RxGPT provides HIPAA-ready AI agents that integrate with hospital EHRs, claims systems, and contact channels to automate billing, scheduling, and administrative workflows. The platform focuses on revenue cycle automation—including eligibility checks, claim validation, and denial recovery—along with clinical automation via voice agents and smart scheduling. Deployments are completed in 10–12 weeks and backed by a 60-day implementation guarantee.
Funding
Funding not disclosed
Founders
Product
Problem
Hospitals lose significant time and revenue due to manual claims submission, missing pre-submission checks, and fragmented workflows across disparate systems. These operational gaps lead to claim denials, administrative overhead, and delayed care coordination, ultimately slowing cash collection and burdening staff.
Solution
RxGPT runs configurable AI agents that integrate with existing EHRs, claims systems, and communication channels to automate billing, scheduling, and administrative work. The platform automates pre-submission claim validation, continuous denial remediation, and eligibility verification to improve approval rates and accelerate revenue recovery. Clinical automation features include voice agents and smart scheduling that reduce no-shows and streamline patient outreach and intake. RxGPT connects EHRs and third-party systems to orchestrate end-to-end workflows, eliminating manual handoffs and fragmented processes across departments.
Target Audience
Primary customers are hospitals and healthcare delivery organizations seeking to reduce administrative burden, improve claims approval rates, and streamline revenue cycle and clinical operations.
Features
- AI-driven pre-submission claim validation and denial remediation workflows
- Voice-based agents for patient outreach, intake, and smart scheduling
- Configurable automation across billing, scheduling, and administrative tasks
- Integration with EHRs, claims systems, and contact channels
- HIPAA, SOC 2, and GDPR compliance built into the platform architecture
- End-to-end workflow orchestration linking disparate hospital systems