Agentman offers an AI‑driven platform that automates the entire healthcare revenue cycle—from eligibility verification and prior authorizations to claims coding, submission, denial recovery, inbox triage, patient communications, and prescription refills—while maintaining full data lineage and auditability. The agents integrate with existing practice management and EHR systems, connect to over 2,700 payers in real time, and handle up to 90% of back‑office tasks, allowing staff to focus on patient care.
Funding
Funding not disclosed
Founders
Product
Problem
Medical practices spend extensive staff time on repetitive revenue cycle tasks—eligibility checks, prior authorizations, claim coding, submission, denial management, inbox triage, patient communications, and prescription refills—leading to costly denials, missed revenue, and clinician burnout. The workflow relies on manual portal logins, fax handling, and fragmented systems that lack auditability and real‑time governance.
Solution
Agentman provides a platform of AI‑driven agents that automate each step of the healthcare revenue cycle while preserving human oversight. Each agent connects to existing practice management and EHR systems, pulls required data, executes payer‑specific rules, and records a complete data lineage for every decision. The agents operate continuously (e.g., eligibility checks five days ahead of appointments) and surface only exceptions for staff review, delivering a transparent, auditable workflow. By replacing manual portal navigation, fax sorting, and manual coding, the platform reduces staff effort, lowers denial rates, and accelerates cash flow without requiring new IT infrastructure.
Target Audience
Primary customers are independent and small‑group medical practices (1–5 providers) and specialty clinics that manage their own revenue cycle, as well as larger health systems seeking to automate back‑office operations while maintaining auditability.
Features
- Eligibility Verification Agent: checks coverage across 2,700+ payers daily, flags mismatches, and provides a full audit trail.
- Inbox Triage Agent: classifies, matches, and routes faxes, voicemails, and portal messages, auto‑routing 70‑80% of items.
- Prior Authorization Agent: detects required authorizations, assembles documentation, submits electronically, and tracks status.
- Denial Recovery Agent: identifies denial patterns, generates payer‑specific appeals, and automates resubmission of correctable claims.
- Claims Coding Agent: extracts diagnoses and procedures from clinical notes, suggests ICD‑10/CPT codes, and validates modifiers before submission.
- Claims Submission Agent: validates claims against payer rules, applies real‑time corrections, and submits batches with status monitoring.
- Patient Communications Agent: two‑way 10‑digit SMS for scheduling, reminders, payments, and after‑hours triage, with multilingual support.
- Rx Refill Agent: captures refill requests from all channels, applies practice protocols, auto‑approves routine refills, and routes exceptions to providers.
- Unified data lineage and governance layer that records every input, decision, and output for compliance and auditability.
- Plug‑and‑play connectors for 42+ practice management/EHR systems (e.g., AdvancedMD, DrChrono, Athena) with rapid 1–2 day onboarding.