Case Study: PromptCare streamlines revenue cycle operations with UiPath automation

PromptCare streamlines revenue cycle operations with UiPath automation

PromptCare, a national healthcare provider serving people with complex, chronic health needs, wanted to modernize its revenue cycle operations. The company faced heavy manual, document-driven work in areas like prior authorizations, payer audits, claims, and remittance processing, which created silos, slowed turnaround, and limited staff time for patient care. UiPath helped PromptCare begin automating these workflows using UiPath Studio and agentic capabilities.

With UiPath, PromptCare built bots and intelligent agents to handle EOB-to-cash posting, remittance reconciliation, sales order confirmations, margin analysis, and prior authorization requests. The results included more than 70% of EOB postings processed with automation, a 50%+ reduction in manual labor, and a 75%+ cut in turnaround time for new patient process issues. UiPath Maestro orchestrated the automations across the enterprise, helping PromptCare improve cash flow, reduce denials, accelerate revenue recognition, and maintain HIPAA-compliant operations.

PromptCare

Phil Merrell

Chief Information Officer