Revenue-cycle platform

RCM AI

Claim to cash, with an AI Mate at every step — and a named approver on every dollar.

An overlay on Epic, your PM system and your clearinghouse — never a replacement. It works denials first: detect the root cause, ground it in payer policy, draft the appeal, route it to a named approver, track it to payment. Built on workflow experience across a 700-provider network.

Book a live demo Meet the AI Mates

The team

An AI Mate at every stage of the journey

Revenue-cycle work is split across the EHR, the PM system, the clearinghouse, payer portals, email and Excel. The AI Mates connect that work where it already lives — each one drafts, a person on your team decides.

Eligibility & prior auth

Census reports, face sheets and insurance documents read on arrival — coverage verified and financial class assigned before coding begins.

Documentation

Completeness checks against payer requirements — missing signatures, absent MDM, unsupported levels — caught before the claim leaves.

Coding support

ICD, CPT and HCPCS recommendations with confidence signals. Ambiguity routes to a coder, not into a claim.

Payer rules

Payer policy grounded per claim — the clause that governs the decision is cited, versioned and attached to the work.

Denials & appeals

Root cause detected, appeal drafted with evidence, routed to a named approver and tracked to outcome. The first loop we prove.

Patient billing

Clear, correct statements and fewer surprise balances — because the upstream steps stopped leaking before month-end.

Denials first

One denial, end to end

Painful and measurable — which is why it goes first. Prove this loop on your own denials, then extend the same pattern to prior authorisation.

835 arrives

Root cause detected

Payer policy cited

Appeal drafted & approved

Tracked to payment

Manual today

2–3 days per denial

With RCM AI

Minutes, then approved by your team

700

providers on the network

CrystalVoxx

$2,840

recovered per worked claim

Modeled

~100×

faster denial turnaround

Modeled workflow

19%

RCM capacity released to your team

Modeled

Three things that stay true

Overlay, not replacement

Epic, your PM system, the clearinghouse and payer portals stay exactly where they are. We connect the work across them and keep data movement to a minimum.

Shadow before it acts

The platform works the same queue as your team and is measured against ground truth before anything is submitted. Trust is earned on your data.

A named approver, always

Nothing auto-submits. Every appeal, code and resubmission carries who decided, when, and on what basis — written at the moment of the decision.

Start with your own denials

A two-week leakage assessment on your own data answers one question: where is revenue leaking, and how much of it is actionable. You keep the readout either way.

Book the assessment Where it runs →

Two weeks, three steps

Days 1–3Read-only extract of denials and remits — no workflow change

Week 2Leakage mapped by root cause, payer and dollar value

ReadoutWhat is recoverable, what to automate first, and what it is worth