Healthcare

Revenue Cycle Management

Automation across the healthcare revenue cycle, from patient scheduling through to payment posting, aimed at the denials and delays that cost providers most.

of claims denied because of data errors: 25-30%of claims denied because of data errors
of staff time spent on repetitive admin work: 40%of staff time spent on repetitive admin work
lost annually to billing inefficiency: $20B+lost annually to billing inefficiency

The problem

Where revenue leaks

Claims are denied for data errors that were detectable before submission
Skilled staff spend a large share of their week on repetitive administration
Denials are worked reactively, long after the cash impact has landed
Leadership lacks a current view across claims, payments, and receivables

Capabilities

What the platform does

Eligibility and verification

Insurance is verified before service, which removes a large share of downstream denials.

Coding and charge capture

Charges and codes are captured accurately at the point of care rather than reconstructed later.

Claims submission and tracking

Claims are validated before they go out and tracked through to adjudication.

Denial management

Denials are categorised, routed, and worked by root cause, so the same error stops recurring.

Payment posting and AR follow-up

Remittances post automatically and outstanding balances are pursued on schedule.

Reporting and analytics

Dashboards give finance and RCM leaders current visibility across claims, payments, denials, and revenue.

Scope

Stages covered end to end

Front office

Patient scheduling
Pre-registration
Insurance verification

Mid cycle

Charge capture
Medical coding
Claims submission

Back office

Claims processing
Payment posting
Denial management
AR follow-up
Statement processing
Payment collection

Outcomes

What changes for the provider

Fewer denials

Validation before submission addresses the data errors behind roughly a quarter of denials.

Faster cash collection

Cleaner claims adjudicate sooner, which shortens the gap between care delivered and cash received.

Administrative capacity returned

Automating repetitive work gives clinical and billing staff their time back for higher-value tasks.

Financial accuracy

Charges, codes, and postings reconcile, so reported revenue reflects what was actually delivered.

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