Supervised AI agents for claims status and appeals.
Billing teams chase claim status portal by portal and assemble appeal packets by hand, against per-payer forms and deadlines.
Where the time goes
Status checks run across payer portals for aging worklists, one claim at a time. Denial reasons live in portal screens and remittances, scattered across systems. Appeal submissions face per-payer forms, attachments, and filing deadlines.
What the agent takes on.
Sweeps the AR worklist and checks status in each payer portal Writes status and denial codes back to your billing system Pre-fills the appeal form with claim data and denial details Attaches supporting documentation assembled from your systems Submits the appeal once the biller approves the packet
Where billers stay in the loop
A biller approves every appeal packet before submission High-dollar or unusual denials route to a person instead of a retry Deadlines and confirmation numbers are logged on every case