Custom AI workflows built specifically for revenue cycle: deep integrations with the Waystar stack, healthcare-grade privacy, and workflows that pay back in weeks, not years.
AI classifies denials by reason code, drafts the appeal letter with chart-cited clinical support, resubmits with corrected info, and tracks the payer response — appeal capture rate doubles.
AI triages each denial by root cause, recovery likelihood, and appeal deadline — the team works the right denials first and the aged ones don't die quietly.
AI runs eligibility 72 hours before every appointment, flags inactive or changed coverage, and triggers patient outreach for new info — write-offs from bad eligibility drop 85%.
AI checks payer-specific PA requirements, pulls the chart from Waystar, submits the PA with clinical justification, and tracks status — turnaround drops from 7 days to under 48 hours.
AI sends the intake packet via Waystar, ingests responses, requests records from prior providers via HIE/fax, verifies insurance, and pre-populates the chart — patient arrives and the provider is ready.
AI triages incoming referrals by acuity, schedules them into open slots in Waystar, and chases outgoing referral loop closure with consulting providers — no referral gets lost.
AI sends personalized, channel-optimized reminders (SMS/email/voice) per patient preference, offers reschedule slots, and fills openings from the recall list — no-show rate drops to under 6%.
AI drafts the encounter note from the visit audio and prior chart, populates orders and billing codes, and queues it for provider sign-off — charts close same-day, every day.
For medical billing managers
For medical billing managers
For medical billing managers
For medical billing managers
For medical billing managers
For medical billing managers
The workflows above are starting points. Every revenue cycle operation runs differently — we build what you actually need.
