Substrate AI, Inc.

AI agents for healthcare revenue cycle management that autonomously complete claim status, appeals, policy reviews, refunds, and payment posting tasks.

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Founded: Not disclosed
Headquarters: Not disclosed
Company size: 1–10
Products tracked: 8

Products by Substrate AI, Inc.

8 products

Claim Status AgentCombines 276/277 messages, browser agents, and direct payer APIs into a single unified response for claim status checking.0.00 reviewsHealthcare Revenue Cycle

Appeals AgentDetects claims pended or denied for medical records, then retrieves, validates, and submits them to payers to recover trapped appeal dollars.0.00 reviewsHealthcare Revenue Cycle

Exception PostingAutomatically posts exceptions including case rates, globals, payer recoups, and more.0.00 reviewsHealthcare Revenue Cycle

Patient RefundsValidates credit balances, checks for offsetting claims, and processes refunds within limits.0.00 reviewsHealthcare Revenue Cycle

Eligibility AgentAI agent for front-end denials and eligibility verification.0.00 reviewsHealthcare Revenue Cycle

Eligibility ChecksVerifies patient eligibility for claim routing, COB, and eligibility denials in real-time.0.00 reviewsHealthcare Revenue Cycle

Payer Policy ReviewModels and validates medical records against specific coverage criteria.0.00 reviewsHealthcare Revenue Cycle

Document ReviewClassifies and extracts data from any medical document automatically.0.00 reviewsHealthcare Revenue Cycle

Rankings

Appears in these rankings

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Healthcare & Life SciencesVerify Documentsvia Payer Policy Review#3Documents & Records Healthcare & Life SciencesExtract Document Datavia Document Review#6Documents & Records Healthcare & Life SciencesVerify Insurance Coveragevia Eligibility Agent#6Workflow & Back Office Healthcare & Life SciencesUpdate Business Systemsvia Exception Posting#7Workflow & Back Office Healthcare & Life SciencesRoute Work Itemsvia Eligibility ChecksProducts foundWorkflow & Back Office Healthcare & Life SciencesClassify Documentsvia Document ReviewProducts foundDocuments & Records

Customer outcomes

Case studies

Selected customer stories from Substrate AI, Inc..

Claim Status Agent

How NextGen RCM Services Automated Claim Status Across Their Entire Client Portfolio with SubstrateThe Substrate Claim Status Agent helped NextGen RCMS improve productivity by 4x.Do your billers spend hours each day on…

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Claim Status Agent

How Heading Health uses AI Agents for Claims MonitoringHow Heading Health Eliminated Manual AR Follow-Up with AI Claim Status AgentsHeading Health is an outpatient behavioral health practice in Austin, Texas. With…

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Case study

How Heading Health recovers revenue from medical records denialsUsing AI as a complement to their RCM team to fight rising denialsHigh complexity specialties often experience high volumes of pended or denied claims ,…

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Pricing for Substrate AI, Inc.

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Trust profile

Security and compliance

SOC 2

HIPAA

End-to-end encryption for data in transit and at rest

Zero-trust architecture

Periodic security audits and compliance checks

Granular access controls