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Screenshots

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Details

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Product Solutions Main Features

• Pricing Options
  There are clear, fixed prices for practices, hospitals, and large health systems, with a guarantee to cut manual work by 80%.
• Easy Integration
  It connects easily with most EHR systems using standard data feeds like FHIR or HL7, without complex setup.
• Denial Prediction
  The system predicts which claims might be denied before they are sent to reduce errors and rework.
• Claims Data Analysis
  The system uses data from your Electronic Health Record (EHR) to review and process claims in real-time.
• Learning from Denials
  The AI learns from every denial across its network to improve accuracy and success in future claims.
• Time Saving for Staff
  The AI reduces staff hours spent on prior authorizations from 16 hours per week to less than 2 hours.
• AI Revenue Cycle Agent
  An AI tool that analyzes claims, predicts denials, fills forms, submits claims, and handles appeals automatically without human help.
• Auto-Fill and Submission
  The AI automatically fills all required claim fields and submits claims online through APIs or portals.
• Automatic Denial Appeals
  If a claim is denied, the system automatically creates and submits appeals using clinical guidelines and evidence.
• Pre-Submission Validation
  It checks all diagnosis, procedure codes, and modifiers before submitting to ensure they meet payer rules.
• Increased Revenue Recovery
  The system helps recover millions in revenue by preventing denials and automating appeals.
• Never Accept a Denial Again
  The AI continuously learns to improve appeal success rates and never misses filing deadlines for appeals.
• Clean Claim Rate Improvement
  The system increases the percentage of correct claims sent, from around 85% to 97%, reducing delays.
• Automatic Payer Changes Monitoring
  The system automatically updates its rules when payers change their forms or requirements.

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Technologies Used

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