Services AI Agent Automation for Practices
AI Agent Automation for Practices
Automation applied to the billing workflow, supervised by our team
- Sub-5% denial rate, guaranteed
- Human decisions, AI speed
- Live in about four weeks
The problem
What this service removes
Denials that never get worked
A denial that sits for 90 days is usually a write off. Most in-house teams do not have the hours to appeal every one, so the easy ones get worked and the valuable ones expire.
Revenue that quietly leaks
When claims go out late or coded loosely, the shortfall does not show up as a crisis. It shows up as collections that are always a little lower than they should be.
A front office buried in admin
Staff hired to care for patients spend the day on hold with payers and re-keying forms. That is expensive time spent on work a good billing partner should absorb.
How it works
What working with us looks like
Most practices see cleaner claims, fewer denials and faster payment within the first month of moving ai agent automation for practices to Practice Claim.
- Every claim scrubbed against current payer rules before it is submitted
- AI prepares and flags, a trained biller reviews and decides
- Denials worked the same week, not left to age into write offs
- Runs inside the EHR and practice management system you already use
What is included
The scope, in plain terms
- Nine AI agents, supervised
- Human review before submission
- Runs inside the EHR you already use
No rip and replace
Works inside the tools you already use
- Epic
- athenahealth
- eClinicalWorks
- DrChrono
- Kareo
- AdvancedMD
- NextGen
- Practice Claim EHR
We connect to the major EHR and practice management platforms. Moving to our own $250 per month platform is an option, never a requirement.
Our process
How we start
Free revenue cycle assessment
We review a sample of your recent claims and aging report, then show you exactly where revenue is leaking and what it is worth annually.
Onboarding and credentialing check
We connect to your existing EHR, confirm every provider is correctly enrolled with your payers, and fix the gaps we find before they cause denials.
Parallel run
We bill alongside your current process so you can compare results directly. No practice should take a billing company's word for it.
Live, with dashboards
You get real time visibility into collections, denials and days in AR, plus a named account contact who knows your work.
The difference
In-house effort versus Practice Claim
| Handling it in-house | With Practice Claim | |
|---|---|---|
| Denials worked | The easy ones, when there is time | Every denial, appealed the same week |
| Time to submit a clean claim | Days, sometimes longer | 24 to 48 hours from the encounter |
| Reporting | A monthly PDF, after the fact | Live dashboards you can open any time |
| Coding review | One person, no second check | AI scrub plus a certified coder |
| Cost | Salaries, benefits, software, turnover | 2.99% of what is actually collected |
| Denial rate | Whatever it happens to be | Guaranteed under 5% in your agreement |
Why Practice Claim
Numbers we put in writing
Sub-5%Claim denial rate, guaranteed in your agreement
24 to 48Hours from encounter to clean claim submission
2.99%Of collections for full revenue cycle management
Real timeFinancial dashboards, not a monthly PDF
Related
Where this fits
Questions
Answers, straight
Do we have to move off our current EHR?
No. We work inside the system you already use, and we integrate with the major EHR and practice management platforms. Moving to our own EHR is an option, never a requirement.
How long does it take to go live?
Most practices are fully live within about four weeks, including a parallel run where we bill alongside your existing process so you can compare results before anything switches over.
What does it cost?
Full revenue cycle management is 2.99% of collections, so we are paid on what is actually collected for you. Our EHR and practice management platform is $250 per month and can be taken on its own.
Is a person reviewing what the AI does?
Yes. The AI flags and prepares, a person decides. No claim is submitted and no code is finalized without human review, and complex or clinical situations escalate to a named person.
How is the sub-5% denial rate guarantee measured?
On claims we submit, as a percentage of total claims submitted in a period. The exact definition is written into your agreement, and denials caused by information we never received are handled separately and flagged to you.
Practice Claim handles patient financial and clinical data under HIPAA-compliant processes. We do not claim certifications or accreditations the company does not hold.
Find out what your billing is actually costing you
Book a free consultation. We review a sample of your claims and show you where the revenue is going.