How we can charge less and collect more
Agents carry every claim the whole way. Experts fight for the hard dollars.
AI agents — up to 95% of the actions
The data entry, the status calls, the rework, the posting — paper or electronic — 24/7 on a platform with HIPAA-compliant safeguards, connected to your EMR, clearinghouses, and payer portals.
Specialty billing experts — the difficult dollars
Veteran billers in your specialty oversee the agents and spend their time where it pays: appeals, aged claims, the last mile software alone can’t win.
The old way to cut billing costs was offshoring: the same manual work, cheaper hands, quality as the tradeoff. We broke that tradeoff — agents cut the cost of the work while increasing speed and accuracy, and veteran specialty billers keep it right.
Meet the agents
Four specialized agents. One shared memory. Human control when it matters.
Every agent owns one part of the journey — from the first document to the final payment. They share evidence, remember every open item, and ask a person for help instead of guessing.
Intake Agent
Gets every document into the right place.
“I collect documents from email, fax, and practice systems. I split, classify, and match them to the correct patient and practice.”
- Uploads and organizes documents
- Finds superbills, insurance cards, EOBs, and patient forms
- Checks for duplicates and matching records
- Sends uncertain items to a person
▸ What I check · what I produce · when I ask
Document type, page splits, duplicates, patient and practice match.
Every page classified, matched, and queued in the right place.
Unreadable scans, unmatched patients, ambiguous splits.
Claim Builder
Turns documents into checked claims.
“I read the documents, fill in the claim, apply practice and payer rules, and ask for help when something is unclear.”
- Extracts claim information line by line
- Checks patient, payer, provider, code, and payment details
- Applies specialty and practice rules
- Prepares approved claims for submission
▸ What I check · what I produce · when I ask
Every field against the source document, plus payer and specialty coding rules learned from millions of paid claims.
Submission-ready claims with the evidence attached.
Unclear handwriting, missing information, low-confidence codes.
RCM Guardian
Makes sure nothing disappears.
“I follow every billable from upload to payment. I find stuck work, unresolved rejections, denials, and missing proof.”
- Watches intake and every active queue
- Follows 837, 277, 835/EOB, posting, and payment
- Checks corrected and resubmitted claim families
- Escalates one clear issue to the right person
▸ What I check · what I produce · when I ask
Every open claim, every payer response, every aging item — thousands of status checks a week.
A clean answer for every dollar: paid, moving, or escalated with an owner.
A claim stalls, proof is missing, or a denial needs judgment.
Improvement Agent
Finds repeat problems and makes the system better.
“I show managers what happened, what needs help, and which problems keep returning.”
- Creates the daily management report
- Tracks new, closed, reopened, and carryover issues
- Finds slow steps and recurring errors
- Recommends workflow and rule improvements — and verifies repairs actually worked
▸ What I check · what I produce · when I ask
Every issue's life story — opened, worked, closed, or quietly reopened.
The daily report your manager actually reads, plus fixes ranked by dollars.
Any workflow or rule change needs a manager’s approval before it ships.
Shared Claim Passport — one shared memory across every agent.
People control the decisions — claim changes, appeals, write-offs, and refunds.
Watch the work
Same claim, two ways. Watch the agent do it — then watch how long it takes by hand.
A real 2-line podiatry visit (nail debridement 11721 + paring 11055, Q8) — keyed in, submitted through the clearinghouse, checked for rejections. Run it and watch.
By hand
- Log in to billing system0:04
- Select practice0:07
- Open charge form0:12
- Search & match patient0:22
- Provider ▾0:27
- Facility ▾0:31
- Date + Co-pay0:37
- Diagnosis: 2 ICD codes0:51
- Line 1 — CPT 11721 + Q81:25
- Add line — CPT 110551:55
- Insurance + review2:10
- Save the claim2:22
- Log in to clearinghouse2:45
- Transmit the claim2:58
- Check for rejections (277)3:25
- Confirm accepted3:35
AgentAI
- Log in to billing system0:00
- Select practice0:01
- Open charge form0:01
- Search & match patient0:02
- Provider ▾0:02
- Facility ▾0:02
- Date + Co-pay0:03
- Diagnosis: 2 ICD codes0:03
- Line 1 — CPT 11721 + Q80:04
- Add line — CPT 110550:05
- Insurance + review0:05
- Save the claim0:06
- Submit to clearinghouse0:06
- Transmit the claim0:07
- Check for rejections (277)0:07
- Confirm accepted0:08
- Human QA check (~15s, ~50% of claims)0:23
Human steps & page-load stalls captured from a live billing/clearinghouse workflow. Human time is a realistic model; the agent build time (~8s) reflects AgentAI’s measured auto-submit. Illustrative — not a guarantee.
Your account team
Named people on your account. The relationship is part of the product.
Every practice gets a person — not a ticket queue. Your account manager knows your practice by name, and the same experts who govern the agents own your outcome.
Named account manager
One person who knows your practice, your payers, and your history — and runs your weekly performance review. You call them, not a call center.
Career billers, US-led team
Average 10+ years in specialty billing. They oversee and QA the agents every day — career specialty billers on your account, led from the US.
Escalation ownership
When an exception stays unresolved, there's a named owner whose job is to close it — with the full claim history attached.
Your front desk gets their time back.
Nobody at your practice has to go. Agents take the data entry, status calls, and portal checks off your team’s plate — they keep the patient experience, the schedule, and the judgment calls.
- 115-minute setup call
- 2BAA + read-only access
- 3Your findings in days
- 4Parallel run beside your current biller
- 5You approve the cutover
Nothing flips until you say so.
Switching is the easy part
Keep everything you like. Lose the leaks.
Keep your EMR
We connect to all major EMRs and clearinghouses. Nothing to install, nothing to migrate.
Keep your workflow
Our agents are built custom to work the way your practice already works. Your staff won’t change a thing.
Keep your visibility
You see every claim's status in plain English — what went out, what's pending, what's being fought, what got paid.
Feel it fast
Same-day claims and next-day denial work mean your first quarter typically pulls about two weeks of revenue forward.
Plugged into what you already use
Your systems stay. Our agents move in.
Agents log into the same systems your billers use today, and the paperwork flows without a human pushing it. Watch the traffic:
We read every paper superbill line by line, and payer portals get checked thousands of times a week — status comes from the source, not a portal. No rip-and-replace. Your connector not here? New integrations take days, not months — our latest took half a day.
See what your billing is leaking.
We’ll scan your last 90 days and show you — in plain English — where money leaked, what it’s worth, and how we’d get it back. Free, no obligation.