UiPath unveils agentic AI to streamline healthcare admin

UiPath has launched a set of agentic AI products for healthcare providers and payers, focused on administrative work within revenue cycle management.

It has positioned the new offerings around three common friction points in payer and provider workflows: medical records summarisation, claim denial prevention and resolution, and prior authorisation. The products sit within UiPath's agentic automation platform, which it says connects data and orchestrates steps across these processes.

Healthcare organisations manage large volumes of clinical documentation alongside claims and billing. Many systems remain fragmented, and staffing shortages have increased pressure on back-office teams. As a result, there is greater scrutiny on how quickly clinical documentation can be reviewed and turned into information payers can use for reimbursement decisions.

Revenue cycle management has become a focal point for automation vendors because it spans clinical, administrative, and financial steps. It also involves interactions between parties with different data standards and incentives. UiPath is targeting the gap between complex clinical records and the structured information used in payer workflows.

Medical summaries

The medical records summarisation product converts patient records into shorter, structured summaries with citations. UiPath says the format reduces time spent searching source documentation and gives reviewers a reference trail.

Medlitix, which has used the product, reported a large reduction in review time after implementation.

"Since implementing the UiPath MRS solution, we've reduced the average summary review time from 70 minutes to six, a 90 percent improvement. Our clinicians are spending more time on direct patient care and less time digging through documentation. The structured output and citations give us confidence in what we're reviewing," said Benjamin Smith, Vice President of Technology, Medlitix.

UiPath says the summaries are designed for workflows where clinicians, administrative staff, and payer teams need to review documentation quickly, including during claim submission, claim disputes, or clinical decision-making. It has not disclosed pricing or availability for the new healthcare suite.

Denials workflow

A second product targets claim denial prevention and resolution. Denials remain a persistent cost and delay driver in healthcare finance, and they can lead to write-offs if appeals are missed or incomplete.

UiPath says the software identifies root causes behind denials, triggers corrective actions, and orchestrates appeals. It says the approach tightens compliance by standardising workflows and tracking actions, but it has not published performance benchmarks for the product.

The denials process typically spans multiple departments and systems, including clinical coding, billing, claims submission, and payer responses. Automating triage and routing is a common workflow use case in this area. UiPath is pitching agent-based actions and end-to-end orchestration across the sequence, rather than isolated task automation.

Prior authorisation

The third product covers prior authorisation, which requires providers to submit information to payers before certain procedures, tests, or medicines are approved for coverage. The administrative work can include eligibility checks, benefits validation, mapping clinical data to payer rules, and tracking request status.

UiPath says its prior authorisation software automates eligibility and benefits validation, maps clinical data to medical-necessity rules, routes requests based on complexity, and provides status updates to providers. It says these steps can reduce manual follow-up work that often happens by phone, fax, or across multiple portals.

For this product, UiPath has partnered with Genzeon. UiPath says Genzeon was selected by CMS as one of six technology vendors for the Wasteful and Inappropriate Service Reduction Model. It also says Genzeon was founded in 2012, works with more than 100 healthcare clients, and has built more than 30 disease-specific clinical models and compliance frameworks for regulated environments.

Industry context

UiPath framed the launch around the cost of administrative work, pressure on clinical staff time, rising regulation, and the complexity of payer rules.

It also cited Mayo Clinic as an organisation pursuing broader adoption of automation.

"As an organisation, we are moving down the path of the deployment of intelligent automation across the board," said Biju Samkutty, Chief Operating Officer, International & Enterprise Automation, Mayo Clinic. "This was a fundamental decision to accelerate the transformation and the change we need to occur, allowing us to apply capabilities that are not inherent in healthcare the way we see it today. We're focused on technologies, platforms, and other ways to augment the work and reduce the administrative burden for our clinicians and staff so that they can do what they do best - care for patients and support them accordingly."

UiPath says it is collaborating with healthcare organisations and sector specialists to build domain knowledge into its platform. It has positioned "fully compliant and governed agents" as a requirement for work that touches clinical and reimbursement data.

Graham Sheldon, UiPath's chief product officer, described the market drivers for the company's healthcare push.

"The opportunity for agentic transformation in healthcare is huge, and the stakes could not be any higher," Sheldon said. "Labour challenges, rising costs, increasing and complex regulations. All of these are a catalyst for fundamental change to the ultimate benefits of payers, providers, and patients. Our new agentic automation and orchestration offerings connect data across the enterprise, accelerate critical workflows, and remove the costly, time-consuming errors that create friction and delay results."