Our AI proactively identifies requests for additional documentation via claim status responses and remittance advices. It works accounts daily to prevent growing queues and enable faster response to payer documentation requests.
We use generative AI to select the correct supplemental documentation and match it to payer requests. Our processes support both the Epic ROI and Cerner Report Request modules. If required attachments aren’t available, it routes claims to relevant work queues for your staff to review.
We then submit solicited attachments, such as medical records and itemized bills, electronically via payer portals. After that submission, we add a note in the client's EHR with the confirmation number, documents uploaded, and other relevant information, so they know exactly what was done. We also progress the account through the workflow in the EHR, such as adding "complete" to the item in the queue.