How 15 healthcare clinics cut prior-auth + denial work by 25–200 hours/week
Without ripping out their EHR, and the four-step automation stack we used to do it.
Recording available on demand soon. We ran this session live on June 10, 2026, and we’re preparing the recording now.
Session4-Step RCM Automation Stack
- Recorded: Wednesday, June 10, 2026
- Length: 30 minutes
- Host: Bart, our Head of AI
- Recording: available on demand soon
30 minutes. No pitch deck. Just the playbook.
Four things you can act on the same week.
A denial-rate benchmark
The range of denial rates we see at clinics like yours, so you can tell how much money is stuck compared with your peers.
The four-step automation stack
Eligibility, prior authorization, denials, and claims, in the order we automate them, with the EHR and payer-portal integrations we use.
How to work out your ROI
The numbers that decide the payback: denial volume, billing team size, and hourly cost. Run your own in the ROI calculator.
Your own question
A recording can’t take questions. Bring yours to a 30-minute call with Bart or Karl, and we’ll answer it for your EHR and your workflow.
Built for billing teams buried in work queues
- Your billing staff spends hours each week on manual eligibility checks and denial follow-ups
- You’ve looked at automation before but couldn’t justify ripping out your EHR to do it
- Prior authorization is a bottleneck that delays care and blocks collections
- You want to see real numbers from real clinics, not a vendor pitch deck
End-to-end RCM, as we deploy it
The session walks through each step with the logic we use in production. Each card shows an example run with made-up patients.
Verification queue · tomorrow
- A. Rivera09:30 · Lakeshore PPOVerification completed
- J. Okafor10:15 · Northfield HMOVerification completed
- M. Chen11:00 · Riverside AdvantageStaff review · Member ID mismatch
Example with made-up patients
Step 01Eligibility checks
We check coverage and benefits with each payer before the visit and record the result in your systems. Mismatches go to your team.
Eligibility automationAuthorization queue · new orders
- A. RiveraOrder 4471 · MRI, lumbar spineSubmitted · confirmation saved
- J. OkaforOrder 4472 · CT, chestSubmitted · confirmation saved
- M. ChenOrder 4473 · Sleep studyStaff review · clinical note missing
Example with made-up patients
Step 02Prior authorization
We gather the order and insurance details, fill the payer form, submit the request, and save the confirmation. Missing documents go to your team.
Prior authorization automationDenied claims · this week
- A. Rivera · claim D-2041Documents requestedReconsideration submitted · receipt saved
- J. Okafor · claim D-2042Administrative correctionCorrected claim submitted · reference saved
- M. Chen · claim D-2043Medical necessityStaff review · clinical review required
Example with made-up patients
Step 03Denial handling
We find denied claims, capture the payer’s reason, and prepare the corrected claim, reconsideration, or appeal. Clinical calls stay with your team.
Denials automationClaim queue · completed visits
- A. Rivera · claim C-1041Office visit · Lakeshore PPOAccepted for processing · response saved
- J. Okafor · claim C-1042Follow-up visit · Northfield HMOAccepted for processing · response saved
- M. Chen · claim C-1043Office visit · Riverside AdvantageStaff review · provider identifier missing
Example with made-up patients
Step 04Claims follow-up
We check claim status with the payer, save the response, and resubmit when a correction is agreed. Missing information goes to your team.
Claims automation
Bart
Head of AI · Flobotics
I’ve sat through enough RFP responses and vendor pitches to know what actually moves the needle in RCM, and what’s just a deck. This webinar is the opposite: a direct account of what we built, what broke, and what the numbers looked like at the end.
The recording is coming soon
We’re preparing the recording of the June 10 session. It will be available to watch on demand here soon.
Until then, the four steps above link to the pages that show how each one works, and our resources page has the ROI calculator, the quiz, and our RCM articles.
Show us the process your team is tired of doing manually.
Let Karl, our CTO, or Bart, our Head of AI, take a look. It’s 30 minutes with someone who designs the automations, not a sales script.
Walk us through the process your team does by hand. We’ll tell you whether it’s worth automating and how we’d approach it.
Karl & Bart