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Prebuilt configurable Healthcare AI Agents
enabling Rapid Deployments
Into Epic, Meditech, eClinicalWorks, NextGen, Cerner & more.
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AI Agent
Configuration, Integration & Customization
AI Agent for Patient
AI Agent for Prior Auth
AI Agent Claims &
Denials
AI Agent for Patient
Referral
AI Agent for
Medical Coding
AI Agent for
Document indexing
Base Platform
EHR
Document AI
Voice & Text
Automation AI
Chatbots
Patient Intake and Referrals AI Agent
Problem
Patient Intake staff overwhelmed with volume of incoming faxes and massive data entry, leading to inefficiencies & missed faxes
Solution
OpenBots AI Agents by automatically reading faxes, processing business rules and entering data into EMR
- 60%ROI
- Reduction in number of manual work hours
Patient Scheduling & Engagemen 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
Fax Indexing & Classification AI Agent
Problem
Manual human-based fax sorting, indexing, and classification for incoming documents like referrals, prescriptions, lab reports, and medical records. This process is time-consuming, prone to errors, and requires significant resources from health information teams.
Solution
An AI Agent automates the sorting, indexing, and classification of incoming faxes. It eliminates the need for human intervention by accurately identifying document types and routing them to the correct system or folder (e.g., OnBase, Epic). This significantly reduces time, errors, and operational costs while enabling admin teams to focus on higher-value tasks.
- 60%ROI
- Reduction in number of manual work hours
Claims and Denials Management AI Agent
Problem
Slow, error prone and inefficient Claims processing & Denials management
Solution
OB AI Agents facilitate faster Claims processing and effective denials management by identifying errors, automating resubmissions, and providing insights into trends causing denials ensuring claims compliance and improving resubmission rates.
- 80%ROI
- Reduction in outsourced staff, cutting workforce costs significantly
Referral Process AI Agent
Medical Document Management / Indexing AI Agent
Claims and Denials Management AI Agent
Patient Engagement AI Agent
Prior Authorization AI Agent
Prescription Setup AI Agent
Referral Process AI Agent
Referral Process AI Agent
This AI agent streamlines and automates the referral process by managing patient data, ensuring that referrals are routed to the appropriate specialist or facility, and verifying that the referral complies with insurance and provider requirements.
- Automated intake of referral faxes
- Creating new patients and providers in EHR when they do not exist
- Automated verification of eligibility and insurance coverage.
- Routing referrals to the right specialists based on patient needs and geographic location.
- Compliance checks to ensure proper documentation and authorization.
Medical Document Management / Indexing AI Agent
Medical Document Management / Indexing AI Agent
This agent organizes, categorizes, and retrieves medical documents while ensuring data security and compliance. It uses advanced Large Language Mode to classify and extract key information from unstructured documents and integrates seamlessly with EMR or other indexing systems.
- This agent organizes, categorizes, and retrieves medical documents while ensuring data security and compliance. It uses advanced Large Language Mode to classify and extract key information from unstructured documents and integrates seamlessly with EMR or other indexing systems.
- LLM for Document classification.
- Splitting multi-document packages into individual documents before indexing.
- Automated data extraction from documents.
- Integrations with EMRs to get patient data to be used as meta data for indexing.
Claims and Denials Management AI Agent
Claims and Denials Management AI Agent
This agent facilitates faster claims processing and effective denial management by identifying errors, automating resubmissions, and providing insights into trends causing denials. It ensures claims compliance and improves reimbursement rates.
- Pre-submission claim validation to reduce errors.
- Access payer portals for claim status. Download EOBs, ERAs.
- Gather denials with reasons.
- Automated resubmission workflows for denied claims.
- Recommendations on common denial reasons or transfer to coding teams for corrections.
Patient Engagement AI Agent
Patient Engagement AI Agent
This agent focuses on enhancing communication, and overall engagement with patients throughout their healthcare journey. It uses AI to provide personalized messages and automate routine interactions to ensure enhanced patient satisfaction and improved efficiency for the operations team.
- Automated patient responses for things like appointment scheduling, prescription refill requests and status and common FAQs.
- Proactive communication to send appointment reminders preventive screening or follow-ups.
- Smart Query routing to identify and route queries to the right department that require human interaction.
- Real-time human escalation and seamless transfers for urgent patient requests.
Prior Authorization AI Agent
Prior Authorization AI Agent
This agent handles the labor-intensive process of obtaining prior authorization for procedures, treatments, or medications. It connects with payer systems to submit and monitor authorization requests, identifies missing information, and provides updates on the status.
- Automated form filling and submission to payer portals.
- Intelligent data extraction from EMRs and other documents to populate prior authorization requests.
- Notifications for approval, denial, or additional requirements.
Prescription Setup AI Agent
Prescription Setup AI Agent
This agent facilitates prescription management by automating the setup, renewal, and tracking processes. It integrates with e-prescription platforms and pharmacies to streamline medication delivery and compliance.
- Extracting information from paper or faxed prescription.
- Automated data entry of prescription Re-fills on EMRs.
Prebuilt document packages for
Automated Classification and Data Extraction
Streamline your document workflows with our prebuilt Healthcare document package designed to classify and extract data effortlessly from faxed and scanned documents. Leveraging advanced AI and large language models, our solution recognize and process diverse document types such as referrals, medical records, insurance forms, and more. Save time, reduce manual effort, and ensure consistent results with our plug-and-play document automation tool. Perfect for organizations looking to enhance efficiency and scalability in their document processing tasks.
- Insurance Documents
- Explanation of Benefits (EOB)
- Referral
- Auth Rejection
- Appeal Return
- ID Documents
- Lab Report
- Prescription
- Billing Documents
- Health Insurance Claim (CMS -1500)
- Consent Forms
- Mileage Logs
- Treatment Logs
- Clinical Notes
- Patient Demographics Form
OpenBots Healthcare Demos
Automating Patient Intake Fax Data into eClinicalWorks
Salesforce EMR Integration Bot Demo
Claims Status Inquiry for Denied Claims within Availity Payer Portal
OpenBots Meditech Automation Video - Referral Management - Patient Intake
Claims Status Inquiry for Denied Claims within United Healthcare Payer Portal
Automation of Claims Validation and T-Code Addition Led to 1.4x Productivity
Automation of Self Paid Claims Process Led to 1.5x Overall Productivity.
Automation of Claims Validation and T-Code Removal Led to 30% Increase in Transaction Rate.
Easy integrations with top EHR Systems & Insurance Portals
