Appeals Agent
Detects claims pended or denied for medical records, then retrieves, validates, and submits them to payers to recover trapped appeal dollars.
What it does
Detects claims pended or denied for medical records, then retrieves, validates, and submits them to payers to recover trapped appeal dollars.
- Claim status checking
- Appeals automation
- Exception payment posting
- Patient credit refunds
- Eligibility verification
- Payer policy review
- Document review and data extraction
- Category
- Healthcare revenue cycle
- Built for
- Healthcare and life sciences
- Users
- Healthcare providers, RCM and billing teams, EHR systems, Healthcare networks and 1 more
- Public API
- Not offered
Not yet disclosed: deployment options, platforms, languages and support channels.
Pricing
Pricing isn't published
Substrate AI, Inc. doesn't list prices publicly. Ask them for a quote.
Security and compliance
As reported by Substrate AI, Inc.. Ask for audit reports before you buy.
- SOC 2Compliant
- HIPAACompliant
- End-to-end encryption for data in transit and at rest
- Zero-trust architecture
- Periodic security audits and compliance checks
- Granular access controls
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