Revenue cycle
A touchlessrevenue cycle.
From eligibility to payment, every step runs continuously and hands off cleanly to the next. What the front end learns, the claim carries. What the claim reveals, the front end fixes.
-41%
Initial denials in the first 90 days
86%
Work completed touchless
12K+
Staff hours returned per year
Front end
Clean claims start at scheduling.
Eligibility, benefits, and authorization requirements are verified continuously so the information the claim needs is correct before the visit happens.
- Real-time eligibility and benefit interpretation
- Authorization requirements matched to payer policy
- Cost estimates and coverage gaps flagged early
- Check coverage270/271 · 0.8sCompleted
- Interpret benefitsAetna PPOCompleted
- Estimate responsibility$40 copay · 82% deductible metCompleted
Claims
Scrubbed, submitted, and tracked without a spreadsheet.
Claims are checked against payer edits and the authorization on file, submitted, and monitored. Exceptions surface with the reason and the fix, not a rejection code.
- CPT and authorization mismatch detection before submission
- Payer-specific edits kept current
- Status tracking with next-action recommendations
- Scrub claim 4471-04UHC · 837PCompleted
- Match auth on file#A82-114Completed
- 3CPT 27447 vs. auth 27446flagged pre-submitNeeds review
Denials and appeals
Every denial explained, and most of them appealed for you.
Root cause is identified from the 835, the evidence is gathered, and the appeal is drafted with policy citations. Patterns feed back to the front end so the same denial does not happen twice.
- Root-cause analysis on every denial
- Appeals drafted with citations and evidence attached
- Payer scorecards and prevention feedback loops
Payer scorecard · last 30 days
- Aetna96%
- BCBS93%
- UHC91%
- Cigna94%
Approval rateAvg turnaround 1.4 d
Ready for a touchless revenue cycle?
Bring your denial report and thirty minutes. We will show you what the platform would have caught.