XIFIN RPM AGENTIC AI LAYER

XiFin identifies the work. Flobotics does it.

XiFin RPM is the industry’s #1-rated lab and diagnostics billing platform. Flobotics adds the autonomous execution layer it’s still missing — running eligibility, prior auth, claims follow-up, and denial resubmissions 24/7, without a payer API.

XiFin RPM

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

Setup time?
Weeks, not months.

Secure?
100% HIPAA-compliant.

WHERE FLOBOTICS RUNS

Every queue.
Every payer.

ELIGIBILITYFRONT-END RCM

Coverage verified before the claim is built.

The agent pulls patient data from XiFin, fires a real-time 270/271 eligibility check against the payer, and writes the result back — before the order touches the clearinghouse. For high-volume labs, this runs overnight across every patient in the queue and flags coverage gaps, COB mismatches, and missing plan data before submission.

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DENIALSAPPEALS

Empower AI prioritizes. Flobotics resubmits.

XiFin’s Empower AI reads the EOB and tells you what to fix. Flobotics decodes every CARC/RARC code, corrects the root cause — missing documentation, CPT mismatch, payer-specific formatting — builds the appeal packet, and submits through the payer portal. At PathGroup: ~300 resubmissions per day, down from ~10 minutes per denial to ~55 seconds.

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PRIOR AUTHORIZATIONLIMS TO PAYER

From XiFin order to payer portal, without staff.

XiFin captures the order and clinical data. Flobotics extracts CPT, HCPCS, and ICD-10 codes, assembles the payer-specific PA packet with required attachments and LCD/NCD compliance, and submits to the payer portal — no API contract needed. careviso saw 90% faster packet turnaround from day one.

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CLAIMSA/R FOLLOW-UP

Stalled claims, chased automatically.

The agent syncs with XiFin and your clearinghouse, monitors batch acknowledgements and adjudication statuses in real time, and surfaces only the exceptions that need a human decision. At Gentem, this eliminated 98% of manual claim prep and recovered 250 hours of RCM work per week.

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results

Agentic AI automation is a natural step in RCM evolution.

And we have several proof of this.

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.

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.

automate with US

Ready to automate your business processes?

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 help you assess whether automation is right for you.

ai agents

Wait, there is more?

Yes! We also specialize in RCM process automation.

Denials Management
Automation

Hunts and classifies denials early to stop them from aging out.

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Denials Management
Automation

Claims Management Automation

Tracks claims and flags denials before they cost you.

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Claims Management Automation

Prior Authorization
Automation

Automate your PA process. No API required.

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Prior Authorization
Automation