XiFin is the industry’s #1-rated lab and diagnostics AI-driven cloud billing platform that optimizes financial performance for diagnostics and pharmacies. Eligibility, prior auth, claims follow-up, and denial resubmissions 24/7, all without a payer API.
ExtendsXiFin RPM & Empower AI
The agent pulls patient data from XiFin, fires a real-time 270/271 eligibility check against the payer, and writes the result back — before the order touches the clearinghouse. For high-volume labs, this runs overnight across every patient in the queue and flags coverage gaps, COB mismatches, and missing plan data before submission.
Learn more~300 resubmissions per day, down from ~10 minutes per denial to ~55 seconds. XiFin’s Empower AI reads the EOB and tells you what to fix. It decodes every CARC/RARC code, corrects the root cause — missing documentation, CPT mismatch, payer-specific formatting — builds the appeal packet, and submits through the payer portal.
Learn moreXiFin captures the order and clinical data. Flobotics extracts CPT, HCPCS, and ICD-10 codes, assembles the payer-specific PA packet with required attachments and LCD/NCD compliance, and submits to the payer portal — no API contract needed. careviso saw 90% faster packet turnaround from day one.
Learn moreThe agent syncs with XiFin and your clearinghouse, monitors batch acknowledgements and adjudication statuses in real time, and surfaces only the exceptions that need a human decision. At Gentem, this eliminated 98% of manual claim prep and recovered 250 hours of RCM work per week.
Learn moreAnd we have several proofs of this.
Claims ManagementYes! We also specialize in RCM process automation.
Let Karl, our CTO, take a look. It’s 30 minutes with the person who designs the automations, not a sales script.
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