The system of record for your revenue
The first AI-native medical billing company.
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.
Three capabilities. One vertically integrated operation.
01 / PlatformAgents 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
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
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
The full cycle, under one command.
Capture
Intake agentCharge and clinical intake, coded per visit
Verify
Voice agentVoice agent calls the payer and confirms coverage
Scrub
Scrub agent80+ rules check the claim before it leaves
Submit
Submit agentElectronic 837 to the clearinghouse
Post
Posting agentRemittance matched and posted automatically
Appeal
Denial agentDenials classified and appealed in ~90 seconds
Settle
AR agentPaid, reconciled, and reported
A knowledge base behind every dollar.
Effort directed where the dollars are.
Every denial is scored by its probability of being overturned, so your most recoverable revenue is pursued first. Appeal success by category.
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.
A different kind of billing company.
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
Questions leaders ask.
Is AI safe for claims and protected health information?
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.
Will it hallucinate codes or deadlines?
No. Codes, coverage policies, and deadline math are exact database lookups, not model guesses. It is not the model's job to know the codes, it is the database's job.
Do I have to replace my current systems?
No. The platform is the system of record and it connects to the clearinghouse and EHR you already use. We meet your data where it lives: API, spreadsheet export, remittance file, or direct integration.
Is this just an offshore team with a chatbot?
No. This is software doing the work, supervised by a small expert team. Not a large team holding a tool.
Command your revenue cycle.
A confidential briefing for practice owners and finance leaders. See the operation work your claims, end to end.
Request a briefing