Every claim, clean before it leaves.
AcuraClaim's AI agents run the front half of your billing: census, coverage, coding, claim checks, and payment posting. Clean the first time, out the door faster, and the money posted sooner.
Claim pipeline — sample: each claim moves through the five agents in turn — Abby settles who to bill, Ellie confirms coverage, Cody codes the visit, Sarah runs the last check and sends it, and Posie posts the payment when it arrives.
Clean claims out. Payments posted in.
Abby, Ellie, Cody, Sarah and Posie: five agents, each owning one job end to end, and none of them waiting on you. They settle who to bill, confirm the coverage, code the visit and capture every charge, submit the claim, and post the payment when it arrives. Your billers spend the day on the handful that genuinely needed them.
See all five agents
Accepted on the first pass.
Stop fixing claims after they’re submitted. The agents do the work up front: settling who to bill, confirming coverage, coding the visit and capturing every charge, and checking the claim before it goes. What they cannot stand behind comes to your team with the finding attached.
More claims accepted the first time, with less work for your team.
- Claims that go out untouched
- 94%
- nobody pressed send
- Accepted the first time
- 98.6%
- no rework, no resubmission
- Coverage confirmed before billing
- 99%
- re-checked on every unbilled visit
- Payments posted the day they arrive
- 95%
- paper or electronic
Every charge is billed to the right payer.
Abby works down a ladder of sources — your standing arrangements, the insurance on file, the facility's own records, the way your billers have called this before — and stops at the first one that genuinely settles it. Where Medicare applies, that same answer decides Part A or Part B. When nothing settles it, she hands you the visit rather than guessing at it.
- The responsible party settled before the claim is built, so it bills right the first time
- Medicare Part A or Part B chosen from that same answer, against the right rules from the start
Every billable charge makes it onto the claim.
Cody takes the codes from the visit, never from a guess about it. Every billable charge is captured as he assigns them, and the mechanical details get corrected in the same pass — which side of the body, the modifiers, whether a charge is the technical part or the whole thing. Where he cannot defend a code from it, he leaves the visit alone and says why.
- Codes read from the visit, held to established coding standards
- Every billable charge captured as the codes are assigned, so nothing is left off the claim
Clean claims are sent the moment they're ready.
Sarah runs the last check on every finished claim — the report, the codes, the responsible party, coverage inside 45 days, the patient details, the ordering clinician — and submits everything that clears to the clearinghouse the moment it is ready. Anything she stops comes back with the specific reason on the worklist, which is the fastest route to the fix.
- Checked the moment it is ready, including when another agent clears what was holding it
- Clean claims go out with nobody pressing send, and nothing is ever submitted twice
Your billers keep the judgment. The queue is what goes away.
The five agents work at the accuracy of an experienced biller, measured head to head on the same claims. Most of the day never needs a second look. What an agent cannot stand behind goes to your team with the finding already attached, so your biller decides instead of investigating — and the queue is short because so little of it ever needed a person.
- Held to the accuracy of an experienced biller, and they never guess to get there
- An agent that cannot defend a decision leaves it alone rather than doing it weakly and fixing it later
- Every decision an agent makes is written down, so you can see what happened and why
“Most of our claims now go out without anyone touching them.
My team only works the exceptions the system flags, and we can see every action it took. Days in A/R dropped, and the work that’s left is the work that actually needs a person.”
- 09:41:02AbbyCensus settled
Not in a covered stay · bills to Medicare
- 09:41:04EllieCoverage confirmed
Part B · active on the date of service
- 09:41:07CodyCodes read from the visit
71046 · the scan and the read
- 09:41:09CodyCharges captured
2 of 2, nothing left off
- 09:41:13SarahClaim checked
4 of 4 pre-flight checks passed
- 09:41:14SarahSent to the clearinghouse
No exception raised
The questions you're already asking.
We know handing your billing to automation raises questions — scope, your team, and getting started. We answer them plainly, so you can get back to caring for patients while the claims take care of themselves.
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We take the billing work between the end of a visit and the money arriving. Abby settles who owes for each charge, Ellie keeps coverage current on everything still unbilled, Cody codes from the visit and adds the charges the visit earned, Sarah scrubs each claim and submits the clean ones to the clearinghouse, and Posie posts the payment against the right claim when it arrives. Anything an agent cannot stand behind comes to your team with the reason attached, and you watch all of it on a live dashboard.
No, and it is not built to. Your billers do the same job they do now — work the list, fix what needs fixing, make sure it goes out — with far less of it to get through. Routine claims stop reaching their lists at all, and the ones that do arrive with the finding already attached, so a biller corrects instead of investigating.
The front half, and the money coming back in: getting the claim right before it bills, and posting the payment against the right claim when it arrives. We do not chase denials, work appeals, sit on hold with insurers, or run your outstanding balances — so if that is the help you need, we will tell you plainly.
Less than you would expect. We connect to the systems you already run, agree which visits the agents pick up first, and they start there. Your team keeps the same job it has today, with less of it, and you watch every action on the dashboard from the first claim.
It posts the same way. Electronic payment notices are structured already, so they post and reconcile directly. Paper notices are converted into that same structured form first, then posted and matched to the claim. Nobody keys a payment notice in by hand either way.
See the agents work.
Watch how AcuraClaim runs the front half of your billing: clean claims out, payments posted in.
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