Seven intelligent, interconnected workflow stages - each powered by AI - delivering end-to-end automation from the first patient encounter to final cash collection.
A seamlessly connected revenue cycle - from onboarding through collections - driven by AI at every stage.
Experience the full platform before committing. Our structured demo process walks you through every workflow stage using your organization's own profile - followed by a rapid, guided onboarding designed to get your team live within 4 weeks.
Live walkthrough tailored to your specialty and payer mix
Structured implementation plan with dedicated success manager
Role-based training for coders, billers, and administrators
Historical data migration support for uninterrupted continuity
NLP-powered code suggestion engine reads clinical documentation and extracts ICD-10-CM, HCC, and CPT codes with 95% accuracy - presenting ranked suggestions with supporting clinical evidence so coders can review, not re-read the entire note.
Extracts from progress notes, discharge summaries, and op reports
Every suggested code linked to the supporting clinical sentence
AI confidence % shown per code - coders prioritize review effectively
Principal diagnosis sequencing and MCC/CC capture automated
Automated charge capture from validated codes directly into your practice management or billing system - with built-in edits preventing invalid code combinations, missing modifiers, and unbundling errors before the claim is ever submitted.
Charges built automatically from finalized code set - zero rekeying
CCI, LCD, and NCD edits applied pre-submission for clean claims
Correct modifier application (25, 59, 76 etc.) automated by payer
Expected reimbursement calculated per charge line at entry
Electronic remittance (ERA/835) auto-posted with intelligent matching - reducing manual payment posting effort by 90% while identifying underpayments, contractual variances, and balance bill opportunities in real time.
835 remittance files matched and posted automatically per claim
Variance between contract rate and actual payment flagged instantly
Paper EOBs scanned and data extracted via Emed OCR integration
Patient responsibility calculated and statements generated post-post
Real-time accounts receivable dashboards give revenue cycle managers instant visibility into aging, payer performance, and cash flow trends - with predictive analytics identifying at-risk claims before they become write-offs.
0-30, 31-60, 61-90, 90+ day buckets by payer and provider
AI flags claims likely to be denied or aged out within 7 days
Reimbursement rate, denial rate, and TAT tracked per payer
CFO-ready PDF/Excel reports with one-click generation
Systematic denial resolution with AI-generated root-cause categorization, smart appeal letter generation, and a denial prevention feedback loop that continuously reduces your upstream denial rate over time.
Denials classified by reason code, payer, and denial type automatically
Payer-specific appeal letters with clinical documentation auto-attached
Pattern recognition surfaces systemic coding or billing issues upstream
Full audit trail of every denial, appeal, and resubmission outcome
AI-prioritized calling queues ensure your AR team focuses on the highest-value, most time-sensitive claims - with pre-call claim summaries, payer contact scripts, and post-call disposition logging built into every interaction.
Claims ranked by balance, days outstanding, and recoverability score
Complete claim history, prior contacts, and payer notes before dialing
Call outcome logged with next follow-up date auto-scheduled
Collector productivity, resolution rate, and collections-per-hour tracked
See all 7 workflow stages in a live demo customized for your specialty and payer mix.