What this page covers
Flexbone works alongside Epic by operating in the same Epic web interface your staff use, not through a native or certified integration. Browser agents read and write eligibility, prior authorization, referral, and claim-status records in the Epic web client, and voice agents place and answer the payer and patient calls that surround them. That lets a health system automate benefits verification, the 270/271 eligibility exchange, 278 prior authorization, and denial follow-up without waiting on an interface build.
Epic and the teams it serves
Epic is the electronic health record behind many large hospitals, academic medical centers, and integrated delivery networks, and it usually carries both the inpatient chart and the ambulatory clinics on the same instance. Its administrative surface is wide: registration and scheduling, referral work queues, eligibility and benefits, prior authorization, claim status, and denials all live in the Epic web client staff sign into every day. Flexbone works alongside Epic by operating in that same web interface, so a verified benefit, a submitted authorization, or a worked denial lands in the record your access and revenue-cycle teams already use. There is no native or certified integration and no interface build; the browser agents drive the screens a person would.
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Front and back office workflows Flexbone runs
Flexbone runs benefits verification and the 270/271 eligibility exchange, submits and tracks 278 prior authorization, works referral queues, runs 276/277 claim status checks, and follows up on denials by reading the 835 remittance and its CARC and RARC codes to route the appeal. Voice agents place and answer the payer and patient calls these steps depend on, from a benefits call a portal cannot answer to an appointment confirmation. The mechanism-level detail lives on the eligibility verification, prior authorization, and denials management pages, and the EHR integrations page explains how the browser agents operate in a web interface.
Can AI verify insurance eligibility inside Epic?
Yes. Flexbone runs a 270/271 eligibility exchange for the patients on the Epic schedule and registration work queues, reads the payer response for coverage, plan, and benefit detail, and writes the verified result into the Epic record your access team already uses. Where a payer does not return complete benefit data over 270/271, the browser agent checks the payer portal and a voice agent places the benefits call a portal cannot answer, so coverage is confirmed before the visit rather than surfacing as a denial after it.
How does AI handle prior authorization in Epic?
Flexbone submits and tracks the 278 prior authorization from inside the Epic web interface. The browser agent works the authorization and referral queues, pulls the clinical detail and CPT codes from the chart, submits to the payer or its portal, and follows the status to approval or denial. The authorization number and result are written back into Epic, and a voice agent places the payer status calls the workflow depends on, returning structured results into the record so staff are not sitting on hold.
Can AI place payer and patient calls for a team on Epic?
Yes. Flexbone voice agents place the outbound payer calls that eligibility, authorization, and claim status depend on, and answer inbound patient calls, booking and confirming against Epic availability and handing a call to staff when it falls outside the defined scope. Because the same agents write back into the Epic web interface, the phone work and the record stay in sync across the access and revenue-cycle teams.
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How Flexbone works alongside Epic
Flexbone is forward-deployed. We build the agents around your Epic configuration, work queues, and payer mix, validate them against your real eligibility and authorization patterns, and keep refining them. Because the agents operate in the Epic web interface rather than through an integration, results are written back to the same records staff read, and anything outside the agent scope is handed to a person with context. We scope the rollout to the workflows that return the most staff time first, and we operate under HIPAA with a business associate agreement.