OpenBots Information

• 𝗜𝗻 𝗔 𝗡𝘂𝘁𝘀𝗵𝗲𝗹𝗹: The only company that automatically interprets benefits across multiple clearinghouses, not just simple eligibility checks from one limited clearinghouse. • 𝗦𝗮𝘃𝗲 𝗬𝗼𝘂 𝗠𝗼𝗻𝗲𝘆 𝗜𝗻 𝟯 𝗪𝗮𝘆𝘀: 1. Fewer Denials: Minimum 25% reduction in eligibility-related denials. 2. Denial Rework: ~$50 avoided per denial. 3. Time Saved: Headcount eliminated, with no manual payer portal work. Centerstone experienced $4M+ ROI in year one. • 𝟭𝟮% 𝗗𝗲𝗻𝗶𝗮𝗹 𝗥𝗮𝘁𝗲: Healthcare has roughly a 12% denial rate. • 𝗘𝗹𝗶𝗴𝗶𝗯𝗶𝗹𝗶𝘁𝘆 #𝟭 𝗖𝗮𝘂𝘀𝗲: Eligibility is the biggest driver of denials. • 𝗪𝗿𝗼𝗻𝗴 𝗣𝗮𝘆𝗲𝗿: ~50% of eligibility denials come from billing the wrong payer. CoOrdio automates Coordination of Benefits and ensures the correct payer is billed. • 𝗘𝗛𝗥 𝗖𝗵𝗲𝗰𝗸𝘀 𝗢𝗻𝗹𝘆: EHRs typically automate a simple check through one clearinghouse. Benefit interpretation is not automated. • 𝗠𝗼𝘀𝘁 𝗖𝗼𝗺𝗽𝗹𝗲𝘁𝗲 & 𝗔𝗰𝗰𝘂𝗿𝗮𝘁𝗲 𝗕𝗲𝗻𝗲𝗳𝗶𝘁𝘀: Checks multiple clearinghouses and uses AI to interpret carve-outs, grace periods, coverage terminations, patient responsibility, and estimates. • 𝗠𝗲𝗱𝗶𝗰𝗮𝗶𝗱 𝗠𝗖𝗢 𝗔𝗰𝗰𝘂𝗿𝗮𝗰𝘆: CoOrdio identifies the correct Medicaid MCO and ensures it gets billed correctly. • 𝗘𝗿𝗿𝗼𝗿𝘀 𝗘𝗹𝗶𝗺𝗶𝗻𝗮𝘁𝗲𝗱: Eliminates manual errors in DOB, names, demographics, and payer information. • 𝗘𝗻𝗱-𝘁𝗼-𝗘𝗻𝗱 𝗥𝗲𝘃𝗲𝗻𝘂𝗲 𝗖𝘆𝗰𝗹𝗲 𝗔𝘂𝘁𝗼𝗺𝗮𝘁𝗶𝗼𝗻: Automates Prior Authorization, Fax Intake, Referral Management, Payment Posting, A/R Follow-Up, and AI No-Show Prevention across the front and back end of the revenue cycle.