15 minutes, we’ll cut through the noise and see if automation works for you.

case studies

Results you can expect.

Proof that speed = cash flow.

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.

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. 

1
4

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
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1
4

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
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1
4

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
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ai agents

Wait, there is more?

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Automate your PA process. No API required.

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