End-to-End Automation for Your Healthcare Revenue Cycle
Faster & Smarter RCM automation solutions that reduce denials,
accelerate payments, and maximize revenue—without adding headcount.
85%
Reduction in Manual Tasks
30%
Decrease in Claim Denials
3X
Acceleration in Payment Cycles
Custom-Designed RCM Automation to Streamline Your Workflow
Patient Eligibility and Verification
- Accelerate verifications and reduce denials with our real-time eligibility automation.
- It performs real-time checks against insurance databases to confirm coverage before appointments.
- Seamlessly integrates with EHR/EMR systems and payer APIs for accurate verification.
- Automates eligibility checks, minimizing manual errors and improving billing efficiency.
Technology
AI
EHR Integration
Payer APIs
Streamlining Payment Posting with 835 Auto Post
- Save time and improve accuracy with our 835 Auto Post solution.
- Automates payment posting through secure and compliant processing of 835 remittance files.
- Uses RPA and AI-driven data validation to reduce errors and manual data entry.
- Speeds up payment reconciliation and ensures seamless revenue cycle operations.
Technology
RPA
AI Validation
EDI Integration
EOB payment posting
- Optimize efficiency with our EOB Payment Posting solution.
- It automates Explanation of Benefits (EOB) payment posting for faster reconciliation.
- Uses RPA with AI-powered OCR to extract and post EOB data with high accuracy.
- Eliminates manual errors, improves accuracy, and accelerates payment processing.
Technology
RPA
AI-Based OCR
Data Extraction
Denial Management & Appeals Automation
- Recover revenue faster with our Denial Management & Appeals Automation solution.
- AI analyzes denial trends and automatically generates appeal letters.
- Uses predictive analytics and generative AI for precise claim appeals.
- Speeds up recovery of 15–25% of denied claims through intelligent, automated workflows.
Technology
Predictive Analytics
Generative AI
Workflow Automation
Claims Processing & Status
- Enhance efficiency with our Claims Processing Automation solution.
- It automates claim intake, verification, submission, and real-time status tracking.
- Utilizes RPA, AI-powered data extraction, and EDI integration for seamless processing.
- Reduces claim denials, shortens processing time, and improves reimbursements.
Technology
RPA
AI Validation
EDI Integration
Prior Authorization
- Reduce delays with our Prior Authorization Automation solution.
- It submits and tracks authorization requests electronically via FHIR APIs.
- Uses RPA and AI chatbots to minimize administrative effort.
- Reduces prior authorization delays from days to minutes, enhancing both care delivery and revenue timelines.
Technology
RPA
AI Chatbots
FHIR APIs
Ai Powered Coding
- Ensure accurate coding with our AI-Powered Medical Coding solution.
- It extracts procedures and diagnoses from clinical notes automatically.
- Utilizes NLP and Machine Learning-driven CAC to ensure accurate assignment of CPT, ICD-10, and HCPCS codes.
- Reduces coding errors, prevents underbilling, and optimizes revenue cycle efficiency.
Technology
NLP
Computer-Assisted Coding
Machine Learning
90% of U.S. healthcare facilities have adopted or are planning automation initiatives
Use our RCM automation solutions to streamline processes in your facility, boosting efficiency, productivity, and patient care quality. Automate tasks like patient registration, appointment scheduling, medical documentation, prescriptions, and follow-up care.
Proven Excellence & Customer Impact
Northwest's Medical Personnel Increases 15% Time Spent for Patient Care with Healthcare RCM Automation
Shore Medical Cuts Missed Appointments by 30% with Automated Revenue Cycle Management
Benefits of Automating Your Healthcare Workflows
Increased Revenue
& Reduced Costs
Eliminate risk of
Medication errors by 70%
HIPAA & SOC 2
Compliance
Quick Appointment
Scheduling
Faster Implementation
Cut weeks off your
development cycle
Ready to Transform Your Revenue Cycle?
Join hundreds of healthcare organizations that have automated their RCM processes and increased their bottom line.
FAQs
Our pre-built solutions are designed with scalability in mind. They can be adapted to handle increasing complexity as your healthcare processes evolve. Additionally, our team stays up-to-date on evolving regulations and compliance standards, ensuring your solutions remain HIPAA compliant.
We understand that every business has unique needs. We offer customization options to tailor solutions or develop custom solutions from scratch to perfectly match your requirements.
The level of technical expertise needed for deployment depends on the specific solution. Many pre-built solutions can be configured with minimal technical knowledge. However, some may require assistance from your IT team for integration with existing systems or for customization purposes. We offer implementation support plans to guide you through the process, regardless of your technical skillset.
From Ideation To Support, We Partner With You All The Way
Contact our team of experts today!
