End-to-end
billing automation

BILLING.AI

Slash your coding costs and improve claims accuracy

Outcomes

Automate claims submission, identify key trends, and improve your bottom line

BILLING.AI automates the end-to-end claims submission process while learning from historical payer denials and approvals to reduce claim denials by 40% within 12 months of go-live. BILLING.AI also delivers a comprehensive analytics dashboard with 140+ detailed reports salient to a provider's financial operations.

Automate billing workflows

Manual processes plague the prevailing medical billing workflow, causing providers to leave significant dollars on the table. BILLING.AI automates the end-to-end medical billing process, including charge entry, eligibility verification, denial prediction and prevention, claim preparation, claim submission, adjudication, response, and A/R redirection.

Identify key trends

Our best-in-class billing analytics module includes 140+ detailed reports that track an array of details salient to a provider’s financial operations. BILLING.AI automatically identifies and summarizes key trends so that you can take action.

Improve your bottom line

Prevent revenue leakage, reduce costly billing mistakes, and streamline the currently cumbersome claims submission process by automating your end-to-end billing workflow. Leverage BILLING.AI to reduce the lead time to get reimbursed for services rendered. BILLING.AI helps providers get paid more, quicker.

BILLING.Ai

Features

  • Extensive interface capabilities which enable the import and normalization of patient data into the billing system.
  • File formats accepted include HL7, JSON, and XML.
  • Automated data error classification into various buckets to audit for discrepancies. Sample buckets include missing demographic information, missing coding information, and/or missing insurance information.
  • Charge entry automation and specialty-based classification of charge entry.
  • Automated claim adjudication is carried out based on various factors including eligibility verification and coding validations.
  • Eligibility verification includes validation of co-pay, co-insurance, procedure eligibility, place of service, specialty, and in/out of network eligibility.
  • Coding validations include: gender-specific procedures, age-specific procedures, medical necessity, maximum units, procedure corresponding to DOS and POS, procedure modifier, CCI, add-on procedures, LCD and NCD, applicable diagnosis and sequencing, and NPI.
  • Denial prediction: Adjudication outputs contribute to the prediction of the denial score on a scale of 1-10 (with 1 representing an unlikely denial, and 10 representing a near-certain denial).
  • Automation of claim preparation in 837 format and submission to the clearinghouse and payers.
  • Automated parsing of the 835-formatted response and automatic posting of payments to the respective claims in the billing system.
  • Remark and remit codes from the 835 responses are analyzed and the claims are classified into denial-resolving opportunities.
  • The following are the denial reduction opportunity buckets: authorization, billing, coding, contractual, duplicate, eligibility, medical necessity, miscellaneous, non-covered, and patient responsibility.
  • Automated redirection of claims that are eligible for A/R to A/R management.
  • Extensive billing analytics dashboard that provides real-time insights (140+ types) into claims data and identifies opportunities to reduce denials.
  • Report types include financial summary dashboards, dashboard for claims in A/R, denial category and error category dashboards, statistics by payer and provider, highest dollar claim denials, high frequency denials, top denial reasons, top denials by payer, top denials by specialty, reclaim rate, claim-level denials, payment analysis, first-pass rate for claims, and claims aging summary.
CodingAI Screenshot

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Billing.Ai

Product functions and more
screenshots here

CodingAI Screenshot

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KPI

Billing.Ai's Key Performance Indicators

Bringing decades of experience in artificial intelligence
and machine learning to solve problems

3%-7.5%

Case Mix Index

30%-50%

Case Denials

20%-40%

Coder Productivity

CodingAI Screenshot

Reduce cost, Increase efficiency
and Improve patient care

Billing.Ai automates the majority of your coding volumes, resulting in more accurate claims, fewer denials, and higher reimbursements--guaranteed by industry-leading SLAs.

CodingAI Screenshot

Reduce cost, Increase efficiency
and Improve patient care

Billing.Ai automates the majority of your coding volumes, resulting in more accurate claims, fewer denials, and higher reimbursements--guaranteed by industry-leading SLAs.

CodingAI Screenshot

Reduce cost, Increase efficiency
and Improve patient care

Billing.Ai automates the majority of your coding volumes, resulting in more accurate claims, fewer denials, and higher reimbursements--guaranteed by industry-leading SLAs.

API

Powerful API Primitives

Billing.Ai automates the majority of your medical coding volumes, resulting in more accurate claims, fewer denials and higher reimbursements -- guaranteed by industry-leading SLAs

<Message> using custom app logic

Webhooks allow your app to develop custom logic for every response. Build nearly any workflow you can imagine.

Send pictures with <Media>

Send and receive pictures on all U.S. and Canadian phone numbers.

Realtime status webhooks

See every step your message takes as it traverses the global telecom network.

<Message> using custom app logic

Webhooks allow your app to develop custom logic for every response. Build nearly any workflow you can imagine.

Send pictures with <Media>

Send and receive pictures on all U.S. and Canadian phone numbers.

Realtime status webhooks

See every step your message takes as it traverses the global telecom network.

API V2

Powerful API Primitives

CodingAI Screenshot

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FAQ

Billing.Ai Frequently Asked Questions

RCM is the entirety of the medical billing process for a practice. This in clouds claims, billings, and receivables from the time the patient leaves your office to when your practice receives payment and the outstanding balance fro services equals $0. Every claim has its own life cycle and the practice can either handle their own billing or outsource it to a RCM service like DrChrono RCM.

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Learn more about BILLING.AI

Schedule a demo today to see end-to-end billing automation in action.