Revenue Cycle
Billing That Works for You.
End-to-end revenue cycle management — from eligibility verification and claims submission to denial management and AI-powered appeals.
- Clean claim rate
- 98%Clean claim rate
- Faster prior auth
- 45%Faster prior auth
- Fewer denied claims
- 60%Fewer denied claims
Features
End-to-End Revenue Management
Eligibility Verification
Real-time 270/271 eligibility checks — verify coverage, copays, and deductibles before the visit even starts.
Claims Submission
Submit 837P professional claims directly to payers with coordination of benefits support and clean-claim validation.
Denial Management
Kanban denial board with AI-powered appeal letter generation. Bulk appeals for common denial patterns.
AI Coding Assistant
Smart ICD-10, CPT, and E/M code suggestions from the encounter note — with NCCI bundling and edit checks built in.
ERA & Payment Posting
Automated 835 remittance ingestion every 15 minutes — matches payments to claims and highlights variances.
Prior Authorization
5-agent AI assessment pipeline for medical necessity — from intake through payer submission and appeal.
How It Works
From Appointment to Payment
- 01
Verify & Code
Eligibility verified before the visit. AI suggests codes from the encounter note. Claims submit clean on first pass.
- 02
Track & Resolve
Real-time claim status tracking. Denials routed to the AI-powered appeal workflow with auto-generated letters.
- 03
Get Paid
ERA remittances auto-posted every 15 minutes. Payment variances flagged. Revenue cycle analytics at a glance.
“We went from 72% to 98% clean claim rate in the first month. The AI coding suggestions alone pay for the platform.”
