Medical Billing Automation

STOP LEAVING $262B ON THE TABLE

AI-powered bots that verify eligibility, scrub claims, and fight denials — automatically. Built by billers, for billers.

Trusted tech
HIPAA Compliant Availity Integrated No contracts 14-day free trial
Claims scrubbed today
0
Errors caught before submission
Live counter
Denial win rate
45%
vs. 15% industry avg
Avg recovery/mo
$0
per provider
Time saved on billing
12 hrs
Per provider per week — back to patient care
EligibilityBot verified Aetna PPO · Active · $820 deductible remaining ClaimScrubber caught CCI error · CPT 99214 + 93000 · Saved $245 denial DenialManager won CO-50 appeal · UnitedHealthcare · $485 recovered PatientBillingBot payment plan set up · $150/month · 6 months EligibilityBot verified Medicare Part B · Deductible met · 20% coinsurance ClaimScrubber blocked ICD-10 error · J069 → J06.9 corrected pre-submission DenialManager CO-29 appeal filed · Timely filing proof submitted · $1,200 PatientBillingBot SMS reminder sent · $320 balance · Payment link opened EligibilityBot verified Aetna PPO · Active · $820 deductible remaining ClaimScrubber caught CCI error · CPT 99214 + 93000 · Saved $245 denial DenialManager won CO-50 appeal · UnitedHealthcare · $485 recovered PatientBillingBot payment plan set up · $150/month · 6 months EligibilityBot verified Medicare Part B · Deductible met · 20% coinsurance ClaimScrubber blocked ICD-10 error · J069 → J06.9 corrected pre-submission DenialManager CO-29 appeal filed · Timely filing proof submitted · $1,200 PatientBillingBot SMS reminder sent · $320 balance · Payment link opened

YOUR PRACTICE IS BLEEDING MONEY

Medical billing is broken. Every day you submit claims manually, you're leaving recoverable revenue on the floor.

$262B

Lost annually in the US

Uncollected revenue from claim denials, coding errors, and slow reimbursement cycles — industry-wide every year.

$118

Cost per denied claim

The average cost to rework and resubmit a single denied claim. At 15% denial rate, that adds up fast.

14%

Revenue lost to admin

Small practices spend 14–16% of total revenue on billing administration alone. That's money not going to care.

Where your denials come from
Medical Necessity (CO-50)28%
Authorization (CO-57)19%
CCI Bundling (CO-97)17%
Missing Info (CO-16)14%
Modifier Errors (CO-4)12%
Timely Filing (CO-29)10%
All of these are preventable with the right automation We catch 86% of errors before submission

FOUR BOTS. ONE MISSION.

Each bot tackles a specific revenue leak. Together they form an end-to-end RCM automation engine for your practice.

LIVE
ELIGIBILITYBOT

Verifies insurance coverage before every appointment via Availity 270/271 EDI. Catches inactive policies before they become denied claims.

Real-time Availity / Waystar integration
4-hour smart cache to cut API costs
Deductible, copay & OOP max returned
Batch nightly checks for next-day patients
EHR write-back via webhook
LIVE
CLAIMSCRUBBER

Runs every claim through 4 validation engines before submission — ICD-10, CPT/modifier, CCI bundling, and payer-specific rules.

ICD-10 format & billability validation
CPT + modifier compatibility checks
Full CCI edit database built in
Payer-specific unit & POS rules
Errors ranked by denial risk severity
LIVE
DENIALMANAGER

Automatically categorizes denials by CARC/RARC code, generates AI appeal letters, and tracks every denial to resolution.

6 denial engines running in parallel
AI appeal letters via Claude API
Medical necessity + auth + modifier + POS
Timely filing deadline tracking
45% average appeal win rate
LIVE
💬
PATIENTBILLINGBOT

AI chat widget + SMS bot that answers patient billing questions, sets up payment plans, and sends automated reminders — 24/7.

Web chat widget (embed in 1 line)
Inbound SMS via Twilio
6-tier automated reminder schedule
Stripe payment links built in
Explains EOBs in plain English

LIVE IN 48 HOURS

No IT team required. No EHR replacement. Your bots connect to your existing clearinghouse and PM system.

01

CONNECT

Link your Availity or Waystar clearinghouse account. We handle the EDI setup — no coding required on your end.

02

CONFIGURE

Tell us your payers, NPI numbers, and preferred alert channels (Slack, email, SMS). Takes about 20 minutes.

03

AUTOMATE

Bots start working immediately. Eligibility checks before appointments. Claims scrubbed before submission. Denials managed automatically.

04

COLLECT

Watch your clean claim rate climb and denial rate drop. Average practice sees ROI in the first billing cycle.

THE NUMBERS DON'T LIE

What practices see in their first 90 days on RCM AutoMed.

86%
Clean claim rate ↑ from 71% avg before automation
45%
Denial appeal win rate 3× industry avg of 15%
12hrs
Staff time saved per week per provider
$14k
Average monthly recovery per practice

We were writing off about $8,000 a month in denials because we didn't have time to appeal them. DenialManager generates the appeal letter in seconds. We've won back over $40,000 in the last 6 months.

MR
Maria Rodriguez, CPC
Billing Director · Sunrise Family Medicine, Tampa FL

EligibilityBot caught 3 inactive insurance policies in the first week. That's 3 claims that would have been denied and cost us hours of rework. It paid for itself in day one.

JT
James Torres
Practice Manager · Central Orthopedics Group, Orlando FL

SIMPLE. TRANSPARENT. PAYS FOR ITSELF.

Per provider pricing. No setup fees. No annual contracts. Cancel anytime.

Starter
$299
per provider / month
EligibilityBot + ClaimScrubber. Perfect for solo practitioners and small offices just getting started with automation.
EligibilityBot (real-time + batch)
ClaimScrubber (4 engines)
Up to 500 claims/month
Email alerts
14-day free trial
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Pro Suite
$899
per provider / month
All 4 bots. The complete RCM automation stack for practices serious about maximizing every dollar.
Everything in Growth
PatientBillingBot (web + SMS)
Automated payment reminders
Stripe payment collection
White-glove onboarding
Dedicated success manager
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Medical billing company or health system?  ·  Contact us for Enterprise & white-label pricing →

READY TO STOP LOSING MONEY?

14-day free trial. No credit card. No IT team. Your first scrubbed claim in under 5 minutes.