Post Submission Claim Intelligence - Automated claim follow-ups with AI status intelligence
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Post Submission Claim Intelligence uses AI and automation to bring visibility to the post-submission phase of healthcare claims. It tracks claim progress across clearinghouses, EDI responses, and payer portals, standardizes payer status messages, and automates follow-ups, routing, and escalations. Revenue cycle teams gain proactive insights to reduce A/R aging, prevent avoidable denials, and accelerate cash flow.
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Hi everyone!
I’m excited to share Post Submission Claim Intelligence for Healthcare providers, a product that is built to solve the frustrating problems in healthcare revenue cycle operations.
After claims are submitted, thousands of them sit in limbo. Teams often have to manually log into payer portals, check statuses, and document updates. It’s repetitive work, and claims can quietly age for weeks before anyone notices an issue.
This product is built to change that. The product automatically monitors claim status across clearinghouses, EDI responses, and payer portals, translates payer messages into clear statuses, and triggers follow-ups or escalations before claims stall.
Our goal is simple: help revenue cycle teams reduce A/R ageing, prevent avoidable denials, and stop claims from slipping through the cracks.
Would love to hear your thoughts, feedback, or questions! 🚀
Reach out to me - http://bit.ly/4sS7p5w
Great work here @cletus_kilker . The EHR writeback piece is underrated.
Most automation in this space retrieves status and then dumps it into a worklist or a spreadsheet that a human has to re-enter. Structured documentation written back to the source system is what makes this auditable. That's not a small thing when compliance teams start asking questions.
The structured writeback to the EHR is doing more work than it sounds like. It may feel like a detail at first glance. But the more you dig into what actually happens to those notes downstream - trending denial patterns, building the payer behavior case for contract talks - the more obvious it becomes that structured output isn't just a nice-to-have. If you're writing free text back to the EHR you've automated the motion but not the value. That realization kind of reorders one's thinking about the whole thing.