End-to-end claims management powered by AI
From fixing pre-submission errors to denial management and enhance your entire revenue cycle workflow with intelligent automation that catches issues before they become lost revenue.
Choose the model that fits your organization — self-service SaaS or fully managed service.
Multi-year analysis of all claims to identify trends. Track KPI targets, analyze denial trends with payer response details, and uncover areas for margin improvement and revenue recapture.
Work queues with AI-powered recommendations. Prioritized tasks guide your team to the highest-value actions first based on historical success rates and recovery potential.
Performance-based solution ensures aligned incentives. Follow-up actions and notes taken by CareEco team removes burden from your existing staff while maintaining full visibility.
Prioritized work queues with actionable next steps. Your team knows exactly what to work on and when, maximizing productivity and recovery.
Submit claims electronically and track their status from submission through payment. Real-time visibility into your entire A/R.
AI-powered denial classification and routing. Automatically parse denial codes, identify root causes, and route to the right team for resolution.
Generate appeals with supporting documentation automatically. Our AI drafts persuasive appeals based on denial reason and clinical documentation.
Never miss a filing deadline again. Automated alerts based on payer-specific timely filing limits ensure claims are submitted and appealed on time.
Validates claims against payer-specific rules before submission. Catches coding errors, missing information, and compliance issues that would result in denials.
Standardize RCM operations across facilities, reduce denial rates, and improve cash flow with centralized visibility and automated workflows.
Get claims paid faster with pre-submission validation and automated denial follow-up. Focus on patient care, not paperwork.
Scale your operations without adding headcount. Process more claims with higher accuracy and demonstrate ROI to your clients.
Quickly uncover crucial insights for clients with their own data. Leverage ongoing reporting for continued connection to clients post-engagement.
See how RCM Operations can reduce denials, accelerate payments, and recover more revenue.
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