Revenue Cycle Agent Platform

Maximize your revenue cycle efficiency with the effective blend of AI, automation, and human expertise. Empower your team, streamline processes, and improve outcomes with agents designed to meet your unique needs.

THE FUTURE OF RCM

Achieving better revenue cycle outcomes with integrated AI, automation, and human agents

Revenue cycle management is no longer just about completing tasks—it’s about delivering outcomes. Success requires the right ecosystem—a seamless combination of AI reasoning, automation precision, and human expertise to manage the full complexity of workflows.

At the heart of this transformation at Infinx is our proven Healthcare Revenue Cloud ecosystem, the robust and interoperable backbone of our next-generation Revenue Cycle Agent Platform. It orchestrates AI, automation, and human agents to create a unified, scalable solution that powers healthcare organizations to achieve:

Integrated agentic workflows

Our platform combines reasoning, task execution, and the human touch to optimize workflows across patient access and RCM processes. This ensures seamless operations from start to finish.

Seamless technology-human orchestration

AI, automation, and human agents work together in harmony, enabling consistent and reliable outcomes. This synergy ensures that every process benefits from the strengths of both technology and human expertise.

Deep integration with EHRs and billing systems

Our platform integrates deeply with EHRs, billing systems, and payer platforms to create a connected and unified workflow. This ensures data flows smoothly and processes are streamlined across systems.

Optimized workforce management

Task allocation is balanced efficiently between digital agents and human staff, ensuring the right resource is deployed for every task. This results in effective collaboration and operational efficiency.

Enterprise-grade security and compliance

We safeguard patient and financial data with enterprise-grade security measures, ensuring compliance with healthcare standards like HIPAA. You can trust our platform to keep sensitive information secure.

Actionable analytics for smarter decisions

Powered by a decade of real-world healthcare data and expertise, our analytics provide insights that drive smarter decision-making. This enables next-step actions and better financial outcomes for your organization.

With the Healthcare Revenue Cloud as its foundation, our Revenue Cycle Agent Platform brings intelligence, precision, and expertise to every corner of your RCM processes—empowering your organization to achieve better financial outcomes, reduce manual effort, and improve patient satisfaction.

MEET THE AGENTS

Three types of agents working together for better revenue cycle outcomes

Achieving exceptional revenue cycle outcomes requires the right combination of AI, automation, and human expertise. Our Revenue Cycle Agent Platform offers and unites three categories of agents, each designed to tackle unique challenges and bring efficiency, precision, and expertise to your workflows.

AI agents deliver intelligence for complex workflows

AI agents leverage cognitive reasoning and predictive capabilities to handle decision-intensive tasks. From navigating payer rules for prior authorizations to identifying patterns in denial trends, these agents deliver insights and drive automated actions that improve accuracy, compliance, and outcomes.

Automation agents bring precision at scale

Automation agents bring speed and accuracy to high-volume, repetitive workflows. Whether it’s verifying insurance eligibility, submitting claims, or reconciling payments, these agents ensure tasks are completed quickly and without error, reducing administrative burdens and freeing your staff for higher-value activities.

Human agents provide expertise where it matters most

Some workflows require a personal touch, and that’s where human agents shine. With deep expertise and adaptability, they manage nuanced and complex tasks like claims resolution and patient engagement, ensuring high-quality outcomes that automation alone cannot achieve.

Together, these agents work in harmony, to optimize every aspect of your revenue cycle.

AI AGENTS

Unleash the power of intelligence, reasoning and action with AI Agents

AI is only as effective as the data and expertise behind it. That’s why our AI agents are powered by multiple generative AI (GenAI) models, large language models (LLMs), and supervised machine learning, all trained on decades of revenue cycle data, clinical insights, and operational know-how.

Our AI Agents are designed to handle complex workflows that require both reasoning and action, delivering measurable results while reducing manual effort. From prior authorization reviews to document classification, these agents seamlessly integrate into your workflows to improve outcomes with precision and speed.

Here are some of the AI agents we deployed:

  • Document capture AI agent which extracts key patient details from faxed or scanned documents, classifies the document, and creates new referrals directly in EMR system for next step actions, like order entry and authorization updates.
  • Rx prescription generation AI agent generates long-term prescriptions based on physician-provided documentation, ensuring accuracy and compliance while reducing administrative workload.
  • Prior authorization clinical review AI agent assists in reviewing clinical notes, evaluating them against payer guidelines, and ensuring all required information is present for successful prior authorization submissions.

By leveraging proven technology built on real-world RCM experience—not experimental solutions—our AI agents empower your team to focus on higher-value tasks while enhancing operational efficiency and financial outcomes.

AUTOMATION AGENTS

Executing repetitive tasks at scale with Automation Agents

Our Automation Agents are designed to handle high-volume, repetitive tasks with unmatched efficiency and accuracy. From eligibility verification to claim status checks, these agents free your team from manual processes, allowing them to focus on high-value activities that require human expertise.

Here are some of the automation agents we have deployed:

  • Eligibility verification automation agent conducts real-time insurance checks to streamline patient onboarding and reduce front-office delays.
  • Authorization follow-up automation agent track prior authorization requests and ensure timely updates to prevent delays in patient care.
  • Claim status automation agent automates claim tracking and status retrieval to reduce the time spent following up with payers.
  • Credentialing automation agent automates primary source verifications, maintaining up-to-date provider records, and ensuring compliance with regulatory standards.

With automation agents seamlessly integrated into your workflows, you can reduce administrative burdens, minimize errors, and improve overall efficiency across your revenue cycle. These agents bring consistency and reliability to every task they execute, ensuring your operations run smoothly and effectively.

HUMAN AGENTS

Skilled specialists with unmatched expertise

Not every challenge can be solved with AI and automation alone. Our team of 6,000+ full-time specialists, located both onshore and offshore, brings deep expertise across acute and ambulatory care specialties. These professionals step in where human adaptability and decision-making are essential to ensure the best outcomes for your revenue cycle.

From verifying insurance and securing prior authorizations to resolving complex claims and managing medical coding, our human agents provide the critical skills and personal touch needed for your most nuanced workflows. Working seamlessly alongside AI and automation agents, they handle every task with precision, reliability, and care.

Human + Technology

Seamless orchestration between technology & staff

Achieving exceptional revenue cycle outcomes requires the perfect balance of technology and human expertise. Our platform ensures digital and human agents work in harmony, creating workflows that simplify complex tasks, enhance accuracy, and reduce IT burdens—all while driving measurable results for your organization.

Organize intuitive workflows

Our agent workflows are designed to adapt easily, ensuring that digital and human agents work together seamlessly. This approach simplifies complex revenue cycle tasks without adding unnecessary steps or burdening your staff.

Enhance accuracy with human expertise

Our human-in-the-loop model integrates routine automation with human intervention when needed. With support from our skilled human agents—specialists in patient access, coding, billing, and claims resolution—you can ensure both simple and complex tasks are handled with precision and care.

Minimize IT workload with fully managed services

With our fully managed services built-in, your IT teams no longer need to handle the daily management or troubleshooting of AI and automation processes. From development to deployment and ongoing maintenance, we ensure the agents consistently deliver results for your team.

By seamlessly combining digital and human expertise, we empower your organization to focus on strategic priorities while ensuring every workflow operates with maximum efficiency and accuracy.

Integrate with Confidence

Bi-directional compatibility for enhanced workflows

Our agents are designed to integrate seamlessly with your existing systems, ensuring smooth workflows without disruptions. With bi-directional compatibility across most EHR/EMR/LIS/RIS platforms, our agents work alongside your staff in their local systems while leveraging the power of our cloud-based platform.

Using RPA, API, HL7, FHIR, X12, and EMR developer programs, our platform connects with your systems to enable data synchronization and interoperability, ensuring consistent information flow and enhanced productivity.

With more than a decade of implementation experience, we’ve successfully connected our solutions to a wide range of systems, ensuring seamless compatibility and reliable performance, like Epic, Cerner, eRad, athenahealth, eClinicalworks, NextGen and many others.

Infinx - Partner - athenahealth
eClincalWorks

BUILT TO PROTECT DATA

Enterprise-grade security for every interaction

Data security is at the core of our solutions. Every aspect of our platform is designed to ensure that your data remains secure, private, and accessible only to authorized users. From authentication and encrypted storage to secure file handling, we prioritize safeguarding your sensitive information while maintaining seamless integrations.

Authentication & Authorization

Users are managed through an Identity and Access Management (IAM) tool, Keycloak, ensuring they can only access data for their authorized tenant.

Data Security

Our system communicates with the internet and services exclusively over HTTPS, ensuring secure data transmission.

Encrypted Passwords

All passwords in configuration files are encrypted, adding an extra layer of protection against unauthorized access.

Encrypted Data Storage

We use MongoDB and Amazon RDS with encryption enabled at rest, ensuring data remains secure in transit and at rest. Private subnets within a VPC safeguard internal services, while internet-facing services are accessed through a load balancer for added security.

S3 Protection

Files and images generated by automation processes are securely stored in Amazon S3 with access controls and encryption. Only users with valid permissions can access or download these files, ensuring data is secure at rest and protected during transfers.

Ready to deploy, easy to use

Transform your revenue cycle without disruption

With our flexible platform, you won’t have to spend months on setup, configuration, or maintenance.

Our AI and automation agents operate in a secure cloud environment, eliminating the need for new hardware or software investments. The platform is designed to integrate effortlessly into your existing workflows, so you can see measurable results faster.

Most clients experience a significant reduction in staff workload and costs within weeks of implementation. Plus, the intuitive interface makes it easy for your team to adopt without requiring extensive training.

Developed for revenue cycle success

Reliable agents built to navigate RCM complexities

Effective digital agents must be designed with a deep understanding of the intricate workflows in revenue cycle management. Navigating the complexities of healthcare data, compliance, and interoperability requires more than just technology—it demands expertise.

At Infinx, we leverage our extensive knowledge in revenue cycle operations, healthcare systems, compliance requirements, and advanced technology to create AI and automation agents that go beyond repetitive tasks. These agents efficiently handle everything from routine workflows to reasoning-based processes such as prior authorization initiation and document processing. Whether supporting patient access, billing, or revenue cycle teams, our agents are purpose-built to enhance efficiency, reduce burdens, and deliver measurable results.

HIGH VOLUME THROUGHOUT

Millions of agent transactions run annually

Our ten years of revenue cycle management experience has helped us refine our agents so that they yield positive ROI for our client providers.

2M+

saved per provider annually

15K+

data entry transactions automated daily

200 Hrs

saved per provider annually

Customize Automations For Your Unique Workflow - Revenue Automation

Human + Technology

Customize agents for your unique workflow

Custom AI and automation agents can be developed based on your unique needs. We work closely with your revenue cycle and IT team to map it out and get it done.

EDUCATION

Helpful resources for your team

We create educational materials frequently in the form of virtual office hours, articles, white papers, webinars and podcast episodes which help our clients and peers with common revenue cycle administrative burdens and challenges they face. If you would like us to address a specific topic, feel free to reach out to us.

WEBINAR

AI In RCM: A Data Scientist Explains

PODCAST

Precision RCM: Modular AI Strategies, Automation, and Smarter Denial Management

ARTICLE

Infinx Attended Automation Update: AI Learns From Manual Inputs In Payer Portals

PODCAST

The Future of Document Capture with AI and LLMs

WEBINAR

The Financial Benefits Of Coordinated Patient Access With AI, Automation & Workforce Allocation Technology

News

Black Book Research Shortlists Infinx For 2023 Predictive Analytics & Robotic Process Automation

Case studies

How we help our clients

Learn how we work with our clients to implement agents to improve process efficiencies and reduce workload burdens on their staff.

Patient access agents enable ENT group to reduce denials and accept walk-ins

A multi-location ear-nose-and-throat (ENT) group’s inefficient eligibility and verification process prevented from seeing patients on time, and inaccurate determinations resulted in claim denials. We partnered with the clinic to implement our patient access solution to manage their eligibility verification and prior authorization workflow and developed automation agents to handle information flow to and from their EHR to our solution and payer portals. Read more to learn how this helped them see more patients, increasing patient and employee satisfaction, as well as timely reimbursements.

Growing physical therapy group resolves eligibility and prior authorization bottlenecks with automation agents

With a volume of 50,000 visits a week and at least half of those requiring authorizations, this rapidly growing network realized adding staff alone wasn’t going to be a financially sustainable solution for their patient access needs. Plus, their automated solution for benefits verifications would frequently leave cases incomplete when it couldn’t find the relevant benefits information. Learn how our agents were able to resolve these challenges for them.

Looking to bring on AI and automation agents at your organization?

With our Revenue Cycle Agent Platform, you can seamlessly combine AI, automation, and human expertise to streamline your workflows and deliver positive financial and operational outcomes. Ready to see the impact on your revenue cycle?