Challenge

Solution

• Automated Coding: AI analyzes provider notes and assigns appropriate CPT/ICD-10 codes with 94% accuracy. Flags complex cases for certified coder review.
• Claim Scrubbing: ML model identifies common rejection reasons before submission. Corrects errors automatically or routes to billing specialist.
• Denial Management: AI analyzes denial patterns, generates appeal letters, and tracks resubmissions. Learns from successful appeals.