AI THAT THINKS AND ACTS
Smarter workflows with intelligent AI agents
Healthcare providers today are under immense pressure to do more with less. Revenue cycle teams face rising costs, shrinking margins, and complex payer requirements, all while managing a growing workload. Workflows today require more than efficiency—they demand intelligence that can reason, adapt, and outcomes that impact their bottom line.
Why automation falls short
While automation excels at handling repetitive, rule-based tasks, it struggles with the variability and complexity inherent in healthcare workflows. Payer guidelines vary, patient scenarios are nuanced, and clinical data is rarely straightforward. These challenges require reasoning, decision-making, and adaptability—tasks that go beyond the capabilities of simple automation.
This is where our AI agents step in. By combining advanced technologies like Gen AI, natural language processing, machine learning, and robotic process automation, they enable workflows that can think critically and adapt dynamically, ensuring better outcomes at every step.
Intelligence that adapts and coordinates
Our AI agents go beyond automation by leveraging generative AI, proprietary models, and years of healthcare expertise to tackle even the most complex workflows. These agents can analyze, predict, reason, adapt, and act while intelligently coordinating tasks between automation tools and human agents when critical judgment is required.
Whether deployed as a standalone solution or integrated into our Revenue Cycle Agent Platform, they dynamically adapt to your needs, ensuring the right resource—be it technology or human expertise—is applied to every task.
Seamless integration with provider systems
Our AI agents seamlessly integrate with your existing systems, pulling data from EMRs, billing systems, and other platforms. Using advanced reasoning, they process information, query databases, execute code, and leverage machine learning models or connect to other LLMs when needed. Once processed, results are automatically input back into your systems, ensuring continuity and accuracy.
From simplifying referral document processing to optimizing claims management, these intelligence-driven workflows adapt to the complexities of real-world operations. By orchestrating tasks between technology and human agents, our AI agents deliver faster, more precise outcomes while freeing your team to focus on high-value work.
With the power to bridge technology and human expertise, our AI agents highlight what’s possible in healthcare workflows—delivering precision, scalability, and efficiency at every step to deliver outcomes our clients need.
BUILT WITH EXPERIENCE, NOT EXPERIMENTATION
What makes our AI Agents unique?
Our AI agents are built with a decade of RCM expertise and designed to tackle the most complex healthcare challenges. Here's why our clients trust us for integrating AI in their workflows:
- Powered by multi-LLM language models to improve accuracy and outcomes.
- Multimodal orchestration combines OCR, LLM, NLP, supervised ML and RPA to address diverse workflow needs and handle complex workflows with precision.
- Dynamic resource allocation matches the right resource to the task, optimizing costs and results.
- Intentional technology-human collaboration efficiently transitions tasks between automation and human agents. With a team of 5,000+ onshore and offshore specialists, we fill gaps where technology cannot complete the job.
- Integrates with EHRs, billing systems, and payer platforms, ensuring data flows without disruption.
- Proven healthcare expertise backed by years of real-world success in revenue cycle management. We’ve worked with providers, payers, and systems for over 10 years, refining our solutions to meet real-world challenges.
Together, these agents deliver outcomes providers are looking for.
AI AGENT TYPES
AI Agents that deliver revenue cycle impact
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 tailored to solve specific challenges requiring both reasoning and action across the revenue cycle: 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 agent extracts key patient details from faxed or scanned documents, classifies the document, and makes updates directly in EMR system, like order entry and authorization updates.
- Rx prescription generation agent generates long-term prescriptions based on physician-provided documentation.
- Prior authorization clinical review agent assists in reviewing clinical notes, evaluating them against payer guidelines, and ensuring all required information is present for successful prior authorization submissions.
- Claims status agent automates claim status inquiries through IVR or operator calls.
- Health check analytics agent delivers actionable insights into revenue cycle metrics.
- Next best action agent recommends optimal resolutions for A/R accounts.
- Coding agent enhances coding accuracy for radiology and home health services.
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.
CUSTOMIZABLE & MODULAR
Standalone power or ecosystem integration
Our AI agents are versatile enough to operate independently or integrate seamlessly with other agents available in our Revenue Cycle Agent Platform, which combines AI, automation, and human agents for complete workflow optimization.
- Standalone efficiency delivering immediate results for decision-intensive workflows.
- Ecosystem ready working in harmony with automation and human agents for end-to-end optimization.
- Develop, monitor, and optimize models with full API access and plugin support.
- Quickly develop and deploy AI agents across the entire revenue cycle with reusable models.
- Safeguard sensitive PHI data with advanced access controls and compliance frameworks, built for scale.
INTELLIGENT WORKFLOW ORCHESTRATOR
How our AI Agents powers smarter operations
Our AI agent operates as a central hub of intelligence, seamlessly connecting users to the technologies needed to execute complex workflows. From retrieving data to running machine learning models, it dynamically coordinates a variety of tools—including robotic process automation (RPA) and human expertise—to deliver meaningful results with speed and precision.
Here's how it works:
User interaction or trigger
It all starts with a user prompt—a request like "Summarize this report" or "Identify patterns in denial trends." Our AI agent interprets the request using natural language processing (NLP), understanding the task and planning the necessary actions.
Data and document access
If the request requires data retrieval, the AI agent connects with EMRs, databases, or document repositories, pulling the relevant information and preparing it for processing. Whether it’s querying patient details or identifying payer rules, the AI agent ensures the right data is available at the right time.
Robotic process automation
For repetitive or rule-based tasks—such as data entry, system updates, or claims submission—the AI agent delegates actions to our RPA bots, ensuring efficient and error-free execution.
Manual review collaboration
When workflows require human judgment, such as complex prior authorization and claim evaluations or manual checks, the AI agent assigns tasks to human agents for review. This collaboration ensures that even nuanced scenarios are handled with care and expertise.
Machine learning integration
When advanced analysis is required, the AI agent integrates with machine learning (ML) models to deliver forecasting (e.g., predicting denial trends), optimization (e.g., improving claim submission processes) and prediction (e.g., identifying high-priority claims for resolution).
LLM (large language model) support
The AI agent leverages generative AI, open source LLMs and our proprietary models to understand complex queries, analyze unstructured data, and provide conversational outputs.
Task execution and output
Finally, the AI agent coordinates all components to execute tasks and delivers outputs—whether it’s an actionable insight, a completed workflow, or an updated record in your system.
By dynamically integrating RPA, human agents, and advanced AI technologies, the AI agent ensures that every workflow is handled by the most effective resource. It serves as the brain of your workflows, intelligently managing tasks to deliver faster, smarter, and more reliable outcomes.
Human + Technology
Seamless orchestration between technology & staff
Achieving exceptional revenue cycle outcomes requires the perfect balance of technology and human expertise. Our Revenue Cycle Agent platform ensures our AI agents 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 AI 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 AI 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.
BUILT TO PROTECT DATA
Enterprise-grade security for every interaction
Data security is at the core of our solutions. Our AI agents are 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 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 AI 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 agents that go beyond automated tasks. These agents efficiently handle everything from routine workflows to reasoning-based processes such as prior authorization initiation and claims next best action. Whether supporting patient access, billing, or revenue cycle teams, our AI 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
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.
Looking to add AI Agents to your team?
Our AI agents are designed to tackle complex healthcare workflows with intelligence, adaptability, and precision. Whether you need a standalone solution or a fully integrated approach within our Revenue Cycle Agent Platform, we’ll help you streamline processes, reduce costs, and improve outcomes. Ready to transform your revenue cycle with AI-driven workflows?