AI agents and automation for healthcare operations
Referrals, requisitions, prior authorizations, claims and denials. Flobotics builds the AI agents that do the paperwork, so your staff get their day back and patients get answers faster.
Referral and prior authorization request
Please complete all fields. Incomplete requests will be returned.
Synthetic referral. Yellow shows what the agent read.
A patient waiting for an MRI approval. A specimen waiting to be registered. A member waiting for a letter. We measure our work in the time we give back.
for a patient to get an MRI authorization
Provider group · DR-018of paperwork per lab specimen before testing starts
Lab network · DR-021for a health plan member to get an answer to a letter
Health plan · DR-026given back to billing specialists every day, across 40 practices
RCM company · DR-024Industries
Four kinds of organizations, four piles of documents. Yellow shows what an agent reads and acts on. Red shows what it catches.
Laboratory requisition
Requisitions arrive by fax, portal and courier, often incomplete. Agents register them, request what is missing and prepare clean claims, so accessioning staff work on specimens.
Prior authorization request
Referrals, eligibility and prior authorizations take hours of skilled staff time. Agents build the packet, check the payer's rules and submit. Coordinators handle the edge cases.
Remittance advice · denial
Margin lives in the claim scrub, payment posting and denial queues. Agents read every remittance and denial letter, route what they can and pre-draft appeals for specialists.
Provider data change form
Health plans, TPAs and networks carry long queues of intake, provider data and correspondence. We automate the administrative steps. Clinical decisions always stay with people.
What we build
We implement AI, automation, agents and RPA inside your systems, then run them. Every agent follows the same three steps a good coordinator does.
Faxes, PDFs, portals, scanned insurance cards, even handwriting. Agents read every document the way a trained coordinator would.
Referrals · requisitions · EOBs · 835s · denial lettersPayer rules, codes, eligibility and completeness, checked against rules that carry an effective date.
CPT · ICD-10 · CARC · NPI · payer policySubmit, post, route, request. In your systems, with your access rules, logged step by step.
Portals · EHR · LIS · PM · clearinghouseAnything unclear goes to your staff with the fields already filled in. Clinical decisions are never automated.
FLOBOTICSLABEvery model and tool is tested in our Lab before it reaches your operations.See the experiments →
Services
Start with a two-week working session. Leave with software running in your environment and a team on your side that knows how to own it.
One process, 50 real examples, a working prototype and a fixed-price plan.
Agents that read, decide and act, with a person on every exception.
Portals and legacy systems without APIs, rebuilt with modern tooling where it pays.
Models that run inside your network when PHI cannot leave it.
LIS, EHR, practice management, clearinghouses. HL7, FHIR, X12.
Monitoring, exception queues, model updates and a one-page monthly report.
Deployment records
Every record shows the baseline, what we built, what broke on the way and what the client team owns now.
Regional clinical laboratory network
"We stopped talking about the backlog in our Monday meeting. It is not there anymore."
We test new models and agents on healthcare workflows every week and publish the results, including the failures.
Open the Lab →People
We design every automation with the people who do the work today, and we measure success in their hours, not only in dollars.
Reviews about 20 exceptions a day, with the packet already built.
Works on specimens. Missing insurance details are requested automatically.
Starts from a drafted appeal for the denials that need judgment.
Leadership, in public
The CTO writes about what is possible with AI. The CEO writes about what makes execution repeatable. Both sign their work. 38 people, 7 client pods.
Agents, local AI, hardware and what comes next. Published most days.
Read CTO Notes →Teams, ownership and the systems behind every deployment. Monthly.
Read Operating Notes →The blurriest referral, the most incomplete requisition, the denial letter nobody wants to read. In two weeks we will show you an agent handling it, with the numbers.