AUTOMATION AGENT
Automate claim status follow-ups with ease
For radiology providers, a hidden bottleneck in the A/R recovery process is the tedious work of continually tracking claim status updates across multiple payers. This process is time-consuming—requiring manual logins and juggling passwords—and often leads to missed updates. As these claims age, the risk of write-offs increases, creating additional pressure on your team to recover revenue that could have been saved earlier in the process.
Our Claims Status Follow-Up Automation Agent with Healthfirst helps solve this problem by automating the entire process. It uses robotic process automation (RPA) to check claim statuses from Healthfirst, pull updates, and directly enter them into your system. This ensures nothing gets overlooked and helps you recover aging A/R before it turns into a write-off.
Available as part of the A/R & Denials Management platform (ARDM) workforce management module or as a standalone automation agent in our Revenue Cycle Agent Platform, providing the flexibility to automate claims status follow-ups in a way that aligns with your existing workflows.
INSTANT ClAIMS STATUS UPDATES
Healthfirst responses delivered directly to your system
Automatically track claim approval requests and receive accurate status updates—without staff intervention.
- Our automation agent eliminates manual logins, and status checks by pulling payer responses from Healthfirst directly into your system.
- Automated updates ensure approved, denied, or pending statuses are reflected automatically, keeping staff informed and speeding up the appeals process.
- Scalable automation handles high volumes of claims, reducing administrative workload.
Along with the Healthfirst agent, we provide additional claim status follow-up agents that work together to cover a broad range of payers through integrations with platforms such as Availity, Healthfirst, United Healthcare, and others.
With automation agents working 24/7, you can ensure timely and accurate claim tracking while reducing need for manual follow-ups.
HOW IT WORKS
A fully automated solution for tracking claim status
Once a claim status check request is added to the automation queue, either through direct system integration or bulk upload, our automation agent takes over. With the claims status automation agent running in the background, staff can focus their time on working complex claims, while ensuring timely updates from payers.
Denials management system triggers automation agent
When a claim is moved to the automation queue, or staff initiate the automation in our Revenue Cycle Agent Platform, the automation agent is automatically assigned the follow-up task.
Claim status retrieval
The automation agent retrieves the latest status (Approved, Denied, or Pending) directly from Healthfirst via robotic process automation.
Instant system update
Your system is automatically updated with the latest claim status, ensuring real-time visibility for your staff.
For denied cases, the response will include the EOB/Remittance Advice from Healthfirst.
Ongoing follow-ups
For unresolved cases, the automation agent re-engages with Healthfirst at set intervals (e.g., every 6 hours) until a final decision is reached.
With continuous tracking and automated updates, your team can stay on top claim status updates and resolve denials faster.
