Your job, not our tech stack.
Claims ops, revenue cycle, AP exceptions - the work your best people shouldn't be doing by hand. These are the workflows we deploy most often for insurance ops and healthcare RCM teams, what slows each one down, and what changes when the repetitive parts run on their own.
Workflows we deploy most
4 workflowsAP exception queues
Route invoice mismatches, escalate edge cases, and post approved corrections - with human gates on anything irreversible.
Claims triage & adjudication
Triage intake, pull policy context, and route exceptions to the right adjuster - tested on your historical claims.
Denial management
Triage payer denials, pull remittance context, and route appeals to the right RCM specialist - tested on your own denied claims.
Procurement & vendor onboarding
Match POs to receipts, flag policy violations, and route approvals through your existing ERP chain.
50+ cases
in every eval set
2
Industries served
Use cases
Find the work that's eating your team's time.
Claims triage, denial management, document processing, and back-office coordination - the workflows we deploy most often for insurance ops and healthcare RCM teams, and what changes when they run on their own.
Insurance finance
AP exceptions, premium reconciliations, and claims finance - handled inside the ERP your insurance finance team already uses.
Systems: NetSuite, SAP, Microsoft Dynamics…
Claims & approvals
Claims intake triage, document handling, and adjudication routing - with the human review your team expects.
Systems: Claims management system, Policy admin system, Document storage…
Provider & member support
Provider and member inquiries resolved and routed in your existing helpdesk - without replacing it, and without touching clinical decisions.
Systems: Zendesk, ServiceNow, Intercom…
Document processing
Intake, review, and routing of claims documents that pile up - denials, prior-auth, EOBs, and intake paperwork.
Systems: Claims management system, Billing system, Document management…
Insurance back-office
The repetitive, cross-system work that keeps an insurance operation running - but consumes your team's time.
Systems: ERP, Policy admin system, Claims management system…
Claims coordination
Work that spans claims management, policy admin, billing, and email - where the handoffs are the bottleneck.
Systems: Claims management system, Policy admin system, Billing system…