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    Agentic Solution for Healthcare RCM

     Info
    Automation Anywhere’s Agentic Solution for Healthcare RCM is an AWS-hosted revenue cycle automation solution for provider finance, PFS, billing, and collections teams. It includes document and AI agents for prior authorization, eligibility, claims status, and denials management with natural language interaction across the entire workflow.

    Overview

    Healthcare revenue cycle teams lose valuable time to portal hopping, manual status checks, and chasing documents. Claims backlogs grow, denials rise, and reimbursements are delayed.

    To complicate matters, payer rules can differ significantly by plan, site of service, and benefit year. Teams waste hours interpreting criteria and gathering the “one more” attachment that unlocks approval.

    Turnover and uneven expertise lead to inconsistent outcomes. Critical policy knowledge remains trapped with a few seasoned veterans, leading to avoidable write-offs during peak volumes.

    Automation Anywhere's Agentic Solution for Healthcare RCM runs on AWS and uses document agents, AI agents, and AWS AI services to verify eligibility, submit and track authorizations, check claim status, and triage denials with clear reasons and next-best steps. It integrates with EHRs, clearinghouses, and payer data sources to shorten cycle times, increase clean claim rates, and provide leaders with real-time visibility.

    Highlights

    • Accelerate prior authorizations, eligibility checks, and claims follow-up to reduce A/R days and write-offs.
    • Cut manual rework and errors so teams can focus on high-value cases and timely appeals.
    • Strengthen payer compliance with complete audit trails and policy-aligned workflows.

    Details

    Delivery method

    Deployed on AWS

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    Pricing

    Custom pricing options

    Pricing is based on your specific requirements and eligibility. To get a custom quote for your needs, request a private offer.

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    Support

    Vendor support

    Automation Anywhere offers expert services to help you get started with Automation + Generative AI. Getting started services to help customers with adoption of the latest technologies. Getting Started framework includes: Feasibility Assessment, Complexity Assessment, Risk Assessment, Human-in-the-loop design, Guard rails, Automation Co-Pilot bot development and Automation Success Platform, Co-Pilot Enablement. A+ Accelerator Packages include: Getting Started, Use Case Discovery, Design Principles, Secure Bot Development and Enablement.

    Contact us at aws.aaimarketplace@automationanywhere.com  and https://www.automationanywhere.com/customer-support 

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