Eligibility and benefits
Checks coverage before the visit and flags what changed.
You: Front desk confirms with the patient.
AGENTIC AI FOR US HEALTHCARE
The agentic EHR that runs your practice's administrative work
XEHR's AI agents automate medical billing, revenue cycle management and front-office work, from eligibility to the final payment. Autonomous where it is safe. Approved by your team where it matters.
- 11specialist AI agents
- 100%of claims approved by people
- BAAon every plan
One visit, run by agents
- AgentCoverage checked before the visit
- AgentNote drafted during the visit
- ProviderReviews and signs the note
- AgentClaim built and checked
- BillerApproves and submits
- AgentPayment matched and posted
- AgentDenial read, appeal drafted
DEFINITION
What is an agentic EHR?
An agentic EHR is an electronic health record in which AI agents complete the administrative work around each visit - documentation drafts, eligibility checks, claim preparation, denial follow-up and payment posting - while people approve every clinical and financial decision.
Traditional EHRs store what your team types. AI copilots answer questions when asked. Agentic AI goes further: it understands the goal (get this visit paid correctly), takes the steps, handles the exceptions it can, and brings your team only the decisions that need a person.
Traditional EHRStores records. Every step is typed and clicked by staff.
EHR with an AI copilotAnswers questions and suggests text when someone asks.
Agentic EHRAI agents do the work end to end and hand people the decisions.
THE AGENTS
Medical billing automation across the whole revenue cycle
Each agent owns one part of the work. Each one shows its work and stops where a person should decide.
Visit documentation
The AI scribe drafts the note during the visit.
You: The provider reviews and signs.
Coding support
Suggests diagnosis and procedure codes from the signed note.
You: Your coder or provider decides.
Claim preparation
Builds the claim from the visit and checks it before it is sent.
You: Your biller approves and submits.
Prior authorization
Flags services that need approval and prepares the request from the chart.
You: Staff review and submit it.
Denial management
Reads the payer's reason, suggests the next step and drafts the appeal.
You: Your biller sends it.
Payment posting
Matches insurance payments to their claims and posts them automatically.
You: Your team reviews exceptions.
Status and follow-up
Tracks every open claim and surfaces the ones that need a call.
You: Your team works the list.
Want the detail on each denial type and how it is prevented? Read the denial guides
AUTONOMOUS RCM, SAFELY
Autonomous where it is safe. Approved where it matters.
Autonomous revenue cycle management does not mean nobody is in charge. XEHR draws the line in the same place a good billing manager would.
Agents run on their own
- Eligibility and benefits checks
- Claim checks before sending
- Claim status tracking
- Insurance payment posting
- First drafts of notes and appeals
People always decide
- Signing every clinical note
- Submitting every claim
- Sending every appeal
- Submitting prior authorizations
- Overriding any check, with a reason
WHY NOW
US healthcare's administrative work has outgrown people alone
~13 hoursa week that physicians and their staff spend on prior authorizationAMA physician survey
~$118to rework a single denied claim, per a national denials indexBecker's Hospital Review
7 daysfor standard prior authorization decisions by impacted payers since January 2026, with payer APIs from 2027CMS-0057-F fact sheet
COMPARE
Agentic AI vs. RPA vs. AI copilots
| RPA bots | AI copilot | Agentic AI (XEHR) | |
|---|---|---|---|
| What it does | Repeats fixed clicks | Answers and suggests when asked | Completes the task end to end |
| When something changes | Breaks and waits | Waits for a question | Reads the change and adapts |
| Exceptions | Piled up for staff | Explained if asked | Worked, with the next step prepared |
| Where it lives | Bolted on to screens | A side panel | Inside the record, with the full chart |
| Who approves | No one, until it fails | The user, every time | People approve what matters |
TRUST
Healthcare AI built for HIPAA
Agentic AI only helps if you can trust it with patient data. XEHR treats AI as part of the record, under the same controls.
How we protect patient data- A Business Associate Agreement on every plan
- Multi-factor sign-in for every user
- Every access to patient records is recorded
- Each practice's data is private and separate
- AI drafts and checks; people sign and submit
QUESTIONS
Agentic AI in healthcare: common questions
What is agentic AI in healthcare?
Agentic AI is software that completes multi-step work toward a goal, not just answers a question. In healthcare administration that means an AI agent checks a patient's coverage, prepares and checks a claim, reads the payer's response, works a denial or tracks a prior authorization, and hands the result to a person to approve.
What is an agentic EHR?
An agentic EHR is an electronic health record where AI agents do the administrative work around the visit: documentation drafts, eligibility, coding support, claim preparation, denial follow-up and payment posting. XEHR is an agentic EHR with medical billing built in, and your team approves every claim before it is sent.
Is autonomous revenue cycle management safe?
It is safe when autonomy stops where accountability starts. In XEHR, agents run the repetitive steps on their own (checks, status, posting, drafting), while a provider signs every note and your billing team approves every claim and appeal before it leaves the practice. Every access to patient records is recorded.
Will AI replace my billing team?
No. Agentic AI removes the repetitive work - re-typing, status checks, posting, first drafts - so your billers spend their time on the claims and appeals that need judgment. Many practices use the time saved to work denials they never had time for.
How is agentic AI different from RPA or a chatbot?
RPA repeats fixed clicks and stops when anything changes. A chatbot answers questions. An AI agent understands the goal, reads the chart and the payer's response, decides the next step and prepares it, so exceptions get handled instead of piling up.
What does an agentic EHR cost?
XEHR publishes its prices: per provider per month, month-to-month, with AI billed pay-as-you-go ($25 per 100,000 tokens, no base fee). See pricing.
INSIGHTS
Agentic AI and automation articles
AI in Healthcare
Agentic AI for Medical Billing: What It Is and Where People Stay in Charge
Oct 12, 2026 · 4 min read
AI in Healthcare
AI Medical Scribes: How They Work and What to Look For
Oct 12, 2026 · 4 min read
Behavioral Health
Behavioral Health EHR Software: What to Look For
Oct 12, 2026 · 4 min readSee agentic AI work on your own claims
A 30-minute demo with your specialty, your payers and your workflow. Published prices, month-to-month, a BAA on every plan.
