Automatically predict and
prevent claim denials

CLAIMS.AI

CLAIMS.AI

Slash your coding costs and improve claims accuracy

Outcomes

Claim denial prediction and prevention engine

CLAIMS.AI leverages deep-learning to automate claims management, resulting in more accurate claims, significantly reduced denials, and higher payer reimbursements.

Improve claims accuracy

CLAIMS.AI analyzes historical denials and approvals, as well as EOBs, medical codes, CARC/RAC codes, payment patterns, and other payer behavior to proactively identify errors before claim submission, decreasing odds of denial.

Reduce claim denials

Clients who have deployed CLAIMS.AI report a 40% average reduction of denials within 12 months of launch.

Boost payer reimbursements

A typical health system stands to lose as much as 3.3% of net patient revenue (an average of $4.9M per hospital) due to denials, per a study by Change Healthcare. By reducing denials by an average of 40% within one year, providers can capture more revenue and significantly improve their bottom line.

CLAIMS.AI

Product functions and more
screenshots here

CodingAI Screenshot

Medical Language Processing goes here

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KPI

CLAIMS.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

CLAIMS.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

CLAIMS.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

CLAIMS.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

CLAIMS.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

CLAIMS.AI Frequently Asked Questions

What is CLAIMS.AI?

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.

Why is CLAIMS.AI important?

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What are the advantages of value-based care or a value-based contract?

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How much does Buddi's CLAIMS.AI cost?

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What happens if my practice downsizes or grows?

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Learn more about CLAIMS.AI

Schedule a demo today to see claim denial prediction and prevention in action.