AI Agent
Revenue Cycle Management AI Agent
Reduce claim denials by 50% and improve collections by 20%
Manual RCM causes 15% denial rates and slow collections. AI achieves 95% clean claim rate with 30% faster payment.
Benefits
Stop Losing Revenue to Denials and Delays
Manual revenue cycle management causes 15% claim denial rates costing millions in lost revenue and rework. Slow collections extend DSO to 45+ days. Staff can't keep pace with claim volume and follow-up. This agent achieves 95% clean claim rate with 30% faster payment.
50%
Denial reduction
95%
Clean claim rate
20%
Revenue improvement
Agentic Flows
Complete RCM Automation
Automated workflow: claim scrubbing with edit validation, electronic submission with attachment handling, ERA/EOB processing and posting, denial management with root cause analysis, AR follow-up with payer and patient outreach, payment posting and reconciliation.
How it works
AI-Powered Revenue Cycle Optimization
The agent scrubs claims pre-submission to catch errors causing denials automatically, submits claims electronically to all payers with proper documentation, tracks claim status and payment with proactive follow-up and appeals, manages patient collections with automated statements and payment plans.
Integrations
Works with Practice Management Systems
Direct integration with Epic, Cerner, athenahealth, Kareo, and AdvancedMD for claims and AR. Connects to clearinghouses for electronic submission. Integrates with payment processors for patient collections and reconciliation.
Implementation
Optimizing RCM in 3 Weeks
Connect your PM system and clearinghouse. Configure scrubbing rules and follow-up workflows. Most practices achieve 95% clean claim rate within 3 weeks of deployment.
Key Features
Revenue Cycle Features
Claims Scrubbing
Validates claims against payer edits before submission. Fixes errors that cause denials automatically.
Denial Prevention
Analyzes denial patterns and implements preventive measures. Reduces denials by 50% systematically.
Automated Follow-Up
Tracks unpaid claims and follows up automatically. Prioritizes by amount and aging for maximum recovery.
Demo
See Revenue Cycle Management in Action
Watch the agent manage 1,000 claims: scrub and submit, process 950 payments, identify 50 denials, work AR, generate patient statements—achieving $1.2M collections in 30 days.
