A modular, agentic end-to-end solution spanning the patient financial journey built for RCM operations
Objective: Convert More Referrals
Connect portals with EHRs and Intake Apps to ingest, qualify, and auto-accept referrals
Objective: Prevent Downstream Denials
Maintain accurate coverage data with automated checks, robust benefit validations, and exception handling
Objective: Accelerate Approvals
Ensure visits are pre-approved by submitting requests and checking status timely
Objective: Clean Claims & Efficient Processing
Submit clean NOAs, Finals and NOE/NOTR and capture claim status
Objective: Rapid Response
Resolve denials fast with automated categorization and targeted workflows, prioritizing high-value cases
Objective: Reconcile Revenue Completely
Auto-post payments, flag variances, and post cash revenue efficiently
Leverage the power of post-acute building blocks to automate complex workflows across compliance and operations processes.
Objective: Reduce Compliance Labor
Face to Face Audits, Pre-Claim Reviews and COP Required Physician Notifications
Objective: Optimize Workflow
Autonomous agents handle the paper cuts of post acute operations including OASIS and HOPE to iQIES
Objective: Adapt to Complexity
Leverage Element5's building blocks to rapidly deploy custom agents to address unique payer or highly localized workflow challenges quickly and effectively
Choose the implementation and deployment path that best aligns with your team's needs and timeline, from immediate deployment to custom development.
Objective: Fastest Time-to-Value
Deploy our pre-built, production-ready customizable agents for core post acute workflows. Fastest time-to-value for standard post-acute operations
Work directly with Element5's AI experts to co-develop new agents and modules tailored precisely to your evolving business needs
Leverage our agentic framework to design and deploy purpose-built, highly specialized agents addressing unique payer or complex internal rules
A coordinated, orchestrated AI-driven platform to automate complex tasks across systems, escalating only exceptions to human agents for review and intervention.
Autonomous Workflows: Intelligent agents handle routine processes end-to-end, making rules-based decisions without human intervention
Integration & Connections: Connects to and pulls data from all ecosystem endpoints including EHRs, portals, and proprietary internal systems
Human-in-the-Loop: A centralized web application ensures oversight, manual intervention, and full visibility on all exceptions
Full Audit Trail: Comprehensive logging of all AI agent actions for compliance and peace of mind
1. Task Initiation
A high-level goal is set (e.g., "Process Patient Claim").
2. Plan Generation
The goal is broken into sub-tasks
3. Execution & Tool Use
Specialist Agents perform sub-tasks, communicating across systems
4. Exception Handling
If an Agent encounters an exception or lack of confidence in decision making, the task is flagged and routed to the Human-in-the-Loop application for review.
5. Goal Completion
Successful completion is logged, and the outcome is reconciled in the RCM system.
A robust, compliant, and scalable foundation built to meet the rigorous demands of large post-acute organizations.
Adapts and integrates to Enterprise systems and workflows, ensuring continuity across your existing technology stack.
Fully managed including 24x7x365 monitoring, alerting, and anomaly detection to keep automation running smoothly.
SOC 2 Type II and HIPAA compliant, ensuring the highest standards of data security and regulatory adherence.
Highly scalable infrastructure designed to meet the throughput demands of the largest provider networks.
Unique architecture & sophisticated orchestration enabling rapid development, deployment, and maintenance response times.
No rip and replace. Augment your existing systems and gain rapid efficienties and ROI.
Automated Workflows
Maximize reimbursement by submitting perfect claims on the first attempt.
Labor Burden Reduction
Automate repetitive workflows, allowing human agents to focus only on high-value exceptions.
Transactions Per Day
Rapidly resolve denials and optimize collections for complete and timely reimbursement.
Learn why industry leaders trust E5 as their automation partner
Innovative Automation: How Element5 Elevated VNA Health Group's Performance Through UHC Eligibility and Authorizations Workflows
VIA Health Partners Streamlines Intake Eligibility Verification for 24/7 Coverage and Productivity Improvement
How Vivie used automation to improve compliance, increase capacity and tighten revenue recognition… realizing other unexpected benefits along the way
Schedule a consultation to see how Neos can bring the power of Agentic Automation to your post-acute financial journey.
