AI Agent · Custom payer logic
AI Agent · Custom payer logicAI Rule Engine: purpose-built for U.S. healthcare RCM.
Codify your specialty + payer combinations into AI-enforced billing rules. The AI Rule Engine 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 Rule Engine 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 Rule Engine.
Codify your specialty + payer combinations into AI-enforced billing rules. It runs continuously across your revenue cycle workflow with senior human RCM operators reviewing every escalation.
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See your projected revenue lift in 60 seconds, or talk to a senior RCM strategist now. No commitment. Same-day slots available.
- 30-day parallel-run guarantee
- Targets written into the contract
- HIPAA · SOC 2 Type II · HITRUST