Advanced Technology
Intelligent Automation for Healthcare
AI-powered workflow systems that eliminate repetitive work, accelerate claims and eligibility, reduce denials, and free your team to operate at their highest level.
A unified automation layer that blends RPA, decision intelligence, and autonomous AI agents to transform how revenue cycle teams work.
- Reduce manual workload by 50–80%
- Accelerate reimbursement and improve cash flow
- Build consistent, compliant, audit-ready workflows
What These Technologies Do
Understanding the core technologies that power modern healthcare automation
Intelligent Automation
Intelligent Automation (IA) combines workflow automation, AI decision-making, and data integration to automate tasks that normally require human judgment — including benefit interpretation, denial classification, document review, and multi-step RPA workflows.
Why it matters for RCM:
Small and mid-sized clinics lose countless hours verifying benefits, navigating payer portals, and reworking denials. IA reduces this burden by executing these workflows quickly, accurately, and consistently.
Agentic AI
Agentic AI uses autonomous agents that can interpret instructions, break tasks into steps, make decisions dynamically, and complete entire workflows without human supervision.
Why it matters for RCM:
Agentic AI can manage complex revenue cycle tasks like denial appeal routing, follow-up sequencing, payer-specific logic, and cross-system coordination — going far beyond traditional RPA.
Digital Process Automation (DPA)
DPA orchestrates entire workflows end-to-end by integrating people, systems, documents, and AI logic into one cohesive automated process.
Why it matters for RCM:
Healthcare workflows are too complex for isolated bots. DPA ensures every stakeholder, document, and system works in sync — eligibility → claims → denials → AR.
Technology Pillars
Three powerful technologies working in harmony to revolutionize healthcare RCM
Intelligent Automation
- AI-assisted decisioning
- Data extraction & interpretation
- Automated routing & logic
- Document intelligence for EOBs, benefits, appeals
Agentic AI
- Autonomous multi-step workflows
- Payer-specific reasoning
- Exception handling without human input
- Continuous learning from outcomes
Digital Process Automation (DPA)
- Workflow orchestration
- Multi-system integration
- Role-based tasks and approvals
- Cross-clinic standardization for MSOs & DSOs
Key RCM Workflow Applications
Seven critical workflows transformed by intelligent automation
Eligibility & Benefits Verification
Auto-check coverage, extract benefit details, flag inactive plans, and compile results in seconds.
Claims Submission & Payer Portal Automation
Populate claims, submit through payer/clearinghouse portals, perform validation steps, and document completion.
Denial Classification & Appeal Preparation
AI reads denial codes, classifies root causes, drafts appeal packets, and routes tasks.
AR Follow-up Automation
Automated reminders, payer outreach sequences, and task prioritization based on aging buckets.
Prior Authorization Workflows
Document collection, coverage checks, med- necessity logic, renewal cycles, and status follow-up.
Payer Data Modeling & Reporting
Automated extraction of payer responses into models used for forecasting, cash flow, and denial reduction.
Multi-Location Workflow Standardization
For MSOs, DSOs, and billing offices managing dozens of clinics — consistent rulesets & automation templates.
Before vs After Automation
See the transformation in action
- Manual Workflow (Before)
- Automated Workflow (After)
- Staff checks eligibility across multiple portals
- Bot checks eligibility nightly + same-day for new appointments
- Claims submitted individually
- Automated submission with validation + logging
- Denials reviewed line-by-line
- AI classifies, prioritizes, and routes denials
- AR follow-up depends on staff capacity
- Automated sequences for every payer & aging bucket
- Prior auth requires repeated calls & emails
- AI agents manage tasks, documents, and status updates
- Reporting takes hours
- Automated dashboards updated daily
Architecture Overview
How Intelligent Automation, Agentic AI & DPA Work Together
1. Data Ingestion Layer
EHRs/EMRs → Payers → Clearinghouses → Portals
Epic, Cerner, AdvancedMD, Athenahealth, OpenDental, EndoVision, Dentrix, Availity, Change Healthcare
2. Cognitive Layer (Intelligent Automation)
- NLP + ML
- Document understanding
- Benefit interpretation
- Decision rules
3. Agentic AI Execution Layer
- Breaks workflows into steps
- Handles exceptions
- Makes decisions based on payer rules
- Learns from outcomes
4. DPA Orchestration Layer
- Routes tasks
- Integrates staff + bots
- Tracks SLAs
- Maintains compliance logs
5. Output Layer
- Completed tasks
- Dashboards
- Reports
- Audit logs
Why Healthcare Teams Choose Zeurons
100% focused on healthcare RCM automation
We don't do general automation—we specialize exclusively in healthcare revenue cycle management.
Deep expertise with payer workflows and EMR/EHR systems
Years of experience working with Epic, Cerner, Athenahealth, and all major payer portals.
Ability to automate multi-step, multi- system processes
Ability to automate multi-step, multi- system processes
Rapid deployment tailored for small & mid-sized organizations
Get started in weeks, not months. Solutions sized for your needs and budget.
Built for MSOs, DSOs, and centralized billing teams
Scale automation across multiple locations with standardized templates and workflows.
Zero hype — operational outcomes first
We focus on measurable results: reduced costs, faster reimbursement, happier staff.
Case Study
Success Story
Eligibility Automation for a Multi-Location Dental Group
Problem:
135 daily verifications performed manually by 5 staff across payers and portals.
Solution:
Zeurons deployed nightly IA + Agentic AI workflows that:
- Auto-verified all appointments
- Flagged inactive/invalid plans
- Extracted CDT-level benefits for specialty workflows
- Logged all outcomes centrally
Results:
80%
Reduction in manual work
100%
Same-day processing
- Improved accuracy & fewer claim rejections
- Staff reallocated to higher-value work
- Orthodontics
Frequently Asked Questions
How does Intelligent Automation differ from RPA?
IA adds AI decision-making, data extraction, and workflow intelligence — beyond rule-based automation. While RPA follows predefined scripts, IA can interpret documents, make context-aware decisions, and adapt to variations in data.
Do we need Agentic AI or is IA enough?
Agentic AI is ideal for multi-step, exception-heavy, payer-specific workflows. If your processes involve complex decision trees, dynamic routing, or require learning from outcomes, Agentic AI provides significant advantages over basic IA.
Is automation safe for PHI and HIPAA-regulated data?
Yes. Zeurons uses encrypted connections, access controls, and BAA coverage. All data handling complies with HIPAA requirements, and we maintain comprehensive audit logs for compliance verification.
How long does implementation take?
Will this replace staff?
Ready to Build Smarter Healthcare Operations ?
Accelerate AI adoption in your healthcare organization and enhance operational performance with our tailored solutions.
Contact us today for a free consultation on driving AI-powered transformation that delivers measurable results across your hospital or clinic.