Reduce Staffing by 60%
Reduce Revenue Leakage by 50%
Scale and adjust to
Fluctuating Volumes
Fluctuating Volumes
Home Industries
Supercharge Healthcare RCM with Agentic AI
Trusted by
Using Alera for referrals and Thalys for prior auths has been a game-changer. Prior auth turnaround dropped from 16 minutes to under 6, and closed-loop referrals jumped from 40% to a consistent 92–93%. Honestly, it’s hard to believe we ever ran this manually. This is the future.
Vice President of RCM, Southwest Behavioral Health Organization
Introducing Autonomous
Healthcare RCM AI Agents
Agent Faxtrot
AI Agent for Fax Indexing & Classification
90% reduction in manual fax handling
Agent Referral
AI Agent for Patient Intake & Referrals
80% autonomous intake process
Agent Verify
AI for Eligibility Verification
11x increase in eligibility checks per hour
Agent P-Auth
AI Agent for Prior Authorization
99% First-Pass Approval Rate
Agent Claims
AI Agent for Claims & Denials Management
80% Denial Reduction + 5X Faster Claims
Agent Pay
AI Agent for Payment Posting
Reduces Days Sales Outstanding by 10+ days
EHR Integration
Document AI
Case Management & Process Insights
Automation AI
Chatbots, Voice & Text
Sortis
AI Agent for Fax Indexing & Classification
90% reduction in manual fax handling
Alera
AI Agent for Patient Intake & Referrals
80% autonomous intake process
Veris
AI for Eligibility Verification
11x increase in eligibility checks per hour
Thalys
AI Agent for Prior Authorization
99% First-Pass Approval Rate
Clario
AI Agent for charge Capture and Medical Coding
50% increase efficiency & accuracy by at least 50%
Solis
AI Agent for Claims
5XFaster Claims
Revio
AI Agent for Payment Posting
10Xincrease efficiency by 10X
Defender
AI Agent for Denials
80%Denials reduction
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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Full suite of RCM AI Agents
AI Agent for Patient Scheduling
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 Integration
Document AI
Voice & Text
Automation AI
Chatbots
View Client Success StoryPrior Authorization AI Agent
Problem
Prior authorizations are slow, manual, and error-prone — delaying care, overloading staff, and increasing denials.
94% of physicians agree: Prior Authorizations delay care.
94% of physicians agree: Prior Authorizations delay care.
Solution
OpenBots AI Agents automate 100% of prior auth submissions and monitoring across all payer portals — no limitations.
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
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% ROIReduction in number of manual work hours
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
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
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
Easy integrations with top EHR Systems & Insurance Portals
