Client:AGS Health
Industry:Healthcare
Region:North America
AGS Health is bending the cost curve in healthcare with agentic automation
24 hours
to route documents to the right destination
Millions
of healthcare documents processed annually
5 years
strategic roadmap powered by agentic automation
Client Overview
AGS Health is a healthcare services provider specializing in revenue cycle management (RCM) for hospitals and health systems across the United States. Operating in one of the most document-intensive industries in the world, AGS Health helps providers ensure claims are accurately documented, submitted, and reimbursed—supporting financial performance while enabling timely patient care.
The challenge is scale. U.S. healthcare still relies heavily on faxes and unstructured documents, including physician notes, clinical records, prescriptions, and diagnostic reports. Millions of documents move between providers, payers, and partners every day. When documentation is missing, misclassified, or routed incorrectly, claims are denied, cash flow slows, and patient care can be impacted. As denial rates continued to rise across the industry, AGS Health needed a smarter, more scalable way to manage document-heavy workflows without relying solely on manual review.
Outcome-driven automation for denial-heavy workflows
AGS Health partnered with UiPath to redesign how document processing and denial management work—using agentic automation to orchestrate people, AI, and technology together.
Using UiPath Document Understanding™, agentic AI classifies incoming documents to determine exactly what type of record it is, from physician and nurse notes to prescriptions and imaging reports. UiPath Maestro™ then orchestrates the workflow, determining whether a document can move forward automatically or requires human review.
When human input is needed, UiPath Action Center routes exceptions to the right users for quick validation, edits, or approval—often taking only seconds. Once verified, documentation is placed correctly within the electronic health record, ensuring claims are submitted with the right supporting evidence.
UiPath isn’t just a tool provider—they embed consulting services in our organization. When we face a challenge, we co-design solutions together, helping us go into production faster and deliver outcomes immediately.
Rather than selling automation components, AGS Health delivers a clear outcome to its customers: send in a document, and AGS Health ensures it reaches the right place—accurately and within 24 hours. By orchestrating people, agents, and technology through the UiPath Platform™, AGS Health transformed both customer outcomes and its own growth model. Hospitals benefit from lower denial rates, faster claims processing, and reduced costs to collect. Internally, AGS Health can scale services without growing headcount linearly, expand its total addressable market, and bring new offerings to market faster.
Automation is no longer a side initiative—it is central to how AGS Health plans to grow over the next five years.
Outcomes:
Improved revenue cycle efficiency by reducing manual document handling and accelerating issue resolution
Enabled staff to shift time from administrative tasks to higher-value, patient-focused work
Strengthened financial performance through faster billing cycles, improved visibility, and scalable operations
Additional resources:
AGS Health is a 2025 UiPath AI25 Award winner. Meet all the 2025 award winners and see how these leading companies are using the UiPath Platform to drive innovation, boost efficiency, and redefine success.
This story builds on AGS Health’s earlier automation journey. See how the team first applied AI and machine learning to improve document accuracy and accelerate billing cycles in AGS Health revolutionizes operations with AI and machine learning.
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