Autonomous agents that work every claim, from the first call to the final dollar.
Not billing software you bolt onto a team. The billing operation itself, rebuilt AI-first, where autonomous agents work every claim from the first call to the final dollar.
Cost per autonomous verification call
Reduction in manual calling effort
Target cost per denial reworked, vs $25 to $57 industry
To classify a denial and draft an appeal
Not an assistant bolted onto a team. The operation itself.
Agents that call your payers
Autonomous voice agents dial insurance companies, navigate phone trees, sit on hold, and converse with reps to verify coverage, then hand you back clean structured data.
- Verifies eligibility, benefits, copay, coinsurance, deductible and out-of-pocket status
- Captures prior authorization requirements and in or out of network status
- Navigates the largest national payer phone systems automatically
- Up to 1,000 concurrent calls, run in batches around the clock
- Every call recorded, transcribed, and extracted to structured fields
- Medical-tuned speech recognition for clinical and insurance terminology
per verification call, vs $5 to $15 manual
Denials, overturned by machine
Drop in a denied claim in any format. It is classified against a five million row knowledge base, the appeal deadline is calculated, and an edit-ready appeal letter is drafted with cited evidence.
- Accepts structured API, free text, spreadsheet exports, remittance files, or a form
- Six-category denial framework with real-denial-versus-adjustment detection
- Deadline math with receipt-presumption, payer and state filing windows
- Appeal letters cite the exact reason code, payer rule, or coverage policy
- Expected success probability per denial, so teams work the winnable ones first
- Routes to the correct channel: portal, mail, fax, or peer-to-peer
to assess a denial and draft the appeal, vs 20 to 30 min
One platform, the whole cycle
The system of record for everything. Charge capture, clean-claim scrubbing, clearinghouse submission, automatic payment posting, accounts receivable, collections, credentialing, and reporting.
- More than 80 pre-submission scrub rules catch denials before they happen
- Electronic 837 submission with status polling and full error logging
- Automatic remittance posting that matches payments and applies write-offs
- Direct EHR integration and clearinghouse connectivity
- AR aging, collections, statements, payment plans, and deductible tracking
- More than 40 report types and real-time financial dashboards
scrub rules that prevent denials at the source
One intelligent system, breathing across the whole revenue cycle.
Seven specialized agents, one continuous flow. Watch a claim move from capture to settlement, each stage lighting up as the system carries it forward.
Charge and clinical intake, coded per visit
A knowledge base of five million rules, codes, and policies.
The facts come from exact lookups, not guesses. This is the ground truth every agent reasons against.
Work the winnable denials first.
Every denial gets a success probability by category, so effort goes where it pays. Administrative and authorization denials overturn far more often than timely-filing ones.
Born AI-native, not retrofitted.
The old way
- Offshore callers on hold all day
- Denials reworked by hand, one at a time
- Software bolted onto a manual team
- You manage the people
medicalbiller.ai
- Voice agents call payers, 1,000 at once
- Denials classified and appealed in ~90 seconds
- Agents are the operation, not an add-on
- You watch the dashboard
Autonomy with a hand on the wheel.
Deterministic before generative
Codes, coverage policies, and deadline math come from exact database lookups. The AI judges and writes. It does not invent the facts, so it cannot hallucinate a code or a deadline.
A human on every consequential move
Agents draft appeals and surface recommendations. A person approves before anything is filed. Autonomy with a hand on the wheel.
Every action is auditable
Each classification, call, and posted payment records the evidence and the model that ran it, so any decision can be reviewed end to end.
Built for protected health information
Encryption in transit and at rest, role-based access, and activity logging throughout. Claim identity stays operator-controlled.
The things teams ask first.
Yes. The facts come from the knowledge base by exact lookup, the AI only judges and drafts, every action is logged, and a human approves anything that gets filed. Encryption and role-based access run throughout.
See what a billing company looks like when it is born AI-native.
Book a walkthrough. We will run a live claim through the system, from the first payer call to the final reconciled dollar.