Agentic AI for Durable Medical Equipment (DME) Companies

Transform Your DME Operations with Agentic AI

Durable Medical Equipment providers face some of the most complex, manual, and costly workflows in healthcare. Our AI Agents—AI that can reason, navigate systems, execute tasks, and self-correct—automate the front and back-office operations that slow down DME revenue cycles and patient service.

Browser Agent

Data Entry & Extraction

Missing Information & Errors

Claims Management

Scheduling Coordinator

Knowledge Base

Payment Posting

Patient 360

Patient Cost Estimator

Browser Agent

Data Entry & Extraction

Missing Information & Errors

Claims Management

Scheduling Coordinator

Knowledge Base

Payment Posting

Patient 360

Patient Cost Estimator

Why DME Operations Need Agentic AI

DME companies face operational challenges unlike any other segment in healthcare. High documentation requirements, payer-specific authorization rules, fragmented systems, and manual submission processes create endless backlogs and revenue leakage.

Common Inefficiencies in DME Workflows

Front-End Pain Points

High-volume benefit verifications

Manual eligibility checks across payer portals and clearinghouses

Authorization complexity

Payers require different documentation (CMNs, LMNs, diagnosis support, prior conserv. therapy, proof-of-delivery rules)

Intake backlog

Staff manually collect prescriptions, demographic data, insurance cards, and supporting clinical documents

Outdated or incomplete orders from providers

Chasing physicians for signatures or required medical necessity data

Back-End Pain Points

Denials due to incomplete documentation

Missing CMN/LMN, insufficient proof of medical necessity, wrong modifiers, incorrect HCPCS codes

Time-consuming appeals

DME appeals require narrative justifications, clinical attachments, and payer-specific forms

Payer portal submission overload

Staff re-key data into Medicare portals, Medicaid portals, commercial payer sites, and vendor systems

Claims trapped in limbo

Pending patient signatures, missing delivery confirmations (POD), or unresolved audit requests

These inefficiencies lead to delayed deliveries, lost revenue, burnout, and ballooning administrative costs.

How Agentic AI Transforms DME Operations

Automate the workflows that slow down DME revenue cycles and patient service

Automated Benefit Verification

Check eligibility across multiple payer portals automatically
Extract coverage details and authorization requirements
Flag coverage gaps before order processing

Authorization & Documentation Management

Auto-generate CMNs and LMNs based on order data
Submit prior authorizations with required clinical docs
Track authorization status and follow up automatically

Intake & Order Processing Automation

Extract data from prescriptions and referral forms
Validate patient demographics and insurance information
Chase missing physician signatures and documentation

Claims & Appeals Management

Auto-correct claims with wrong modifiers or HCPCS codes
Generate appeal narratives with clinical justification
Submit claims and appeals through payer portals

How Agentic AI Transforms DME Operations

Automate the workflows that slow down DME revenue cycles and patient service

Automated Benefit Verification

Check eligibility across multiple payer portals automatically
Extract coverage details and authorization requirements
Flag coverage gaps before order processing

Authorization & Documentation Management

Auto-generate CMNs and LMNs based on order data
Submit prior authorizations with required clinical docs
Track authorization status and follow up automatically

Intake & Order Processing Automation

Extract data from prescriptions and referral forms
Validate patient demographics and insurance information
Chase missing physician signatures and documentation

Claims & Appeals Management

Auto-correct claims with wrong modifiers or HCPCS codes
Generate appeal narratives with clinical justification
Submit claims and appeals through payer portals

ROI of Agentic AI for DME Companies

Eliminate operational drag, reduce denials, and accelerate revenue cycles

40–60%

reduction in authorization processing time

30–50%

fewer denials due to documentation errors

2–3×

faster claims submission and reimbursement cycles

Lower

administrative costs without sacrificing quality

Increased

order fulfillment speed and patient satisfaction

Better

scalability for growing DME operations

Why DME Companies Choose Agentic AI

Faster authorization approvals

Reduced claim denials

Improved cash flow

Lower operational burden

Ready to Transform Your DME Operations?

See how our AI Agents can automate your front and back-office workflows, reduce denials, and accelerate revenue cycles.

Fast

Deploy in weeks, not months

Secure

HIPAA-compliant and SOC 2 certified

Scalable

Grows with your DME business