Agentic AI for Revenue Cycle Management
As AI is becoming integral to RCM activities, we are proud to offer an AI-driven automation solution that empowers healthcare organizations to streamline and optimize complex operational and revenue-cycle processes through intelligent, customized AI agents and robotic process automation. The platform automates functions such as insurance verification, billing and claims processing, denial management, patient intake, accounts receivable/payable, and compliance workflows, enabling providers to reduce manual effort, improve accuracy, and accelerate revenue collection without replacing existing systems. Our subscription-based model and rapid deployment approach allow healthcare operations to achieve measurable ROI while maintaining data security and regulatory compliance. By leveraging advanced AI and machine-learning technology tailored to the nuances of healthcare workflows, we help partners and clients improve operational efficiency, reduce costs, and free staff to focus on patient-centric activities.
End-to-End Revenue Cycle Management
For organizations that need and want a comprehensive RCM solution, this healthcare revenue cycle management (RCM) and business intelligence platform that helps health systems, hospitals, and physician groups improve financial performance and operational efficiency through tailored end-to-end services and advanced technology. Our offerings encompass the full revenue cycle—from patient intake and eligibility verification to billing, denials management, and revenue collection—supported by proprietary tools that use AI, machine learning, and automation to increase yield and reduce manual workload. We combine seasoned operator expertise -boots on the ground- with flexible solutions that integrate with existing clinical and financial systems, delivering measurable ROI and enhanced revenue capture. By co-owning our clients’ RCM challenges and outcomes, we serve as a strategic partner focused on maximizing cash flow, mitigating compliance risk, and providing actionable business insights.
Underpayment Audits and Recovery
We offer an AI-driven underpayment recovery and claims auditing platform designed to help healthcare providers maximize reimbursements and close revenue gaps caused by complex payer contract structures and overlooked payments. The solution digitizes payer contracts, analyzes historical remittance (835) data with forensic precision, and automates appeal submissions to ensure providers receive full contractual payments with minimal internal effort. Delivered on a contingency basis with no upfront cost, we combine advanced audit technology with automated appeals processing and real-time reporting to streamline the recovery of underpaid claims and reduce administrative burden. Trusted by hospitals, clinics, and revenue cycle departments, the platform enhances financial performance and operational efficiency by identifying and recovering hidden revenue while improving ongoing revenue cycle integrity.
Patient-facing Financial Engagement
We are proud to offer a next-generation patient financial engagement solution that helps healthcare consumers manage and reduce out-of-pocket medical expenses through savings of up to 13 percent on deductibles, coinsurance, and copays, coupled with flexible, interest-free payment options and a centralized member portal. As a no-cost program for patients, this solution integrates with existing insurance and billing workflows, enabling providers to receive guaranteed payment within 14 business days while removing the administrative burden of patient collections and enhancing revenue cycle efficiency. Members benefit from personalized billing advocacy support that helps simplify complex medical bills and answers financial questions, improving overall patient experience and financial wellbeing. By bridging the gap between patients and providers, we support better affordability and stronger engagement across the care journey.
Healthcare Data Management Platform
We are honored to be the only firm in the country offering this solution. It is an advanced healthcare data and operations platform that delivers automation through a centralized solution designed to normalize, govern, and operationalize complex healthcare data across the enterprise. We help organizations streamline complex administrative and managed care processes with measurable results in months, not years. The platform ingests and harmonizes disparate data sources—spanning claims, enrollment, encounters, contracts, and managed care—creating comprehensive data conformance and enabling providers and payers to reduce denials, improve data quality, and accelerate operational visibility. It is a single, trusted source of truth that ensures compliance and enhances decision-making. Built with intelligent automation and scalable architecture, the platform reduces manual intervention, accelerates processing timelines, and minimizes downstream denials and rework. With a client-centric service model and rapid implementation framework, we enable healthcare organizations to rapidly improve data integrity, operational efficiency, and financial performance without large-scale system replacement.
