Customer Stories

Real results from real hospitals

Healthcare teams use RxGPT to automate repetitive work, reduce delays, and improve financial and operational performance. Here are three of their stories.

Case Study 1

Midwest Regional Medical Center

420-bed system · 3 facilities

34% reduction in claim denial rate in 60 days

Challenge

Midwest Regional was losing over $2.4 M per quarter to preventable claim denials. Their revenue cycle team relied on manual chart reviews and spreadsheet tracking, which meant errors went unnoticed until payers had already rejected claims. Staff turnover made the problem worse — new hires needed months to learn payer-specific rules.

Solution

RxGPT was deployed across the billing workflow to flag incomplete documentation, verify payer requirements in real time, and auto-prioritize high-risk claims before submission. The system integrated directly with their existing Epic EHR, requiring zero changes to clinician workflows.

Result

Within 60 days the denial rate dropped from 12.1% to 7.9% — a 34% reduction. The revenue cycle team recaptured an estimated $840 K in the first quarter alone and reallocated two FTEs from rework to proactive payer follow-up.

Case Study 2

Coastal Family Health Network

12-clinic ambulatory group · Southeast US

28% drop in patient no-shows within 90 days

Challenge

No-shows were costing Coastal Family Health an estimated $1.1 M annually in lost revenue. Front-desk staff juggled manual reminder calls across 12 locations, often reaching voicemail. High call volumes during peak hours meant many patients received no reminder at all.

Solution

RxGPT's AI Voice Agent replaced manual reminder calls with intelligent, two-way outreach. The agent confirmed appointments, offered rescheduling options, and escalated complex cases to staff. Outreach timing was optimized per patient using historical attendance data.

Result

No-show rates fell from 18.3% to 13.2% in 90 days — a 28% improvement. Front-desk call volume dropped by 41%, freeing staff to focus on in-person patient experience. Patient satisfaction scores in post-visit surveys increased by 9 points.

Case Study 3

Summit Health Partners

Regional hospital · 180 beds · Rural Midwest

62% faster prior-authorization turnaround

Challenge

Summit's prior-authorization process averaged 4.8 business days per request, delaying surgeries and specialty referrals. Two full-time coordinators spent most of their day faxing forms, chasing payer portals, and re-entering data across disconnected systems.

Solution

RxGPT automated the end-to-end prior-auth workflow: extracting clinical criteria from the EHR, matching them against payer-specific requirements, and submitting requests electronically. Status tracking and auto-escalation replaced manual follow-up calls.

Result

Average turnaround dropped from 4.8 days to 1.8 days — 62% faster. The two coordinators were reassigned to patient navigation, and surgical scheduling delays decreased by 45%. In the first six months, Summit attributed $620 K in recovered revenue to faster authorizations.

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