ai receipts
Search your own problem
Case study · From the Pluris libraryReceipt no. 6044
What sucked

The company sold subscription RPA for post-acute revenue cycle management, covering eligibility checks, prior authorization, and claims processing for the skilled nursing facilities, home health agencies, and rehab centers that treat patients after a hospital stay.

RPA could follow a script, but it could not read a handwritten physician note, reason over a scanned eligibility form, or adapt when a payer's rules did not match the pattern it was built for. Handwritten, scanned, and faxed records defeated the rule-based system, and every workflow gap reverted to human handling that could not scale with provider growth.

Healthcare & Life SciencesFinance & Accounting6–12 months
What they built

A vertical agentic AI platform for post-acute revenue cycle management, built on Ideas2IT's AgentHero with an agents-on-reins architecture and LLM document comprehension, that runs eligibility, prior authorization, and claims end to end.

What changed
Live in 21 of the top 30 US post-acute providers

Most of the largest post-acute organizations in the country now run their revenue cycle on the platform, not a subscription tool beside their existing systems.

Millions of RCM tasks automated monthly

Agents-on-reins keeps every high-frequency task inside a bounded, auditable action space, so the platform runs at enterprise volume without a person reviewing each step.

Subscription RPA became outcome-based

Deterministic execution and reliable document comprehension let the company price on the outcome delivered instead of seats sold, a model rules-based automation could never support.

Time to results
6–12 months
Who did it
Murali Vivekanandan
President, Ideas2IT Technologies

Vetted by Pluris.