What is our primary use case?
Our primary use cases with Automation Anywhere revolve around process discovery, where we've used that with many clients to identify areas of opportunity for automation, map those out, and build the core automation to drive the new modernized processes. We originally had done a fair amount of work with robotic process automation types of opportunities in and around revenue cycle with health system clients, ensuring that they get paid appropriately for the services they render.
One of the really interesting use cases that moving into agentic automation brings to the table are more complex use cases, where we can work with things such as medical necessity denials, where payers will deny or downgrade the payment that they provide to the health systems based on a set of medical necessity criteria.
The introduction of the agentic capabilities allows us to ingest that denial letter, along with the criteria for medical necessity that's required to be met to be paid, and then work with the medical record itself, so the agent can scan the medical record to find out why it's denied matching to the criteria that's required to support it and determine if the criteria are met. If so, it can then draft a letter.
Traditionally, that's been a highly manual process that requires a clinical resource, which tends to be very expensive, and they can do only about 10 a day or 50 a week. With this kind of automation, the draft letter is provided to them for review and confirmation, allowing them to increase productivity by multiples across the impact and giving them the opportunity to work more effectively in terms of the span of denials, because most health systems never even get to all of them, determining whether they'll take the time to do it based on labor intensity.
How has it helped my organization?
With all the things happening with AI in the market right now, one of the big challenges that clients have is ensuring the quality. There are fears around AI that people have about whether the AI will hallucinate and those kinds of things. Having a partner like Automation Anywhere, a company that is known in the industry, is a leader in the industry, brings a lot of credibility to how people look to solve those problems and drive that comfort level.
Customers also are looking for the kinds of solutions that help enable their workforces to be more effective. Agentic capabilities bring a lot to that. If you think about not just the traditional labor savings, but how you can elevate the performance of the employees that will still be there, the agentic AI brings a lot to the table for those kinds of solutions as well.
What is most valuable?
Some of the really impactful features of working with Automation Anywhere are the ability to design and partner with their experts to come up with our solutions. Often, we're trying to push the envelope on how either a process has worked traditionally, and trying to see how the automation solutions can change the nature of that process. Automation Anywhere has been a fantastic partner to work through different ways and try different methods and approaches to solving those problems.
Document automation often comes up with our clients, where the processes we're working in still transfer faxes and other traditional documents that must be uploaded, with data extracted and input into a process, whether that's faxes for scheduling appointments or things such as benefit determination, sometimes following up on authorizations for services. Document automation is a really important feature and component to solving these problems.
What needs improvement?
In terms of areas for improvement and opportunity, Automation Anywhere has been a great partner for us. Many of our clients would want to see scalability in pricing, and while I could say cheaper, that's part of it. Finding creative and scalable pricing structures is important, especially with the move toward agentive automation, which presents challenges in getting clients on board. Clients are interested but reluctant, needing proofs of concept with minimal upfront cost or risk to demonstrate value.
Additionally, there's potential for Automation Anywhere to integrate conversational types of tools and AI into their tool set, which would be really valuable.
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For how long have I used the solution?
We have been working with Automation Anywhere for several years and we are a partner with them, using them to support many of our solutions for clients, helping to modernize their workforce and bring the digital workforce concept to life with our clients.
What do I think about the stability of the solution?
In terms of reliability and stability, I have personally found Automation Anywhere to be a highly reliable and stable product, well-known in the market for that.
What do I think about the scalability of the solution?
Many of our clients are just moving into automation, and one of the benefits with Automation Anywhere is the ability to scale and add processes as we improve concepts, helping them get comfortable with the technology while driving more value through expanded automations.
How are customer service and support?
We've received great support from Automation Anywhere. We've developed some new innovative solutions with them requiring significant work from their engineering teams and their partner teams. They've been a great partner to gently vet our ideas, and they're willing to give them a try, which has been excellent.
How would you rate customer service and support?
Which solution did I use previously and why did I switch?
Very few of our clients at this stage have agentic process automation in place, so in those cases, Automation Anywhere is our preferred partner.
As we work with clients in identifying opportunities and positioning a solution, Automation Anywhere becomes an easy decision for them. In the traditional RPA space, while some clients may have other vendors, many do not have anything in place. We often work through how to move to the Automation Anywhere platform, which is made easier by their good job of facilitating the switch from other platforms.
What was our ROI?
The return on investment for our clients working with Automation Anywhere solutions typically shows at least three or four times in the first year and sometimes double that in outer years, arising from a combination of labor savings, improved quality, and reduction in process failures.
Some of the benefits that we've seen with our clients are substantial labor savings of 30% to 70%, depending on the processes that we often see in the ability to reduce labor costs.
We see improved quality and the elimination of process failures, which can lead to multi-million dollar savings in things such as denials with our clients, addressing how much they're writing off that they can't collect from third parties.
The elimination of process failures is a significant opportunity for savings, with typical savings being millions, if not tens of millions, for many of our clients due to areas such as insurance verifications, failure to get authorizations, and timely follow-ups on claims to ensure that we submit the required information to the payers.
What other advice do I have?
With all the things happening with AI in the market right now, one of the big challenges that clients have is ensuring the quality, with fears about whether the AI will hallucinate, and those kinds of things. Having a partner like Automation Anywhere, which is known in the industry as a leader, brings a lot of credibility to how people look to solve those problems and drive comfort. They also seek solutions that help enable their workforces to be more effective, and agentive capabilities bring a lot to that. If you think about not just the traditional labor savings, but how to elevate the performance of employees that will still be there, agentive AI brings a lot to the table for those kinds of solutions as well.
On a scale of one to ten, I would give Automation Anywhere an eight depending on the day. They've been a great partner for us in developing new solutions, and when we've deployed them, we see high reliability. The brand is well-respected in the market, making clients receptive to the name and bringing credibility to our solutions. Overall, I give them high marks and enjoy working with them.
Which deployment model are you using for this solution?
Hybrid Cloud
Disclosure: My company has a business relationship with this vendor other than being a customer. Partner