Aged claims, worked 24/7.
The AI A/R Follow-up Agent works your aging buckets day and night — checking claim status, calling payers where needed, and escalating anything that requires a human touch.
Why this gets built next.
Claims in the 60+ bucket are where revenue dies. Every day they age, the odds of collection drop. Most teams can't keep up with the volume.
Capabilities, end to end.
Pulls status via payer portals, 276/277, and IVR-based phone calls
Identifies the next-best-action for every aged claim
Resubmits, corrects, or escalates based on payer response
Documents every touch in your PM/EHR for audit trail
Reports per-claim activity and resolution outcomes
From signal to action in under a minute.
Ingest
Reads from your EHR, PM, clearinghouse, or payer feed. Zero rip-and-replace.
Reason
The agent applies RCM-trained logic, payer rules, and confidence scoring.
Act
Submits, escalates, or hands off to a human — with full audit trail.
Outcomes our customers measure.
reduction in days in A/R
more touches per claim per day
write-offs from timely-filing breaches
Questions, answered.
Does it really call payers on the phone?
Yes. The agent navigates IVR systems and, where supported, speaks with payer reps. Every call is logged and transcribed.
How does it prioritize work?
By recoverable dollar value, payer responsiveness, days until timely-filing deadline, and prior outcome history.
Does it integrate with our PM?
Yes — all activity, status updates, and notes flow back into your PM so your team has a single source of truth.
See AI A/R Follow-up Agent in action.
Book a 30-minute demo built around your payer mix and specialty.
HIPAA · SOC 2 Type II · BAA included