Services

Revenue Cycle Management

AI-enabled claims handling from intake to payment.

End-to-End Handling
Support from intake through payment received.
Denial Detection
Denials root caused then routed for appeal.
Payer-Specific Expertise
Claims handled against the payer's latest rules.
Systemic Improvement
Patterns surfaced and underlying issues addressed.
In-House Escalation
Complex or high-risk claims escalated internally first.

Interactive Dashboard

Every claim we work for you sits here, with where it has got to and what it is waiting on. This one has sample data — click around to get a feel for the experience.

hivemindRevenue Cycle · ClaimsLive — synced 2 min ago

Claims Work Queue

Track each claim from submission through payment, and open it to see why a payer did what it did.

11Median days in A/R

97%Clean claim rate

Sample Health Plan · sent 09 Mar
1. 09 MarCoded and submitted
2. 09 MarAccepted by the payer — no edits
Inside this payer’s usual 14-day payment window
Valley State Medicaid · sent 06 Mar
1. 06 MarCoded and submitted
2. 11 MarCO-16 — operative note required before payment
3. 12 MarOperative note pulled from the chart and sent
Nothing needed from your team — we had the note on file
Sample Health Plan · sent 24 Feb
1. 24 FebCoded and submitted
2. 03 MarCO-197 — payer recorded no authorization on file
3. 04 MarApproval letter located, reference and date confirmed
4. 05 MarAppeal filed with the authorization attached
The authorization existed — this is the payer’s record, not a missed step
Northlake Mutual · sent 11 Feb
1. 11 FebCoded and submitted
2. 11 FebAccepted by the payer — no edits
3. 26 FebPast the plan’s own turnaround, first follow-up
4. 10 MarSecond follow-up, claim confirmed in process
Chased weekly · escalates to the provider line at 45 days
Northlake Mutual · sent 01 Mar
1. 01 MarCoded and submitted
2. 08 MarCO-11 — diagnosis inconsistent with the procedure billed
3. 13 MarChart reviewed against the plan’s coverage policy
Third on this policy this quarter — we are fixing the coding rule, not just the claim
Cedar Ridge Health · sent 13 Mar
1. 13 MarEligibility confirmed before billing
2. 13 MarCoded and submitted
Checked against the payer’s current rules before it went out
Sample Health Plan · sent 27 Feb
1. 27 FebCoded and submitted
2. 27 FebAccepted by the payer — no edits
3. 16 MarRemittance posted, allowed amount paid in full
Paid at contracted rate · nothing written off
Valley State Medicaid · sent 08 Mar
1. 08 MarCoded and submitted
2. 12 MarCO-97 — bundled into the same-day office visit
3. 13 MarModifier reviewed against the payer’s bundling rules
Separately identifiable service — corrected claim goes back this week

Showing 8 of 112 claims in progress · Sample data

A sample of the real thing. Every name, organization and reference number in it is invented.

How it works

Claim IntakeNew claims enter the workflow

AI Completes First PassClaims checked against payer-specific rules and determinations

Nurse ReviewEvery claim is reviewed by a nurse before submission — complex or high-risk claims are flagged for closer review

SubmissionClaims submitted to the payer for payment

TrackingClaim added to tracker for full visibility into current status

Paid or Denied?

PaidPayment PostedRevenue collected, claim closed

DeniedDenialsRoot cause identified and the underlying issue is fixed

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