EHR & Portal Integrations · HIPAA compliant

AI-powered revenue cycle and intake for skilled nursing

Automate eligibility monitoring, intake data collection, family billing inquiries, and outbound collections. Stop losing margin to administrative bottlenecks and manual portal checks.

24/7
Eligibility monitoring
-15%
Average initial denial rate
60+
Hours saved per facility / wk
100%
Intake automation coverage
The Problem

Administrative volume that scales with every bed

With Medicare Advantage penetration rising and Medicaid rules constantly shifting, the burden of prior authorizations, continued stay reviews, and eligibility monitoring falls heavily on your business office.

Managing portals for multiple MA plans and MCOs takes time away from actual revenue collection and patient care. Bad data at intake causes denied claims downstream. Your staff is buried in manual tracking and family billing inquiries while the tasks that require human judgment are left waiting.

Flexbone AI active
Family billing inquiry
Caller"Hi, I'm calling about my mother, Eleanor. We were told her Medicare days might be running out and I don't understand what we owe."
Flexbone"Hi there. I can certainly help. Eleanor is currently on day 18 of her stay. Starting on day 21, her Medicare Advantage plan requires a daily coinsurance of $204. I can text you a detailed breakdown of her coverage, or we can set up a payment arrangement now. Which would you prefer?"
Caller"Oh, please text me the breakdown first."
System→ Breakdown SMS sent · Call logged to EHR · Tier 1 inquiry resolved · No staff time used
What Flexbone Handles

Outbound voice and portal automation for SNFs

We bridge the gap between admissions, the business office, and the payer portals.

Eligibility Monitoring

Continuous automated browser tracking across Availity, UHC, BCBS, Humana, and state Medicaid MCO portals. Catch mid-stay payer switches, Part A exhaustion, and Medicaid renewal lapses before they hit billing.

Intake & Insurance Collection

Automated outbound calls to collect Medicare numbers, MA plan details, secondary coverage, and billing contacts. Structured, repeatable data capture that prevents downstream denials.

Family Billing Inquiries

High-volume, low-complexity inbound calls handled by voice AI. Medicare day counts, cost-share explanations, balance inquiries, and coverage status — escalated to staff only when complex.

Balance & Copay Collection

Systematic outbound voice campaigns for MA coinsurance and private pay balances. Reminders, payment arrangements, and statement explanations handled at scale without burying your billing staff.

Post-Discharge Follow-Up & Referral Coordination

Automate outbound calls at 48-72 hours post-discharge covering prescriptions and clinical flags to drive quality scores and VBP bonuses. On the inbound side, automate the communication wrapper for hospital referral packets (confirming receipt, requesting documents) while your clinical staff focuses on the actual review.

What Makes Flexbone Different

Targeted automation where you need it most

We don't make live payer phone calls for prior auths because it's restricted and unreliable. Instead, we use intelligent portal-based submission and tracking. We deploy voice AI for patient and family interactions, and secure browser agents to do the heavy lifting on payer portals.

Flexbone AI platform architecture
Voice + Web

Cross-mode platform

We connect voice operations (family calls, patient intake) with web operations (payer portal scraping) under one intelligent data platform.

Upstream prevention

Fix data before it's billed

By automating intake collection and continuous eligibility checks, we catch missing data and payer changes before they turn into denied claims.

EHR native

Deep system integration

We integrate seamlessly with your core systems. The AI pulls patient history to personalize calls and writes statuses back automatically.

Human loop

Human-in-the-loop escalation

When complex clinical questions or tricky billing situations arise, Flexbone escalates to your staff with full context and a warm handoff.

How It Works

Live in four weeks

We pilot at a single facility, prove the ROI cleanly, and scale. No legacy setup disruption.

01

Week 1 — Discovery & Workflow Mapping

We analyze your payer mix, map the necessary portals (UHC, BCBS, Medicaid MCOs), and build the call trees for your admissions and billing workflows.

02

Week 2 — Build & Integration

We configure the browser agents for eligibility monitoring and build the voice AI flows. Everything is connected to your EHR and tested against real scenarios.

03

Week 3 — Go-Live

Automated portal tracking begins and the voice AI starts handling tier 1 intake and family billing calls at your pilot facility.

04

Week 4 — Measure & Scale

We tune accuracy with your staff, measure the exact number of coverage changes caught and calls handled, then prepare to roll out across the rest of your organization.

Results

The impact of early intervention

Standardize processes across locations and prevent administrative bloat.

-15%

Reduction in initial denial rate by fixing intake data upstream

60+

Hours saved per week, per facility on manual portal checks and simple calls

24/7

Continuous tracking of MA and Medicaid eligibility changes

100%

Follow-up compliance for post-discharge quality metrics

Security & Compliance

HIPAA compliant from day one

Architected for protected health information — not retrofitted after the fact.

Encryption

AES-256 at rest, TLS 1.3 in transit. All data and transcripts encrypted end-to-end.

HIPAA Compliant

Full BAA execution. PHI handling aligned with HIPAA Privacy and Security Rules.

Full Audit Trail

Every call and portal interaction logged with timestamps, actions, and outcomes.

Access Controls

Role-based permissions with MFA. Configurable for admin, clinical, and billing roles.

Get started

Give your team the capacity to grow

Your facilities shouldn't be limited by administrative bloat. Let's build an AI operations platform that scales with your footprint.

Book an Audit Explore the platform