Features
Audits every encounter against coding standards and payer policies
Pre-bill denial prevention with rule citations
Automated denial appeal drafting and submission
Revenue recovery from aging A/R
Real-time payer contract compliance
Specialty-specific coding (e.g., Mohs surgery, IVF, dialysis)
Autonomous medical coding at scale
Prior authorization review and submission
Automatic eligibility and electronic prior authorization (ePA)
Monitoring of payer behavior patterns and policy updates
Appeal tracking through adjudication
Customizable workflow for pre-bill and post-bill
HITRUST e1 certified data security
Supports 18+ medical specialties
Integration with EHRs like athenahealth, Epic, and more
AI-generated pricing intelligence reports from transparency data
Benchmark rate trends and spot anomalies
Row-level visibility traceable to original MRFs
Spreadsheet-like interface for exploring data
Integrates with CRM, RCM, EMR via API
SOC 2 Type II compliant data security
Sample reports for quick evaluation
Processes 15+ trillion rates for deep insights
National coverage of healthcare price data
Utilization data analysis (allowed amount counts)
Physician assistant reimbursement analysis by state
Provider prospecting for network teams
Independent Dispute Resolution (IDR) support
Drug price transparency analysis (with noted gaps)
