Reduce Staffing by 60%
Reduce Revenue Leakage by 50%
Scale and adjust to
Fluctuating Volumes
Fluctuating Volumes
Home Industries
We deal with 55,000 pages of fax per month. Understanding their breadth in the healthcare environment and being comfortable with referral-based organizations like ours. That's really what stuck with me. I'm excited because it makes the human component of it even easier.
Roger HanChief Transformation Officer KMH Cardiology Centres
Introducing Autonomous
Healthcare RCM AI Agents
Fax Indexing
AI Agent for Document/Fax Indexing & Classification
98% Accuracy in Auto-Classification
Referral
AI Agent for Patient Intake & Referrals
93% Closed-Loop Referral Rate
Eligibility
AI Agent for Insurance Eligibility & Verification
100% Of Patients Checked. Unlimited Payers
Prior Authorization
AI Agent for Prior Authorization
97% First-Pass Approval Rate
Coding
AI Agent for Clinical Note Review & Medical Coding
70% Drop in Coding Time w/ 95% Accuracy
Claims
AI Agent for Claims Processing
8XFaster Claim Submissions
Payment Posting
AI Agent for Payment Posting
100%Match Rate on EOBs
Denials
AI Agent for Denials Management
30%Fewer Denials
Automation AI
Document AI
Customer AI Chatbots
Case Management & Process Insights
Human in the loop
EHR Integration
Realize immediate ROI by re-deploying people into productive activities
Enable patient self-service through Agentic AI powered autonomous/semi-autonomous workflows
Get comprehensive data insights into your business processes through dynamic dashboards
Outcome based pricing. OpenBots platform pays for itself within first 90 days
How do OpenBots AI Agents work?
Benefits
If you can measure it,
you can fix it. OB RCM Dashboards
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View Client Success Story
Fax Indexing, Sorting & Classification AI Agent
Problem
Healthcare organizations still rely on manual staff to sort and categorize incoming faxes — including referrals, prescriptions, lab reports, and medical records. This leads to delayed routing, high error rates, and wasted admin hours.
Solution
The AI Agent automatically reads, classifies, and routes incoming fax documents by document type — without templates or pre-training. It integrates with systems like OnBase and Epic, and routes faxes to the correct folder or team in real time.
Impact
- 90%+ reduction in manual fax handling time
- 3x faster document routing to the appropriate system
- 70% fewer errors in document classification
- 60% ROI through lower admin costs and faster downstream workflows
60% ROI Reduction in number of manual work hours
Referral Management AI Agent
Problem
Patient intake teams are overwhelmed by the flood of incoming faxes and manual data entry. Referral forms get buried, data is delayed getting into the EMR, and patient care suffers due to missed or late follow-ups.
Solution
The AI Agent automatically reads incoming faxes, identifies referral types, applies intake business rules, and enters structured data directly into your EMR — without staff needing to touch a thing.
Impact
- 60–70% reduction in manual intake processing hours
- 80% faster referral entry into the EMR
- Fewer missed faxes, improving referral-to-appointment timelines
- Improved staff productivity by shifting focus to patient-facing tasks
60% ROIReduction in number of manual work hours
Claims & Denials Management AI Agent for Availity
Problem
Submitting and tracking claims through Availity is repetitive and time-consuming. Staff often juggle multiple payer requirements, deal with portal slowdowns, and manually check statuses — slowing down revenue capture.
Solution
The Claims AI Agent automates the entire process within Availity. It logs in, submits claims, checks statuses, captures updates, and flags any exceptions for review — all without human intervention.
Impact
- 87% reduction in manual claim submission effort
- 3x faster claim turnaround by automating follow-ups and status checks
- 50% fewer claim delays due to missed updates or unsubmitted documentation
- Full visibility into claims workflow with audit logs and exception alerts
100% ROITurnaround time reduced from 16 minutes to under 9
100% automation coverage across payers
Guaranteed ROI within 90 days
100% automation coverage across payers
Guaranteed ROI within 90 days
Claims & Denials Management AI Agent for UnitedHealthcare
Problem
Slow, error-prone claim submissions and unresolved denials drain revenue cycle teams. Manual resubmissions, payer-specific rules, and delayed insights lead to rising denial rates and missed reimbursement opportunities.
Solution
The AI Agent automates claims processing and denial follow-ups within UnitedHealthcare workflows. It identifies claim errors, submits corrections, tracks denial patterns, and auto-initiates resubmissions — all while maintaining compliance.
Impact
- 80%+ reduction in outsourced billing and follow-up labor
- 30–40% fewer denials through proactive error detection
- 2–3x faster resubmission turnaround time
- Full audit trail for compliance and payer accountability
80% ROI Reduction in outsourced staff, cutting workforce costs significantly
Patient Scheduling & Engagement AI Agent
Problem
Provider overwhelmed with 3,000+ patient queries daily via their Patient Portal, Addressed by 40+ offshore staff, leading to high costs and inefficiency
Solution
OpenBots AI Agents automatically reply to patient messages & complete requested action without human intervention
80% ROI Reduction in outsourced staff, cutting workforce costs significantly
Easy integrations with top EHR Systems & Insurance Portals
