# AI Automation for Healthcare RCM | Flobotics Canonical: https://www.flobotics.io/ --- AI automation for healthcare operations # We automate the work between your systems. We build AI agents and automations that connect your EHR, LIS, billing systems, and payer portals, eliminating repetitive work without replacing the software your team already relies on. [Discuss your workflow →](https://www.flobotics.io/contact) [See client results →](https://www.flobotics.io/case-studies) CompliantPartnerExperts[Clutch★★★★★5.0](https://clutch.co/profile/flobotics-ai-automation-rcm-healthcare) 03/14/2026 08:42FROM: NORTHSIDE FAMILY MEDICINEP. 1/3 SYNTHETIC NO PHI Referral and prior authorization request Please complete all fields. Incomplete requests will be returned. Patient nameJordan A. Sample Date of birth04/12/1968 Member IDXWJ48210937 Health planLakeshore Health Plan PPO Service requestedMRI lumbar spine without contrast CPT72148 ICD-10M54.16 Radiculopathy, lumbar Ordering providerDr. R. Example · NPI 1234567893 Pt failed 6 wks PT. Please expedite. Date 03/14/26 Prior authorization agentrun 4,812 Fax received08:42:10 8 fields read8/8 Payer rules checkedauth required Exception? Goes to a personnone today Submitted to payer08:43:44 ReadExtractRulesSubmit Submitted to the payer no human review needed1 min 34 s ## Every minute of busywork is a minute someone waits. A patient waits for coverage to be confirmed. A claim waits to be resolved. And while they wait, your team is still copying information between digital systems, checking statuses by hand, and fixing the same errors. Here’s what our clients measured after automating that work. ~5 minutes~1 min per patient eligibility verification, across multiple payer portals [RCM team · case study](https://www.flobotics.io/case-studies/halving-monthly-backlog---eligibility-automation-in-action) ~10 minutes~55 sec per denial across athenahealth and PathSys, ~300 resubmissions a day [PathGroup · case study](https://www.flobotics.io/case-studies/up-to-80-higher-throughput-in-rcm---denials-management-automation) ~6 minutes~30 sec per denied claim, with 80% of a 3,000-record backlog cleared in three weeks [Denials agent · case study](https://www.flobotics.io/case-studies/50k-saved-in-1-month-ai-agent-for-denials-management) manual checks23 days to 100% ROI from eligibility automation and Denial Hunter. Checks now take ~40 seconds and save ~3 FTEs [PTCoA · case study](https://www.flobotics.io/case-studies/100-roi-in-just-23-days-we-automated-eligibility-checks) Who we help ## Built around the way you work. [ 03/18/2026 06:12RIVERBEND CLINICP. 1/1 Laboratory requisition Tests orderedCMP · Lipid panel · HbA1c CPT80053 · 80061 ICD-10E11.9 Insurance ID MISSING · REQUESTED ### Diagnostic & pathology laboratories Requisitions, eligibility, prior authorization and denials across the LIS and payer portals, so accessioning and billing staff work on what needs judgment. ~10 min → ~55 sper denial at PathGroup Laboratories → ](https://www.flobotics.io/who-we-help/laboratories) [ 03/14/2026 08:44PORTAL SUBMISSIONREF 55012 Eligibility & benefits PayerLakeshore PPO StatusActive Service typeInterventional pain ResultVerified · saved to PM ### Specialty practices & provider networks Eligibility, prior authorization and claims for practices and networks, running across payer portals without new APIs. 100% ROI in 23 dayseligibility + Denial Hunter at PTCoA Healthcare providers → ](https://www.flobotics.io/who-we-help/providers) [ 835 · 03/21/2026LAKESHORE HEALTH PLANCLM 26-0048812 Remittance advice · denial Billed$1,840.00 Paid$0.00 ReasonCO-197 Precertification absent Next actionAuth attached · resubmitted ### RCM & medical billing companies Claim prep, payment tracking and denial work for RCM companies and in-house billing teams, from EHR data to the clearinghouse. 98% lessmanual claim prep at Gentem Health Revenue cycle teams → ](https://www.flobotics.io/who-we-help/rcm-billing-companies) [ 03/25/2026 14:03NETWORK OPERATIONSP. 1/2 Provider data change form Provider NPI1234567893 ChangeNew practice address Effective04/01/2026 RoutedDirectory update queued ### Payers & health plans Administrative intake, correspondence and provider data. We automate the administrative steps. Clinical decisions always stay with people. Administrative onlya person reviews every clinical item Payers → ](https://www.flobotics.io/who-we-help/payers) Other industries Finance & bankingLogisticsEnergyInsuranceHR & accounting [Business process automation →](https://www.flobotics.io/business-process-automation) What we do ## One process or a whole automation team. We help you decide what to automate, choose the right technology, and build and maintain the solution. [01 ### Build AI and automation AI agents, document processing, and workflow automation built around your existing systems and business rules. Explore AI and automation →](https://www.flobotics.io/ai-automation) [02 ### Connect your systems and data API integrations, data pipelines, and shared data layers that support reporting, analytics, and automation. Explore data and integrations →](https://www.flobotics.io/data-integrations) [03 ### Add a dedicated automation team Developers and analysts who plan and deliver your automation roadmap as an extension of your team. Explore dedicated teams →](https://www.flobotics.io/dedicated-teams) [04 ### Maintenance & Support Monitoring, maintenance, and improvements that keep your automations working as systems, requirements, and volumes change. Explore maintenance and support →](https://www.flobotics.io/maintenance-support) Built with the right tools for your systemsAI agents · UiPath · Python · RPA · API integrations [Already using UiPath? Development, maintenance, licensing, and help scaling your automation program.Explore UiPath services →](https://www.flobotics.io/uipath-services) Follow a workflow ## How does this actually work? Follow one prior authorization request through documents, your systems and human review. Click a step to stop there and look closer. - 01A request arrives - 02The automation reads it - 03It checks the rules - 04A person confirms what is unclear - 05It submits and saves DocumentsYour systemsHuman review A. Rivera · MRI request 01 · DocumentsFax received FromLakeshore Orthopedics Pages3 Received09:12 02 · DocumentsFields read PatientA. Rivera Member IDLKP 4410 2291 ServiceMRI, lumbar spine CPT · ICD-1072148 · M54.16 03 · Your systemsPayer rules checked PayerLakeshore PPO AuthorizationRequired for 72148 Must attachPhysical therapy history 05 · Your systemsSubmitted and saved Payer portalSubmitted · ref PA-55821 EHRConfirmation attached to the order NextStatus check scheduled 04 · Human reviewNote confirmed Handwritten"Failed 6 wks PT" WhyHard to read ResultConfirmed by your staff Step 1 of 5. A prior authorization request arrives by fax, with the order and a clinical note. Step 2 of 5. It reads the patient, insurance, service and codes. Each value is linked to the page it came from. Step 3 of 5. It checks the request against the payer's rules and yours: is authorization needed, and what has to be attached? Step 4 of 5. The physical therapy history is handwritten and hard to read, so a person confirms it before anything is sent. Clear requests skip this step. Step 5 of 5. It submits the request in the payer portal, attaches the documents and saves the confirmation in your EHR. The payer still makes the decision. Request complete.Request submittedEHR updatedFollow-up scheduled Pause [See this at a real client: the PTCoA prior authorization case study →](https://www.flobotics.io/case-studies/85-faster-submissions-8-ftes-saved-prior-authorization-automation) Our promise ## You don’t know us. Give us 30 days to change that. Hiring a company you haven’t worked with before is a risk. We take on the financial part of that risk, so you can judge us by our work before you pay anything. - Free ### We find five processes worth automating We work with your team to find five processes that are worth automating. For each one, we map the steps, check the numbers, estimate the return and recommend the technology. If automating something won’t pay off, we tell you. You don’t pay for any of this. - Six-month agreement ### You get a dedicated team When we agree on the five processes, we sign a six-month agreement. Then our team builds the automations for you. - 30 days ### You decide after 30 days The 30 days start when our team starts work. If you continue, we invoice at the end of each month. If you cancel within the 30 days, you pay nothing. If you cancel in the first 30 days, you pay $0 We don’t invoice the first month, there is no cancellation fee, and you owe nothing for the remaining five months. The only thing you’ve spent is your team’s time. You can cancel for any reason, for example: - Don’t like our work?Cancel - A black cat crossed your path?Cancel - Don’t like Karl’s mustache?Cancel You don’t need to convince us to keep your business. We need to convince you. [Read our full promise →](https://www.flobotics.io/our-promise) Client Results ## Numbers our clients measured. Real deployments, before and after. 1,000+ automations delivered across 10+ industries. [ Eligibility Checks 100%ROI in 23 days from eligibility automation plus Denial Hunter, with $180,000 in savings after year one. ### 100% ROI in just 23 days. We Automated Eligibility Checks! Read the case study → ](https://www.flobotics.io/case-studies/100-roi-in-just-23-days-we-automated-eligibility-checks) [ Claims Management 98%reduction in manual claim prep. Up to 250 hours per week of manual RCM work removed. ### 98% Reduction in Manual Claim Prep | Claims Management Automation Read the case study → ](https://www.flobotics.io/case-studies/98-reduction-in-manual-claim-prep-claims-management-automation) [ Pre-Auths 8+FTEs saved. Agentic AI standardized prior authorization submissions across payer portals. ### 85% Faster Submissions, 8+ FTEs Saved | Prior Authorization Automation Read the case study → ](https://www.flobotics.io/case-studies/85-faster-submissions-8-ftes-saved-prior-authorization-automation) [ Denials Management Up to 80%higher throughput in RCM, with a custom laboratory information system data exchange. ### Up to 80% Higher Throughput in RCM – Denials Management Automation Read the case study → ](https://www.flobotics.io/case-studies/up-to-80-higher-throughput-in-rcm---denials-management-automation) 1,000+automations delivered 10+industries automated $10M+annual client savings Weeksto ROI, not months [See all our work →](https://www.flobotics.io/case-studies) In their words ## What working with us is like. They were easy to get in contact with and the whole collaboration went smoothly. The automation has saved us a considerable amount of time. Everyone in the team confirmed it works fantastically and that it’s freed them up a lot of time. Manny AkintayoCo-founder & CTO at Gentem Health 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. Kamil WalczakProduct Lead, DocPlanner I appreciate their understanding and the way they grasp the needs of our business. Their overall knowledge, beyond the RPA, has been great as well. They also provide a high quality of security to protect the confidentiality we require. Rosemary AngstenCOO, DART Chart Systems Talk to us ## Show us the process your team is tired of doing manually. Let Karl, our CTO, take a look. It’s 30 minutes with the person who designs the automations, not a sales script. [Book a call with Karl →](https://tidycal.com/team/flobotics/flobotics-intro-call-w)[Send us a message](https://www.flobotics.io/contact) 30-minute callKarl MielnickiCo-founder, CTO Walk me through the process your team does by hand. I’ll tell you whether it’s worth automating and how I’d approach it. Karl