Healthcare Automation for
Faster, More Reliable Operations
Automate complex clinical and administrative processes without losing accuracy or control. AutomationCOE combines AI-powered process discovery with runtime assurance through ARIA and AURA, helping healthcare organizations scale automation while protecting sensitive patient data.
The Problem
Why Healthcare Automation Struggles to Scale
Healthcare workflows span multiple systems, teams, and locations. Without standardization and visibility, automation becomes difficult to scale and maintain.
01
EHR and Claims System Fragmentation
Clinical systems, payer portals and revenue cycle platforms don't integrate, so someone bridges every interface by hand. Usually across sites that each configured their EHR differently.
02
Prior Authorization Volume
Authorization requests get assembled from clinical notes against payer-specific criteria, by people. Care is delayed and clinical capacity goes into paperwork.
03
Claims Denial and Appeals Burden
Denials arrive with reason codes that need clinical documentation to contest. High volume, deadline-bound, almost entirely manual.
04
Revenue Cycle Complexity
Eligibility checks, billing, payment posting, reconciliation, and follow-ups involve repetitive processes across multiple systems.
05
Patient Administration Workload
Scheduling, registration, referrals, and follow-ups create significant administrative work that takes time away from patient-focused activities.
06
Multi-Site Operational Variance
The same healthcare process may operate differently across hospitals, clinics, or locations, making standardized automation difficult to scale.
The Solution
Scaling Healthcare Workflows with Intelligent Automation
AutomationCOE helps healthcare organizations streamline repetitive workflows, connect fragmented systems, and maintain visibility across the automation lifecycle.
Unified System Integration
Bridge clinical systems, payer portals, and revenue cycle platforms seamlessly. Our automation layer integrates fragmented EHR setups across multiple sites without requiring costly backend overhauls.
Intelligent Authorization Routing
Automate the extraction of clinical notes and instantly cross-reference them against payer-specific criteria. Accelerate approval timelines and return valuable capacity back to care providers.
Automated Appeals Assembly
Absorb denial triage inside the automation. Instantly decode reason codes and automatically compile the necessary clinical documentation to contest high-volume, deadline-bound cases.
Revenue Cycle Automation
Automate repetitive tasks across eligibility, billing, claims processing, payment posting, reconciliation, and account follow-up.
AI-Driven Case Assessment
Utilize advanced AI agents to ingest, translate, and structure adverse event narratives across multiple languages. Scale your coding and assessment volume instantly without adding headcount.
Standardized Process Governance
Deploy an adaptive automation framework that accommodates local site variances while enforcing estate-wide governance. Ensure standardized bots remain resilient, monitored, and highly functional.
92%
Reduction in documentation time
6,500+
Bots deployed globally
100%
PII safe
INDUSTRY OVERVIEW
Powering Accurate, Reliable Healthcare Operations
Healthcare organizations manage large volumes of clinical and administrative information across disconnected systems. Processes such as prior authorization, claims management, patient administration, and revenue cycle operations still require significant manual effort.
AutomationCOE helps healthcare organizations automate these workflows with greater accuracy, visibility, and control. ARIA accelerates process discovery and documentation while AURA provides runtime monitoring and dependency intelligence to keep critical automations running.
Why AutomationCOE
Built for the Complexity of Healthcare Automation
We connect clinical, payer, revenue cycle, and operational systems through a governed automation framework designed for complex healthcare environments.
Discover with ARIA
Healthcare automation begins with understanding workflows shaped by clinical, regulatory, and payer requirements, from prior authorization and claims processing to documentation and patient administration. ARIA analyzes process walkthroughs and turns process steps, rules, and exceptions into automation-ready documentation, including BRDs, test cases, feasibility assessments, and effort estimates.This reduces manual documentation and accelerates the journey from discovery to development. ARIA also detects and anonymizes PII by default, helping protect sensitive patient data from the first recording.
Learn about ARIA →Deliver with 5D1S
5D1S enables healthcare automation to move from discovery to deployment within validated environments. Reusable components work across EHR, payer, clinical, and quality systems, while validation evidence and process traceability are generated as part of delivery, helping teams stay audit-ready from the start.
Explore the framework →
Sustain with AURA
Healthcare organizations rely on automations where failures can delay authorizations, claims, billing, or other critical operations. AURA provides runtime support and dependency intelligence. It continuously monitors bots and the EHRs, payer portals, APIs, databases, and infrastructure they depend on. It detects issues early, identifies root causes, and gives actionable insights, so critical automations keep running even when clinical systems change without warning.
Learn about AURA →USE CASES
Healthcare & Pharma use cases
Healthcare
Claims denial triage
Denial reasons read, supporting clinical documentation retrieved, appeals assembled. Only genuinely clinical judgement gets escalated.
Healthcare
Prior authorisation
Authorisation packages built from clinical documentation against payer-specific criteria, then submitted and tracked without anyone reassembling them.
Pharma
Regulated document assembly
Submission and validation documentation generated and cross-checked inside GxP environments, with every source and edit attributable.
Pharma
Adverse event processing
Case narratives processed and coded across languages, with confidence thresholds calibrated to the cost of a missed signal.
BUSINESS OUTCOMES
Measurable Business Outcomes from Healthcare Automation
Healthcare automation helps organizations reduce repetitive administrative work while improving process visibility and operational efficiency.
92%
Faster Documentation
Clinical and regulatory documentation generated in minutes rather than days, giving capacity back to the people who should be doing the science.
76%
Lower Claims Denial Rate
Denial triage and appeal assembly absorbed inside the automation, with clinical judgment escalated rather than the whole case.
100%
PII Safe
Patient data detected and anonymised at the point of discovery, not remediated later when someone spots it in a process recording.
100%
Audit Pass Rate
Documentation, traceability and change control produced by the process, not assembled for the inspection.
SERVICES
Relevant solutions for Healthcare
Related reading
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