AI and Automation for Healthcare Revenue Cycle Management (RCM)
Automate workflows across phone, fax, and web. GenHealth can help providers and health plans automate intake, eligibility verification, prior authorization, and denials management.Complete RCM automation from intake to payment
Average 95%+ first-pass claim acceptance
Reduce days in accounts receivable by 40%
AI-Powered Revenue Cycle Automation
Our AI helps healthcare organizations process claims, prior authorizations, and manage the entire revenue cycle faster and more accurately. GenHealth AI will improve your bottom line and reduce administrative burden.
Stand Alone AI
Upload and process patient charts, claims, and documents to extract data for intake and run medical necessity checks, eligibility verification, and prior authorization automatically.- AI for documents and data extraction
- Intake, Eligibility, and Medical Necessity
- Complete documentation management
Integrated AI Automation
Automatically process incoming faxes, claims, and orders between your billing, EMR, and payer systems. Complete workflows that would take all day while you sleep.- AI Agent for fax, phone, and web
- Intake, PA, Denials, and more
- Integrations into any EMR, Billing, or Payer system
Human-in-the-Loop
Combine AI automation with human oversight. Our platform allows your team to review and approve AI recommendations, ensuring accuracy while maintaining efficiency.- AI-assisted decision making
- Audit trails and compliance
- Quality control and oversight
AI Agent that works across Fax, Phone, and Web
Our AI Agent works with people, like people. It can read faxes, make calls and converse, and take actions across various web applications from your billing system to health plan and provider portals. For example, GenHealth's AI can take an incoming fax, extract patient information, open a browser, check the patient's eligibility, come back to your billing system, enter all the information for a claim, and then make a call to a provider to get sign off all without any human interaction.Fax
Automatically process incoming faxes, extract patient information, medical records, and orders. Convert unstructured fax documents into structured data for seamless workflow integration.Phone
AI-powered phone agent that can make and receive calls, converse naturally with providers and patients, verify information, and update records in real-time.Web
Navigate and interact with web portals including EMR systems, billing platforms, and payer websites. Automatically fill forms, retrieve information, and process claims.GenHealth's AI and full-service RCM handles all of your operations, allowing you to focus on patient care while we maximize your reimbursements.
Workflow
Intake
Connect to fax or upload documents to automatically extract all fields and enter into your internal EMR and Billing systems.
Intake/case IX-8842
SOURCE FAX·EMR EPIC·03:14:22
intake.genhealth.ai /case-8842 / scan / sleep-rx.pdfcase-8842 / record
Live01 · Scan→02 · Record
Page 1 / 2
FAX · IN03/04/2026
Sleep Rx · CPAP
PatientAbe Lincoln
DOB02 / 12 / 1947
OrderCPAP, full setup
DxG47.33 — OSA
PlanBCBS TX · 847-21
ProviderL. Patel, MD
Scanning · 34 fields detected
Order · auto-filedSource · sleep-rx.pdf
CPAP Therapy
Member 847-21 · BCBS TX · MRN 789012
PatientAbe Lincolnp.1 · ln 1
DOB1947-02-12p.1 · ln 2
CPTE0601p.1 · ln 3
ICD-10G47.33p.1 · ln 4
PayerBCBS TX · eligible ✓p.1 · ln 5
Citation · sleep-rx.pdf, p.1, ln 4“Dx: G47.33 — OSA, recommend CPAP, full setup.”
✓
Claim filed837P · BCBS TX · ack 200
Workflow
Eligibility
GenHealth can leverage AI to automate eligibility checks and notifications within the workflow, ensuring timely and accurate processing of applications.
Eligibility/case EL-4719
PAYER BCBS TX·MEMBER 847-21·03:14:22
healthplan.com/
Livelogineligibility/checkeligibility/result
Login/Patient info/Result
01 · Sign in
HealthPlan Portal
Provider workspace · BCBS TX
Email
genhealth@example.com
Password
●●●●●●●●●●
Sign in →
02 · Patient lookup
Eligibility Check
Verify member coverage with payer · real-time
Patient information
First name
Abe
Last name
Lincoln
MRN
MRN123456
Check eligibility →Checking…
03 · Result
Eligibility Result
Returned by BCBS TX · 270/271 in 1.2s
Abe Lincoln
MRN MRN123456
Active coverage
Member has coverage
Effective Jan 1, 2025 — Dec 31, 2025
Done ↵
Workflow
Prior Authorization
GenHealth can automate the prior authorization workflow by leveraging AI to streamline approval processes, manage documentation, and reduce manual data entry, enhancing efficiency and accuracy.
Prior auth/PA-2261
METFORMIN·T2D-04·03:14:22
priorauth.com/case/PA-2261
LiveMatch policy/Decision/Submit
EMR · Chart
847-21chart · 12 mo34
APPROVED
Prior
Authorization
Request
Authorization
Request
Payer Policy
BCBSIs the patient diagnosed with type 2 diabetes mellitus?
Does the patient have an A1C of 7.5% or greater?
Has the patient experienced a contraindication to metformin?
3 / 3 criteria metApproved
Workflow
Resupplies
GenHealth can automate resupply actions for this workflow by utilizing AI to predict inventory needs and generate timely alerts for reordering supplies.
Resupply/RX-7714
METFORMIN·90-DAY·03:14:22
resupplies.com/orders/RX-7714
LivePlan/Schedule/Ship
Patient Prescription
847-21Rx · active
Metformin 500mg
NDC 0093-1048-01 · oral
Sig
1 tab BID
Days supply
90 days
Quantity
180 tabs
Refills
3 of 3
Ship to
Abe Lincoln
1600 Pennsylvania Ave NW
Washington, DC 20500
Washington, DC 20500
last fill Dec 128 days remaining
Resupply Schedule
2026January ship · Jan 1
90X
February ship · Feb 1
90X
March ship · Mar 1
90X
April ship · Apr 1
90X
Start date
Jan 1, 2026
Cadence
Every 30 days
Window
8–11am
shipments scheduled0 / 41 / 42 / 43 / 44 / 4 ✓
Order →
Ordered
Workflow
Medical Billing
GenHealth AI automates medical billing submissions across the RCM continuum between providers and plans within existing EHRs and software.