Every Dollar. Every Step.
From the first patient appointment to final revenue analytics — a complete autonomous RCM pipeline that eliminates revenue leakage at every stage.
Appointment Scheduling
Patient / Scheduler
Patient appointment is scheduled with insurance captured, demographics collected, and reason for visit documented. This initiates the full revenue cycle pipeline.
Pre-Visit Financial Clearance
Insurance Service
Eligibility is verified, benefits are checked, prior authorization is obtained, medical necessity is confirmed, cost estimate is generated, and patient responsibility is calculated.
Patient Registration
Front Desk / Patient
Digital intake forms are completed, insurance card is scanned via OCR, identity is verified, consent forms are signed electronically, and copay is collected.
Clinical Encounter
Doctor / AI Scribe
Doctor conducts the visit while an AI medical scribe captures documentation in real time. Orders, labs, and clinical notes are generated and stored in the EHR.
Medical Coding
AI Coding Engine
Clinical documentation is automatically coded with ICD-10 diagnosis codes, CPT procedure codes, and HCPCS supply codes. Modifiers are detected and coding is validated.
Charge Capture
Billing System
Missing charges are detected and flagged. Duplicate charges are identified and removed. All services are mapped to the fee schedule for accurate billing.
Claim Generation
Claims Engine
An 837 electronic claim is built from the encounter data. Required fields are validated, supporting documentation is attached, and a claim quality check is performed.
Claim Scrubbing
AI Scrubbing Engine
Claims are scrubbed for coding errors, eligibility issues, NCCI edits, LCD/NCD rule violations, and missing modifiers. AI predicts likely denials before submission.
Claim Submission
Clearinghouse / Payers
Clean claims are submitted electronically through the clearinghouse to Medicare, Medicaid, and commercial insurance payers with full audit trail.
Claim Status Monitoring
Monitoring Agent
Submitted claims are tracked in real time. Status is monitored for accepted, pending, rejected, and additional information requests from payers.
Denial Management
Denial AI Agent
Root cause of denials is identified automatically. Missing records are collected, appeals are generated and submitted, and resolution is tracked to completion.
Payment Posting
Payment Engine
Electronic Remittance Advice (ERA) is processed, EOBs are matched to claims, partial payments are reconciled, adjustments are applied, and write-offs are recorded.
Patient Billing
Patient Billing Agent
Remaining patient balance is calculated, a digital invoice is sent, payment plans are offered, an AI billing assistant handles inquiries, and collections are managed.
Revenue Analytics
Analytics Dashboard
Denial rate, days in A/R, net collection rate, cash forecast, and operational dashboards provide real-time visibility into the full revenue cycle performance.
Stop Losing Revenue. Start Automating.
The Autonomous RCM Agent handles all 14 steps — from eligibility to analytics — so your team focuses on patients, not paperwork. Join the waitlist to get early access.