case studies

Real stories. Real impact.

See how healthcare providers cut costs, reduced denials, and automated RCM workflows with our AI Agents – stories, frameworks, and lessons form the field.

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.

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.

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.

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.

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.

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.

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. 

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