Claude for Healthcare

Anthropic built the FHIR and prior auth skills. Your full patient record, payer policy, and prior auth packet processed in one pass, configured to your organization’s policies. Claude will unlock your capacity – let us implement it.

Schedule a call What we automate

Claude for healthcare

End-to-end stackToken efficiencyModel Advisory

Prior authorization, ICD-10, CPT. Full HIPAA compliance.
Epic, Cerner, HL7, FHIR. No API needed, no replatforming.
You gain a vetted automation partner. We focus on 100% ROI.

What do we automate?

Every Process. Every System.

Prior Authorization

Prior Auth Automation

Built on HIPAA-ready infrastructure with safety guardrails designed for healthcare. Claude validates provider NPI via NPI Registry, checks CPT and ICD-10 codes, pulls coverage requirements from the CMS Coverage Database, and cross-references clinical criteria against patient records — tracing every answer back to its source so you verify before you approve. Work that took hours of manual cross-referencing, done in seconds.

Claims & Appeals

Insurance Claims Appeals

Claude understands the complexity of payer rules, medical necessity criteria, and coverage policy. It reviews your denial reasons, cross-references clinical records against policy requirements, identifies every documentation gap, and drafts a comprehensive appeal with source-cited clinical evidence for each denial code. Answers traced back to the source — so your team reviews decisions, not disasters.

Patient Triage

Care Coordination & Triage

Connected to Function Health, HealthEx, Apple Health, and Android Health Connect — Claude reviews patient portal messages with full health record context, flags urgent clinical issues for immediate attention, drafts responses to routine questions, and routes billing, referral, and scheduling messages to the right team. Safety guardrails ensure clinical issues are never triaged down when they should escalate up.

Clinical Documentation

Ambient Scribing

Claude understands the complexity of medical coding and clinical decisions. From a visit recording, it generates the full visit summary, HPI, physical exam, ICD-10 assessment, and care plan — cross-referenced against PubMed clinical guidelines and the patient’s chart. Flags medication sensitivities, E/M level mismatches, and billing gaps before anything reaches the chart. 47 seconds from a 12-minute recording.

Medical Coding & RCM

ICD-10, CPT & HCC Coding

Claude connects directly to CMS Coverage Database, ICD-10, NPI Registry, and PubMed — reviewing every code against clinical records, payer rules, and coverage policy before submission. It shows you where every answer came from so your coders can verify, not guess. Work that took days now takes minutes. Fewer errors entering the pipeline means fewer denials coming back.

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Free ebook · 2026 edition

Claude in Healthcare — From Demo to Production

Three deployment patterns, HIPAA-eligible architecture, and production-ready ROI benchmarks. A practical playbook for RCM teams.

Download the free ebook (PDF)

Results

Agentic AI automation is a natural step in RCM evolution.

And we have several proofs of this.

Client caseDenials Management

$50K+saved in one month, with 90% less manual rework for the RCM team.

What clients say

Partners who worked with us

I admire their ability to meet and exceed our requirements and expectations.

Thanks to Flobotics, we have increased our sales conversion rate by 3%. The team communicates effectively and is proactive both in the product discovery and development stages. I love the business drive of the team as well as their flexibility and readiness to address all the needs.