Agentic AI is already demonstrating high-value use cases across the revenue cycle — from automating patient eligibility verification to streamlining prior authorizations and denial management. It can autonomously extract data from EHRs, interpret payer policies and submit clean claims with minimal human intervention.
The technology is also proving effective in appeals, where it can handle denials end-to-end, reducing turnaround times and increasing overturn rates. On the patient-facing side, AI agents are enhancing financial communications by answering billing questions, processing payments and even offering multilingual support.
Vendors are already seeing success with AI agents in their patient contact centers, with Ensemble's Founder and CEO Judson Ivy reporting higher one-touch resolution rates. This means more patients have their questions answered upon first contact.
