How Element5 Put Agentic AI Inside 21 of 30 Top Providers

Element5's subscription RPA hit the ceiling of rules-based automation. Ideas2IT rebuilt it as a vertical agentic AI platform, now live in 21 of the top 30 US post-acute providers.

21 of 30

Adopted across top providers

6–12 months

Implementation Time

Murali Vivekanandan

President

Ideas2IT Technologies

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The Challenge

The company sold subscription RPA for post-acute revenue cycle management, covering eligibility checks, prior authorization, and claims processing for the skilled nursing facilities, home health agencies, and rehab centers that treat patients after a hospital stay. RPA could follow a script, but it could not read a handwritten physician note, reason over a scanned eligibility form, or adapt when a payer's rules did not match the pattern it was built for. Handwritten, scanned, and faxed records defeated the rule-based system, and every workflow gap reverted to human handling that could not scale with provider growth.

What They Built

Ideas2IT designed and built a vertical agentic AI platform purpose-built for post-acute RCM, replacing the subscription RPA product end to end rather than adding AI on top of it. The platform runs on AgentHero, Ideas2IT's open-source agentic infrastructure, with a deterministic agents-on-reins control architecture so agent behavior stays bounded and auditable at enterprise scale. Ideas2IT built LLM-powered document comprehension directly into the platform to read the handwritten physician notes, faxed authorization requests, and scanned eligibility forms that defeated the old RPA scripts. Agentic orchestration now runs eligibility verification, prior authorization, and claims processing end to end across the full patient financial journey: referral and intake, eligibility and benefit verification, prior authorization, claims submission, and denials management and payment posting. The shift from a tool the customer operated to a platform that operates the outcome moved pricing from seats sold to value delivered.

Ideas2IT replaced the subscription RPA product end to end rather than bolting AI onto it. The platform runs on AgentHero, Ideas2IT's open-source agentic infrastructure, with a deterministic agents-on-reins architecture at its core: in eligibility and authorization work an error carries direct financial and compliance cost, so agent behavior had to be bounded and auditable before it could run unsupervised at enterprise scale. Determinism only mattered once the platform could reliably get structured data in the first place, which meant reading the documents rules-based automation never could. Handwritten physician notes, faxed authorization requests, and scanned eligibility forms all defeated the old scripts, so Ideas2IT built LLM-powered document comprehension directly into the platform to process that entire class of input. Agentic orchestration now runs the full patient financial journey end to end: referral and intake, eligibility and benefit verification, prior authorization, claims submission, and denials and payment posting. That shift, from a tool the customer operated to a platform that operates the outcome, changed the pricing model from seats sold to value delivered.

AI Role

Agentic AI runs post-acute RCM end to end: LLM document comprehension reads unstructured records and a deterministic agents-on-reins layer executes eligibility, prior authorization, claims, and denials.

Infrastructure

AgentHero agentic infrastructure (open-source) • AWS EKS and AWS Bedrock • Temporal workflow orchestration • Apache Kafka messaging • Neos Platform (AI-powered RPA) • Homecare Homebase (HCHB)

Integration Points

LLM document comprehension ingests handwritten, faxed, and scanned records • OCR and classification (Nanonets, ROLM, YOLO) route documents • Agents-on-reins orchestrate eligibility, prior authorization, claims, and denials • Claude via AWS Bedrock for entity extraction

Impact

Live in 21 of the top 30 US post-acute providers

Most of the largest post-acute organizations in the country now run their revenue cycle on the platform, not a subscription tool beside their existing systems.

Millions of RCM tasks automated monthly

Agents-on-reins keeps every high-frequency task inside a bounded, auditable action space, so the platform runs at enterprise volume without a person reviewing each step.

Subscription RPA became outcome-based

Deterministic execution and reliable document comprehension let the company price on the outcome delivered instead of seats sold, a model rules-based automation could never support.

Technology Utilized

Implementation Complexity

Revenue Growth

Risk & Compliance

Headcount Avoidance

Best Fit For

Software vendors in regulated, document-heavy verticals where rules-based automation keeps hitting a wall on unstructured input, particularly healthcare and other compliance-bound sectors where that fallback caps how fast a business can grow.

Murali Vivekanandan

President

Ideas2IT Technologies

Ideas2IT is an AI engineering partner that helps companies modernize legacy systems and ship production AI, from agentic platforms and governed data estates to generative and document AI.

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Industry:

Healthcare & Life Sciences

Business Function:

Finance & Accounting

Operations

Project Cost:

Cost not disclosed

Organization Type:

Private Company

AI Pattern:

Process Automation (RPA + AI)

Document Processing & Extraction

AI-Accelerated Custom Software

Decision Support & Scoring

Value Type:

Revenue Growth

Risk & Compliance

Headcount Avoidance

AI Model:

Claude

Frequently Asked Questions

How did Element5 put agentic AI inside 21 of the top 30 post-acute providers?

The experts replaced Element5's subscription RPA product end to end with a vertical agentic AI platform for post-acute revenue cycle management. LLM-based document comprehension reads handwritten notes, faxes, and scanned forms that rules-based automation could not, while a deterministic agents-on-reins layer executes eligibility, prior authorization, claims, and denials, now live in 21 of the top 30 US post-acute providers.

What AI tools and infrastructure does the Element5 platform use?

The platform runs on AgentHero, the experts' open-source agentic infrastructure, with a deterministic agents-on-reins architecture that keeps agent behavior bounded and auditable. LLM-based document comprehension handles unstructured records, orchestrated across AWS EKS and Bedrock, Temporal workflows, and Apache Kafka messaging.

What results did Element5 achieve?

The platform is live in 21 of the top 30 US post-acute providers, automates millions of RCM tasks a month inside a bounded, auditable action space, and let the company shift pricing from seats sold to outcomes delivered, a model rules-based automation could not support.

How did the platform replace the old RPA product?

Rather than bolting AI onto the existing product, the experts rebuilt it end to end: first making document comprehension reliable enough to get structured data, then running the full patient financial journey (referral and intake, eligibility, prior authorization, claims, and denials) through deterministic agentic orchestration.

Who is this agentic AI approach best for?

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Ideas2IT