Your AI Revenue Cycle Management Teammate automates charge capture, claim submission, denial management, and payment posting — reducing A/R days, boosting clean claim rates, and recovering revenue that falls through the cracks.
From charge capture to payment posting, your AI teammate handles every step of the revenue cycle with speed and accuracy.
Automatically identifies and captures all billable services from clinical documentation, ensuring no charges are missed and revenue leakage is eliminated at the source.
Validates, scrubs, and submits claims electronically with payer-specific formatting — catching errors before submission and driving clean claim rates above 98%.
Analyzes denial patterns, auto-generates appeal letters, and prioritizes denials by recovery potential — turning lost revenue into recovered dollars.
Automatically posts payments, reconciles ERA/EOB data, and identifies underpayments — ensuring every dollar owed is accounted for and discrepancies are flagged instantly.
Prioritizes aged accounts receivable by likelihood of collection, automates follow-up workflows, and escalates high-value accounts for human intervention.
Delivers real-time dashboards on denial rates, collection trends, payer performance, and revenue leakage — giving leaders actionable insights to optimize the revenue cycle.
Designed for the executives and operations leaders responsible for financial performance, cash flow, and billing efficiency.
Financial leaders and revenue cycle directors accountable for net revenue, cash flow predictability, and cost to collect — looking for measurable financial impact within 30 days.
Health Information Management directors responsible for coding accuracy, documentation integrity, and compliance — who need AI that improves quality while reducing manual review burden.
Practice managers who need to scale billing operations, reduce overhead, and improve collections efficiency without adding headcount to their teams.
AI Revenue Cycle Management directly displaces costly, error-prone manual billing processes — without disrupting your existing workflows.
Every AI RCM deployment is benchmarked against the metrics that matter most to healthcare financial leaders.
Faster claim submission, automated follow-up, and intelligent prioritization shorten the time from service to payment.
AI-powered claim validation ensures near-perfect first-pass acceptance, eliminating costly rework and resubmissions.
Proactive claim scrubbing and payer-specific validation catch errors before submission, dramatically reducing denial rates across all payers.
Automation reduces manual labor across the revenue cycle, lowering the cost to collect on every dollar of revenue.
Better charge capture, fewer denials, and automated follow-up recover revenue that was previously lost in the cycle.
Intelligent denial management and proactive A/R follow-up recover dollars that would otherwise be written off as bad debt.
Your AI teammate integrates with the EHR, billing, and clearinghouse systems you already use — no rip-and-replace required.
Native integration with Epic Resolute for charge capture, claim management, and payment posting workflows.
Bi-directional sync with Cerner revenue cycle modules for billing, collections, and financial reporting.
Integrates with Availity, Change Healthcare, and Waystar for electronic claim submission and remittance processing.
Connects to major payer portals for eligibility verification, prior authorization status, and claim status inquiries.
Supports athenahealth, eClinicalWorks, and other billing platforms via pre-built connectors and secure APIs.
RESTful APIs, X12 EDI transactions, and configurable webhooks for any system not covered by standard connectors.
A structured, phased deployment that delivers measurable results from the first sprint. No multi-year transformation required.
Every claim is auditable. Every action is governed. Built from the ground up for HIPAA-regulated healthcare billing environments.
High-value claims and edge cases route to billing specialists. AI handles the volume — your team retains decision authority.
Full audit trails, role-based access control, and compliance logging designed for payer audits and regulatory reviews.
PHI and financial data encrypted at rest and in transit, configurable data residency, and strict retention policies.
Connects to Epic, Cerner, clearinghouses, and payer portals via secure APIs and standard EDI protocols.
See measurable results — fewer denials, shorter A/R days, and higher clean claim rates — within your first month. No multi-year commitment. No rip-and-replace. Just results.