Join Us at HLTH 2024! Find us at kiosk #3370-26 in the Club Startup pavilion at The Venetian Expo (Level 2).
Accelerate and Validate Claims Processing with AI
Automate claim intake, coding, eligibility checks, and financial adjudication to reduce errors and processing time.
What Are Claims AI Agents?
Claims Agents standardize, validate, and process all types of claims while ensuring compliance and accurate payment determination.
Our Claims AI Agents
Intake & Data Normalization Agent
Standardizes claims from multiple sources and formats.
Ensures consistent and accurate data for downstream processing.
Coding & Edit Validation Agent
Predicts accurate codes, applies rules, and flags errors.
Reduces coding errors and improves claim accuracy.
Benefit & COB Agent
Confirms eligibility, calculates patient responsibility, and payer splits.
Ensures correct billing and benefit calculation for patients.
Medical Necessity & Prior Authorization Review Agent
Validates necessity using guidelines + AI.
Supports clinicians in approving necessary procedures accurately.
Pricing & Financial Adjudication Agent
Applies contracts, detects anomalies, generates EOBs.
Ensures accurate pricing and financial reconciliation for claims.
3-Step Automation Process
Data Intake
Intelligent Processing
Output & Integration
Where Claims Agents Shine
Speeding Up and Validating Claims Processing
Claim Standardization & Validation
Eligibility & COB Determination
Coding & Rule Validation
Prior Authorization Review
Payment & EOB Generation
Why Choose Us
Ready to Accelerate Claims Processing?
Reduce errors, speed up approvals, and ensure accurate payments with Claims AI Agents.
Ready to Accelerate Claims Processing?
Reduce errors, speed up approvals, and ensure accurate payments with Claims AI Agents.
