AI Agent · 95%+ clean-claim target
AI Agent · 95%+ clean-claim targetAI Claims Agent: purpose-built for U.S. healthcare RCM.
Scrubs and submits claims with payer-specific edits and overnight escalation. The AI Claims Agent agent runs with human-in-the-loop supervision, payer-specific rule logic, and full HIPAA compliance, integrating with Epic, Cerner, athenahealth, eClinicalWorks, NextGen, and 50+ other EHRs.
How AI Claims Agent works.
- 1
Listens to your workflow inputs (EHR, payer portal, voice, document)
- 2
Applies specialty + payer rule logic to draft the next action
- 3
Senior human RCM operator reviews any escalation or low-confidence case
- 4
Closes the loop and posts results back to your EHR/PMS dashboard
Frequently asked about AI Claims Agent.
Scrubs and submits claims with payer-specific edits and overnight escalation. It runs continuously across your revenue cycle workflow with senior human RCM operators reviewing every escalation.
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- 30-day parallel-run guarantee
- Targets written into the contract
- HIPAA · SOC 2 Type II · HITRUST