automation services for:us healthcare

RPA & AI for the work that payers and providers still do by hand.

Eligibility, prior authorization, claims follow-up, denials, ePHI workflows. We've shipped automation for hospital networks, multi-site practice groups, telehealth platforms, and revenue-cycle service providers — with HIPAA, audit trails, and BAAs treated as table stakes.

touchless claims
94%
Average across providers using our claims pipeline.
avg. ROI
26d
Time to recover engagement cost in production.
compliance
100%
HIPAA, SOC 2 ready, BAA signed before kickoff.
processes we ship

The eight workflows we automate most often.

Each of these is in production at one or more US healthcare clients today. Volume, exception handling, and SLAs are configured per engagement.

01 / process

Insurance eligibility checks

Bots query payer portals, parse 270/271 responses, and update the EMR with copay, deductible, and coverage status — including the messy edge cases like duplicate plans and tertiary payers.

12k/d
peak volume
98%
auto-rate
02 / process

Prior authorization submission

Submit, track, and follow up on prior auth across payer portals and fax fallbacks. AI handles document assembly; bots handle the click-work and status-checks.

3.2d
avg approval
-67%
handle time
03 / process

Claims submission & status

Daily claim batching, payer submission, and 277/277CA status follow-up. Errors route to a triage queue with the exact field flagged.

94%
touchless
22d
days in AR ↓
04 / process

Denials management

CARC/RARC parsing, appeal-letter assembly, payer-specific re-submission rules. Recovers a meaningful tail of “written-off” cash.

+18%
recovery rate
6d
avg cycle
05 / process

Patient inbox triage

Agentic AI reads, categorizes, and drafts responses for clinical, billing, and scheduling messages. Human review only on edge cases.

71%
auto-drafted
8min
avg response
06 / process

Patient statements & collections

Statement generation, payment-plan logic, dunning sequences, and ePHI-safe communication across email, SMS, and mail.

+24%
on-time pay
-40%
aging buckets
07 / process

ePHI de-identification

Custom-built de-identification pipelines for analytics, research, and vendor data sharing — Safe Harbor or Expert Determination paths.

100%
audit trail
SOC 2
ready
08 / process

Provider credentialing

CAQH attestation, payer enrollment tracking, expirations monitoring, and document re-collection — the back-office no one wants to staff.

-58%
cycle time
0
missed expirations
delivery

From intake to production in 6–10 weeks.

our healthcare stack

Tools we reach for, in order.

01
UiPath (Official Partner)
Default for portal click-work, payer integrations, EMR navigation. Partner-tier licensing.
02
Document AI & OCR
Insurance cards, EOBs, prior-auth packets, denial letters — variable templates, structured outputs.
03
Agentic AI & LLMs
Inbox triage, exception handling, drafting. Always with audit logging and human review checkpoints.
04
Custom integrations
FHIR, HL7, X12 (270/271, 837, 835, 277), payer portals, EMR APIs (Epic, Cerner, athena).
05
Plain Python & SQL
When a script is the right answer, we say so — and we build it.
compliance & security

Healthcare-grade by default.

H
HIPAA & HITECH compliant
BAAs signed before any data access. Minimum-necessary principle baked into every workflow.
S
SOC 2 Type II ready stack
Logging, access controls, and segregation of duties from day one.
A
Full audit trail
Every bot action logged with user, time, payload, and downstream effect.
E
Encryption in transit & at rest
TLS 1.3, AES-256, key rotation. PHI never touches non-compliant systems.
R
Role-based access
Bots get only the credentials and surfaces the process actually needs.
healthcare ops

Which process is hurting today?

30 minutes with a senior engineer. We'll know whether RPA, AI, or “you don't need this” is the right answer.

response timeSame business day
first callFree · 30 minutes
typical project$16k – $30k USD