Overview

Commure Agents are intelligent, customizable AI assistants designed to automate complex tasks in healthcare settings. By integrating seamlessly with existing Electronic Health Records (EHR) and administrative tools, these agents handle a wide range of responsibilities—from patient engagement and scheduling to billing and revenue cycle management. This automation not only reduces operational costs but also alleviates clinician burnout and enhances patient care quality.

Features and Capabilities

• Patient Navigation:
  • AI Call Center Agent: Manages patient and insurance company calls, appointment confirmations, and billing inquiries.
  • Scheduling Agent (Commure Sherpa): Handles patient scheduling, resolves conflicts, and optimizes provider calendars.
  • Patient Outreach Agent: Sends real-time updates to patients about appointments, medications, lab results, and educational materials.
• Care Management:
  • Referral Management Agent: Automates specialist referrals and follow-ups.
  • Prior Authorization Agent: Submits and tracks insurance approvals in real time.
  • Discharge Planning Agent: Generates personalized discharge instructions and follow-up workflows.
• Revenue Cycle Management:
  • Revenue Cycle Optimization Agent: Identifies revenue cycle inefficiencies and suggests improvements.
  • Claims Processing Agent: Submits, tracks, and reconciles insurance claims.
  • Denials Autopilot Agent: Identifies errors in rejected claims and resubmits to reduce denial rates.
• Integration and Learning:
  • AI-Powered, Always Learning: Agents evolve with usage, getting smarter over time.
  • Seamlessly Integrated: Works with existing EMRs, admin tools, and Commure products.
  • Customizable & Secure: White-glove deployment, HIPAA-compliant, admin-controlled UI.