AI Agents

Designed to optimize healthcare operations introducing

AppealFlow

AI Agent:
AppealFlow
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What is

AppealFlow

?

AppealFlow, our appeals and aging AI agent, is a specialized AI agent designed to tackle two of the most persistent challenges in revenue cycle management: appeals and accounts receivable aging. It automatically identifies denied or underpaid claims, drafts appeal letters with payer-specific language, and keeps a close eye on aged accounts to prioritize follow-up actions. By combining proactive workflows with intelligent tracking, this AI helps reduce lost revenue and accelerates payment recovery.

Key Features

  • Automated detection of denied or underpaid claims
  • Drafts and submits payer-specific appeal letters
  • Tracks appeal deadlines and follows up automatically
  • Monitors AR aging buckets (30/60/90/120+ days)
  • Prioritizes follow-ups based on payer behavior and claim value
  • Integrated analytics for denial trends and AR health
  • Customizable escalation workflows
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