From eligibility verification to final payment posting — HealthTech RCM handles your complete revenue cycle with AI voice agents, smart automation, and zero manual busywork. Your staff focuses on patients, not paperwork.
Healthcare practices lose 5-10% of revenue to billing inefficiencies. The average claim takes 30+ days to get paid. Your staff spends more time on the phone with payers than with patients.
Staff spend 15-20 minutes per patient calling payers to verify coverage. Multiply that by 30 patients a day.
20% of claims are denied on first submission. Most practices lack the bandwidth to appeal — that revenue is simply lost.
Your team logs into 10+ payer portals daily, each with different interfaces. Hours wasted on repetitive clicks and data entry.
A complete RCM platform that replaces your clearinghouse, billing service, and half your back-office staff.
Real-time electronic eligibility checks across all major payers. Know patient coverage, deductibles, copays, and annual maximums before the patient walks in — no phone calls, no portal logins.
AI-powered claim validation catches errors before submission. Procedure codes, diagnosis mappings, NPI mismatches, and missing attachments are flagged instantly — pushing your clean claim rate above 97%.
Denials are automatically categorized, root-caused, and queued for appeal. The system drafts appeal letters, attaches clinical evidence, and tracks deadlines so nothing slips through the cracks.
When electronic channels fail, AI voice bots call payers on your behalf — verifying eligibility, checking claim status, following up on prior auths, and appealing denials. They work 24/7 and never wait on hold.
Train a bot once on any payer portal — it learns the clicks, forms, and navigation. From then on it handles portal tasks autonomously: checking claims, downloading EOBs, submitting prior authorizations.
Electronic remittance advice is parsed, matched to claims, and posted automatically. Underpayments and contractual variances are flagged. Your team reviews exceptions, not every transaction.
Manage the entire prior auth lifecycle — from initial submission through peer review and approval. Automated status checks, deadline alerts, and documentation requirements per payer.
Automated patient balance workflows with SMS and email statements, payment plan management, and integration with your practice management system. Reduce days in A/R without awkward conversations.
Real-time visibility into your entire revenue cycle. Track collections, denial rates, days in A/R, payer performance, and provider productivity — all in one dashboard with drill-down capabilities.
All patient data encrypted at rest (AES-256) and in transit (TLS 1.3). Role-based access control, audit logging, and BAA coverage. Built from the ground up for healthcare data security.
Plug into your existing practice management system — whether dental, medical, or specialty. Patient demographics, encounters, and charges sync automatically. No double entry, no import files.
Send and receive electronic claims (837/835), eligibility requests (270/271), and claim status inquiries (276/277) directly — no separate clearinghouse subscription needed.
When one method fails, the next kicks in automatically. No manual escalation, no dropped tasks.
First Attempt
Real-time electronic transactions — eligibility checks, claim submissions, and payment reconciliation. Instant and fully automated.
Fallback
When electronic channels aren't available, trained bots log into payer portals and perform the task — just like your staff would, but faster and without errors.
Last Resort
For tasks that require a phone call, AI agents dial the payer, navigate the IVR, speak with representatives, and extract the information you need.
Every step of the billing cycle, from patient check-in to final payment, runs with minimal human intervention.
Demographics and insurance information flow in automatically from your EMR. Coverage is verified electronically before the appointment.
Real-time electronic verification confirms active coverage, deductibles, copays, and plan limitations. If electronic fails, AI voice agents call the payer.
Encounters and procedure codes sync from your practice management system. The AI scrubber validates coding accuracy and flags potential issues.
Clean claims are submitted electronically to payers. The system monitors for acknowledgments, rejections, and requests for additional information.
ERA/EOB data is parsed and payments are auto-posted. Underpayments, denials, and contractual adjustments are identified and routed to the right workflow.
Denied claims are automatically categorized, appealed, and tracked. AI voice agents handle payer phone calls. Portal bots navigate payer websites. Nothing falls through.
Remaining patient balances are communicated via automated statements. Payment plans, online pay links, and collection workflows run on autopilot.
Dashboards show real-time revenue cycle health. AI identifies bottlenecks, payer trends, and opportunities to improve cash flow.
Practices using HealthTech RCM see measurable improvements within the first 30 days.
Most practices leave money on the table — missed eligibility, coding errors, unworked denials, and timely filing deadlines. Our automation catches what humans miss.
Your staff spends hours on hold with payers every week. AI voice agents and portal bots handle those calls and portal lookups — freeing your team for patient care.
Clean claims go out faster. Denials are appealed immediately. Follow-ups happen automatically. The result: money in your account weeks sooner.
Automation handles the repetitive work — eligibility checks, claim status calls, payment posting, patient statements. Your team focuses on exceptions and patient relationships.
Every claim, appeal, and follow-up is tracked with automated deadline alerts. No more lost revenue from missed filing windows.
AI agents don't take breaks, call in sick, or need training. Claims are scrubbed, eligibility is verified, and denials are appealed around the clock.
No setup fees. No long-term contracts. Start with a 14-day free trial.
For solo practices getting started with automation
For growing practices that want full automation
For DSOs and multi-location groups
Join practices that have automated their revenue cycle and recovered thousands in lost revenue. Setup takes less than an hour.
No credit card required · 14-day free trial · Cancel anytime