AI-Powered Revenue Cycle Automation

The Revenue Cycle.
Completely Automated.

Innobot deploys AI across your entire RCM operation, from scheduling through reconciliation, so your team stops chasing claims and starts driving revenue.

Trusted by leading healthcare organisations

From your data to completed work, scrubbed on scroll

Stage 01 · Retrieve data

Your data comes in from the systems you use.

Professional and institutional claims arrive through:

  • An API connection that lets your systems exchange data directly.
  • A scheduled export from your existing system.
  • An automation that runs and pulls reports the same way a person would, without a direct back-end connection.
  • Charges
  • Payments
  • Adjustments
  • Denials
  • Accounts receivable (AR)
  • Bad debt
  • Fee schedules

Next: the latest claim or encounter information is ready for the algorithm.

Stage 02 · Decide & route

The latest event determines what happens next.

Our algorithm uses the latest claim or encounter event to choose the next action. It places that task in a work queue: a list of tasks waiting to be completed, grouped by the work they need.

Next: each assigned task is ready for the appropriate automation.

Stage 03 · Do the work

Automation does the work, with people where needed.

Tasks are picked up from their queues and handled through APIs, AI agents, chatbots or voice calls. Tasks that fail all layers of automation fall into an exception queue for a person to resolve. Each task uses the support it needs; it does not have to pass through every level.

Next: completed actions and their results return to your system.

Stage 04 · Update your system

Completed work updates your own system.

Through APIs or AI agents, completed work is recorded in your existing system the same way a person would enter it. Insurance updated, payments posted, notes entered and claims resubmitted, all within your current practice management system.

When follow-up is needed, the latest result becomes the input for the next action.

Stage 05 · See the results

See the work completed and its financial impact.

As work progresses, dashboard analytics show claim outcomes, automation and manual performance, and the cost of collecting revenue. Your team can track progress and see where attention is needed.

Your team can see what was done, what still needs attention and how collections are performing.

One claim moving through the workflowA continuous diagram scrubbed by scroll. Claims arrive over an API connection, a scheduled export and a report automation, and resolve into one structured record. An algorithm reads the latest event and places a task in one of six work queues. A dispatcher then fires six agents in dependency order: an API agent for eligibility, two portal agents in parallel for authorization and claim status, a chat agent and a voice agent that each wait on the branch before them, and a human specialist for anything automation could not finish. Completed work is written back into the practice management system and summarised on an analytics report.CLAIMS ARRIVE THROUGHAPI CONNECTIONSYSTEMS EXCHANGE DATA DIRECTLYSCHEDULED EXPORTFROM YOUR EXISTING SYSTEMREPORT AGENTCHARGES · PAYMENTSREPORT AGENTADJUSTMENTS · DENIALSREPORT AGENTACCOUNTS RECEIVABLE (AR)REPORT AGENTBAD DEBTREPORT AGENTFEE SCHEDULESCLAIM IDCLM-2026-48212FORMATUB-04 · INSTITUTIONALPAYERANTHEM BCBS · PPOBILLED AMOUNT$4,862.00SOURCEPM SYSTEM · REPORT AGENTRECEIVED09:42:18TYPE OF BILL0131REV0450 · 99284REV0636 · J3301 ×4CLAIM FORMAT837I INSTITUTIONALCLAIM FORMAT837P PROFESSIONALTHE ALGORITHMRECEIVINGCLAIM AND ENCOUNTER DATAILLUSTRATIVE RECORDCLM-2026-48212LATEST EVENTELIGIBILITY CONFIRMEDCHOOSE THE NEXT ACTIONWORK QUEUESELIGIBILITYAppointment scheduled14AUTHORIZATIONEligibility confirmed09CLAIM STATUS15+ days, no payment22ADJUSTMENTSOA23 denial received06APPEAL FOLLOW-UPAppeal 15+ days old04EXCEPTIONSAutomation exhausted02DISPATCHAGENT 01NEXT IN LINEAGENT 02WAITING ON 01AGENT 03WAITING ON 01AGENT 04WAITING ON 03AGENT 05WAITING ON 02AGENT 06WAITING ON 05 + 04AGENT 01APIsQUEUEDRUNNINGDONERun eligibility270 REQUEST SENTANTHEM BCBS271 RESPONSE PARSED0.8sCOVERAGE ACTIVEDED METELIGIBILITY CONFIRMEDAGENT 02AI agentsQUEUEDRUNNINGDONECheck if authorization is requiredPAYER PORTAL OPENSSOAUTH REQUIREDYESAUTH SUBMITTEDREF 8821-AAUTHORIZATION SUBMITTEDAGENT 03AI agentsQUEUEDRUNNINGDONECheck claim statusCLAIM LOCATED48212STATUS RETURNEDDENIEDREASON CAPTUREDOA23OA23 DENIAL RECEIVEDAGENT 04ChatbotsQUEUEDRUNNINGDONETake the adjustmentCHAT SESSION OPENPAYERADJUSTMENT AGREED$412.00TRANSCRIPT SAVEDOKADJUSTMENT TAKENAGENT 05Voice callsQUEUEDRUNNINGDONECheck appeal statusCALL PLACED02:14IVR NAVIGATED4 PROMPTSAPPEAL IN REVIEW10 DAYSAPPEAL STATUS KNOWNAGENT 06Human supportQUEUEDRUNNINGDONEResolve what automation could notROUTED TO SPECIALISTQUEUE 02JUDGEMENT APPLIEDMANUALRESOLVED1 ITEMEXCEPTION CLEAREDUPDATE THE CLIENT SYSTEMSYSTEM UPDATEDWRITE RESULTS BACK THROUGHAPIAI AGENTELIGIBILITYVerification results and insurance updatedAUTHORIZATIONStatus and reference recordedCLAIM STATUSLatest payer response savedNOTESCompleted actions documentedPAYMENTS & ADJUSTMENTSPosted to the accountCLAIM SUBMISSIONSSubmission details recordedRECORDED THE SAME WAY A PERSON WOULD ENTER ITDATA ANALYTICSThe work completed and its financial impactPERFORMANCE OVERVIEWILLUSTRATIVECOST TO COLLECT2.2%TOUCHES PER ENCOUNTER1.4DENIAL RATE4%A/R AGINGOUTSTANDING A/R $28M0–30 DAYS$12M31–60 DAYS$8M61–90 DAYS$5M91+ DAYS$3MCOLLECTIONS TREND12 PERIODS$72MPAYMENTS RECORDEDCLAIM OUTCOMES100 CLAIMSPAID 60PARTIAL 24PENDING 12DENIED 4PROCESSING MIX1,000 WORK ITEMSAPI INTEGRATION 42%RPA BOT 33%CONVERSATIONAL AI 15%MANUAL 10%PAYER BALANCESBILLEDPAIDBALANCEPAYER A$50M$38M$12MPAYER B$30M$21M$9MPAYER C$20M$13M$7MTOTAL$100M$72M$28M
  1. Stage 01, Retrieve data. Your data comes in from the systems you use. Professional and institutional claims arrive through: An API connection that lets your systems exchange data directly. A scheduled export from your existing system. An automation that runs and pulls reports the same way a person would, without a direct back-end connection. Charges, Payments, Adjustments, Denials, Accounts receivable (AR), Bad debt, Fee schedules. Next: the latest claim or encounter information is ready for the algorithm.
  2. Stage 02, Decide & route. The latest event determines what happens next. Our algorithm uses the latest claim or encounter event to choose the next action. It places that task in a work queue: a list of tasks waiting to be completed, grouped by the work they need. Next: each assigned task is ready for the appropriate automation.
  3. Stage 03, Do the work. Automation does the work, with people where needed. Tasks are picked up from their queues and handled through APIs, AI agents, chatbots or voice calls. Tasks that fail all layers of automation fall into an exception queue for a person to resolve. Each task uses the support it needs; it does not have to pass through every level. Next: completed actions and their results return to your system.
  4. Stage 04, Update your system. Completed work updates your own system. Through APIs or AI agents, completed work is recorded in your existing system the same way a person would enter it. Insurance updated, payments posted, notes entered and claims resubmitted, all within your current practice management system. When follow-up is needed, the latest result becomes the input for the next action.
  5. Stage 05, See the results. See the work completed and its financial impact. As work progresses, dashboard analytics show claim outcomes, automation and manual performance, and the cost of collecting revenue. Your team can track progress and see where attention is needed. Your team can see what was done, what still needs attention and how collections are performing.
  1. Stage 01 · Retrieve data

    Your data comes in from the systems you use.

    Professional and institutional claims arrive through:

    CLAIM ID
    CLM-2026-48212
    FORMAT
    UB-04 · INSTITUTIONAL
    PAYER
    ANTHEM BCBS · PPO
    BILLED AMOUNT
    $4,862.00
    SOURCE
    PM SYSTEM · REPORT AGENT
    RECEIVED
    09:42:18

    Next: the latest claim or encounter information is ready for the algorithm.

  2. Stage 02 · Decide & route

    The latest event determines what happens next.

    Our algorithm uses the latest claim or encounter event to choose the next action. It places that task in a work queue: a list of tasks waiting to be completed, grouped by the work they need.

    • ELIGIBILITYAppointment scheduled
      14
    • AUTHORIZATIONEligibility confirmed
      09
    • CLAIM STATUS15+ days, no payment
      22
    • ADJUSTMENTSOA23 denial received
      06
    • APPEAL FOLLOW-UPAppeal 15+ days old
      04
    • EXCEPTIONSAutomation exhausted
      02

    Next: each assigned task is ready for the appropriate automation.

  3. Stage 03 · Do the work

    Automation does the work, with people where needed.

    Tasks are picked up from their queues and handled through APIs, AI agents, chatbots or voice calls. Tasks that fail all layers of automation fall into an exception queue for a person to resolve. Each task uses the support it needs; it does not have to pass through every level.

    • 01
      APIsExchange information directly between systems.
    • 02
      AI agentsComplete tasks in portals, just as a person would.
    • 03
      ChatbotsUse chat to request information and follow up.
    • 04
      Voice callsCall to obtain information and resolve tasks.
    • 05
      Human supportHandle work that needs a person’s judgment.

    Next: completed actions and their results return to your system.

  4. Stage 04 · Update your system

    Completed work updates your own system.

    Through APIs or AI agents, completed work is recorded in your existing system the same way a person would enter it. Insurance updated, payments posted, notes entered and claims resubmitted, all within your current practice management system.

    APIAI AGENT
    • ELIGIBILITYVerification results and insurance updated
    • AUTHORIZATIONStatus and reference recorded
    • CLAIM STATUSLatest payer response saved
    • NOTESCompleted actions documented
    • PAYMENTS & ADJUSTMENTSPosted to the account
    • CLAIM SUBMISSIONSSubmission details recorded

    When follow-up is needed, the latest result becomes the input for the next action.

  5. Stage 05 · See the results

    See the work completed and its financial impact.

    As work progresses, dashboard analytics show claim outcomes, automation and manual performance, and the cost of collecting revenue. Your team can track progress and see where attention is needed.

    OUTSTANDING A/R$28M
    COST TO COLLECT2.2%
    TOUCHES PER ENCOUNTER1.4
    DENIAL RATE4%

    Your team can see what was done, what still needs attention and how collections are performing.

Proven at Scale

Numbers that change how you operate.

Innobot's AIdoesn't just save time. It compounds. Every automation feeds the next, creating an operation that runs faster, cleaner, and more profitably month after month.

Highest Documented ROI
667%

Enterprise deployment. Month 8.

Full revenue cycle automated in under 12 months.

75FTEs Freed
12,400Hours Recaptured
M1M6M12667%
Scheduling AI
97.3%
Time Saved
847/wk
MTWTFSS
23
24
25
26
27
28
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
LessMore

Reduction in scheduling time.

847 appointments a week. Zero manual touches.

Registration
76.4%
DEMO
ELIG
FORMS

Less front-desk work.

Demographics, eligibility, forms: all automated.

Reconciliation
99.8%
Time Saved
Manual
~5h
Innobot
36s

Audit + recon, automated.

ERA 835 posted same-day. Zero manual overrides.

Denials
82.6%

Fewer denials. Cleaner claims.

22 scrub rules. Caught before the clearinghouse on every claim sweep, every payer, every time.

Industry Avg
12.4%
Per Batch
−82.6%
Reduction
Innobot
2.2%
Per Batch
End-to-End Automation

Every step of revenue cycle.
Fully automated.

From the first patient call to the final reconciliation, Innobot handles it without your team lifting a finger.

Deployment

Live in weeks, not months.

No EHR integration required. Our robots mirror your staff's exact workflows. No disruption, no retooling, no waiting.

01
WEEK 1–2
Discover & Audit
We map every RCM workflow, EHR screen, and manual step your team performs, click by click, to identify every automation opportunity before a single AI agent is built.
02
WEEK 2–5
Design & Build
We train custom AI agents on your exact screens and rules, mirroring every payer exception and edge case so they follow your team's playbook precisely.
03
WEEK 5–7
Deploy & Train
Go live with full team onboarding, real-time QA monitoring, and a dedicated success manager. No disruption to your existing workflows.
04
WEEK 7–8
Monitor & Optimise
Continuous ROI analytics, agent health dashboards, and monthly improvement cycles. Performance compounds month after month.
Testimonials

Hear it from the clients who live it.

Innobot's automated workforce handled work that would have required hiring at least 25 more people, without slowing down our growth.
Operations Lead
Veradigm
$1.29M Saved · 654K+ Tasks Auto
Home health needs accurate eligibility on every visit. Innobot returns 2,000 hours every month. That's capacity we didn't have to hire for.
Revenue Cycle Director
EmpowerMe Wellness
2,000 hrs/mo · 52K Checks/mo
Innobot supported us with several RCM automations, processing close to 100,000 transactions per year. Consistent delivery, proactive communication, and a scalable partner.
Mary Garcia
Director of RCM · Skin & Aesthetic Centers
100K/yr · 4,370 hrs Returned
Get Started

Ready to automate your revenue cycle?