MedSynthea + Care360: Autonomous RCM Inside Your Existing Workflow
Your clinical and administrative teams already rely on Care360. MedSynthea connects directly to your Care360 environment via HL7 v2 / REST standards—reading scheduling context, running real-time eligibility checks, proposing ICD-10 and CPT codes, and writing approved documentation back into Care360 with zero manual data re-entry.
HL7 v2 / REST Connection
Authenticates with Care360 using HL7 v2 / REST protocols. No proprietary middleware, legacy HL7 interface boxes, or expensive custom IT developments required.
Lab Integration
Purpose-built integration workflows optimized for healthcare organizations in the lab integration market.
Zero Clinical Disruption
Clinicians and billing staff continue working inside Care360 as normal. MedSynthea operates as a background layer, surfacing proposals directly inside existing screens.
9 AI Agents Operating Inside Your Care360 Environment
Each agent reads from and writes back to Care360, preserving context across the entire revenue cycle.
Scheduling Agent
Reads encounter details from Care360, executes optimizes appointment scheduling and predicts no-shows, and writes verified outputs back to the Care360 financial ledger.
Eligibility Agent
Reads encounter details from Care360, executes verifies real-time insurance eligibility in under 2 seconds, and writes verified outputs back to the Care360 financial ledger.
Documentation Agent
Reads encounter details from Care360, executes transcribes clinical encounters and reduces charting time by 70%, and writes verified outputs back to the Care360 financial ledger.
Coding Agent
Reads encounter details from Care360, executes suggests icd-10 and cpt codes with 99%+ accuracy, and writes verified outputs back to the Care360 financial ledger.
Scrubber Agent
Reads encounter details from Care360, executes detects claim errors pre-submission with 95% clean claim rate, and writes verified outputs back to the Care360 financial ledger.
Prior Auth Agent
Reads encounter details from Care360, executes automates prior authorization submission and reduces turnaround by 60%, and writes verified outputs back to the Care360 financial ledger.
Billing Agent
Reads encounter details from Care360, executes submits claims and tracks status with 98.5% first-pass rate, and writes verified outputs back to the Care360 financial ledger.
Denial Agent
Reads encounter details from Care360, executes manages denials and automates appeals to recover lost revenue, and writes verified outputs back to the Care360 financial ledger.
Reconciliation Agent
Reads encounter details from Care360, executes posts era/eob payments and reconciles accounts with 99% accuracy, and writes verified outputs back to the Care360 financial ledger.
Technical Setup Guide for Care360
A 4-step onboarding process requiring under 2 weeks from connection to live claim processing.
API Authorization
Authenticate MedSynthea via OAuth 2.0 with your Care360 tenant credentials in seconds.
Sandbox Verification
Test bidirectional write-back of mock clinical notes, CPT codes, and ERA remittances in a secure sandbox.
Rule Configuration
Configure practice fee schedules, specialty code families, and payer-specific LCD policies.
Production Launch
Activate autonomous background processing with continuous monitoring and real-time dashboard visibility.
Specialties Running Care360 with MedSynthea
Customized coding and denial prevention rules for medical specialties using Care360.
Frequently Asked Questions — Care360
How does MedSynthea connect to Care360?
MedSynthea connects to Care360 via HL7 v2 / REST. Data flows bi-directionally between Care360 and MedSynthea without custom IT development or proprietary middleware.
Will integrating MedSynthea disrupt our Care360 workflow?
No. Clinicians and billing staff continue working inside Care360 as normal. MedSynthea operates as a background layer, surfacing recommendations directly in the EHR interface.
Which Care360 modules does MedSynthea interact with?
MedSynthea interacts with the appointment schedule, clinical progress notes, medical coding screen, and financial/billing ledger within Care360.
Is patient data secure during Care360 integration?
Yes. All data processed from Care360 passes through MedSynthea's Zero-Trust PHI Scrubber and 15-minute TTL Token Vault, guaranteeing 0% PHI in system logs.
Care360 Integration for Every Medical Specialty
MedSynthea connects to Care360 via HL7 v2 / REST for specialty-specific coding, scrubbing, and payment posting.
Connect MedSynthea to Care360
Experience seamless SMART on FHIR RCM automation in under 2 weeks.
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