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Healthcare revenue cycle automation

Automate repetitive revenue-cycle work. Keep your team in control.

AI software for practices, hospitals, and RCM companies—connecting payer and patient workflows with human review.

  • Automate eligibility, authorization, and follow-up tasks.
  • Keep approvals and exceptions with your team.
  • Connect work with your existing EHR and billing systems.
Hospital revenue-cycle team sharing a confident, collaborative huddle

For clinical, billing, and revenue-cycle teams. Explore the workflow illustration below to see where human review fits.

Customers and operators

  • CareVia logo
  • Cybexys logo
  • EagleRCM logo
  • GemCaps logo
  • Genpact logo
  • InCred Money logo
  • Penn Health logo
  • Pediatric Kids Clinic logo
  • Realty Bank logo
  • The Grove Care Centers of America logo
  • Victura Health logo
  • WonDRX logo
  • RevUpside logo
  • Zenexa Technologies logo

Revenue-cycle workflows

Start with the work your team needs help with

Choose a workflow, understand the human-review points, then explore the relevant module. Modules and optional managed services have distinct scopes.

Patient Access

Prepare eligibility, authorization, and payer follow-up before care.

All patient access workflows and controls

Eligibility and benefits agent

Checks coverage, benefits, plan details, insurance discovery signals, and downstream claim-readiness gaps.

Human review: Coverage conflicts, estimate issues, and self-pay risk route to staff queues before the visit.

Explore Eligibility and benefits

Prior authorization agent

Determines requirements, assembles evidence packets, submits requests, checks status, and routes exceptions.

Human review: Your team approves clinical evidence, appeal paths, and payer-specific edge cases.

Explore Prior authorization

Payer call agent

Calls payers for status, authorization, benefits, claim follow-up, and account-specific answers.

Human review: Call scripts, escalation rules, recordings, transcripts, and outcomes stay auditable.

Explore Payer call

Documentation & Claims

Connect documentation and coding to claim preparation and review.

All documentation & claims workflows and controls

AI scribe agent

Turns visits, calls, and clinical conversations into structured notes, summaries, tasks, and documentation handoffs.

Human review: Clinicians review, edit, and sign documentation before it becomes part of the record or downstream billing workflow.

Explore AI scribe

Coding support agent

Reviews documentation, CPT/HCPCS logic, ICD-10 support, MUE checks, modifiers, and charge capture gaps.

Human review: Coders validate specialty-specific, clinical-risk, and audit-sensitive recommendations.

Explore Coding support

Claim status agent

Checks claim state, payer responses, pending reasons, missing information, and next actions.

Human review: Billing teams approve corrected claims, escalations, and account-level exceptions.

Explore Claim status

Denial prevention agent

Applies payer rules, MUE checks, authorization signals, documentation gaps, and repeat-denial patterns before claims go out.

Human review: Revenue integrity teams tune prevention rules, override edits, and review high-risk accounts before submission.

Explore Denial prevention

Document classification agent

Sorts payer letters, clinical documents, EOBs, faxes, appeal evidence, and inbound operational paperwork.

Human review: Unclear documents, PHI-sensitive issues, and low-confidence extraction results go to review.

Explore Document classification

Payments & Recovery

Work remittances, posting exceptions, denials, and patient follow-up.

All payments & recovery workflows and controls

EOB-to-ERA agent

Extracts payment and adjustment data from paper or PDF EOBs, validates it, and converts it into clean X12 835 ERA files for automated posting.

Human review: Payment teams review low-confidence extraction results, claim matching, balancing, and conversion exceptions before export or EHR/PM writeback.

Explore EOB-to-ERA

Payment posting exception agent

Reads ERA/EOB data, identifies variances, flags underpayments, and prepares posting exception queues.

Human review: Finance teams decide underpayment appeals, refunds, write-offs, and account-specific exceptions.

Explore Payment posting exception

Denial management agent

Classifies CARC/RARC codes, builds appeal packets, drafts payer-specific appeal language, and tracks follow-up deadlines.

Human review: Appeals specialists review clinical denials, payer disputes, and write-off decisions.

Explore Denial management

Patient outreach agent

Handles reminders, balance calls, missing information outreach, scheduling support, and soft collections.

Human review: Sensitive, clinical, disputed, or high-risk conversations route back to your staff.

Explore Patient outreach

Compliance & Automation

Risk adjustment, credentialing, and portal bots that run alongside the core cycle.

All compliance & automation workflows and controls

Risk adjustment and HCC coding agent

Reviews charts for HCC evidence, maps to the current model, calculates RAF impact, and queues documentation gaps for prospective review.

Human review: Certified coders confirm each HCC before it is reported; clinicians answer documentation queries.

Explore Risk adjustment and HCC coding

Credentialing and enrollment agent

Assembles credentialing packets, tracks CAQH attestation and payer enrollment status, and flags expirations and revalidation dates.

Human review: Credentialing staff approve submissions and own payer follow-up.

Explore Credentialing and enrollment

Payer portal bot

Signs into Availity, UnitedHealthcare, Medicare, Medicaid and other payer portals for eligibility, claim status, authorizations and appeals, then writes results back.

Human review: Write-back is limited to approved outcomes; denials and mismatches route to staff.

Explore Payer portal bot

Where your team stays involved

Illustrative workflow—not a product screenshot or a processing-time guarantee.

  1. 1Input: a workflow request
  2. 2AI assistance: prepare the work
  3. 3Human review: approve or handle exceptions
  4. 4Output: an approved update or next action

Integrations

Connects to the EHRs, clearinghouses and payer portals you already run

FHIR R4 and API connections for major EHRs, Availity and Stedi for claims and eligibility, and payer portal bots for the 300 payers in our directory.

  • Epic logoEpicFHIR R4
  • Oracle Health logoOracle HealthFHIR R4
  • athenahealth logoathenahealthFHIR R4
  • eClinicalWorks logoeClinicalWorksFHIR R4
  • NextGen logoNextGenPreview connector
  • AdvancedMD logoAdvancedMDPreview connector
  • Tebra / Kareo logoTebra / KareoPreview connector
  • Availity logoAvailityClearinghouse + portal bots
  • Stedi logoStediEDI / X12

Logos are trademarks of their respective owners and indicate technical compatibility, not endorsement. Preview connectors are read-only until validated on your installation.

Operational proof

What changes when the work is connected

The promise is not more dashboards or a new outsourcing relationship. It is fewer avoidable touches, cleaner claims, faster follow-up, and more time for your team to work the cases that need judgment.

35%

denial reduction target

For teams that automate payer follow-up, claim quality, prior authorization, and denial prevention workflows.

12 days

A/R days reduction

Measured where eligibility, status, denials, posting, and AR queues are connected.

40%

productivity lift

Routine queue work shifts to AI agents while staff focus on exceptions and high-value account work.

2-3 weeks

typical module deployment

Core modules can start quickly, with larger health-system rollouts phased by workflow.

Approved anonymized case study

Orthopedic Practice Reduces No-Shows and Improves Surgical Case Capture

A 6-surgeon orthopedic practice reduced no-show rates from 17% to 9% and increased revenue by $420K annually through better scheduling and documentation.

Approved metrics are anonymized and remain baseline-dependent; final impact depends on scheduling workflow, payer mix, and implementation scope.

No-show rate reduced
17% → 9%
Imaging and surgical cases pre-cleared for insurance
90% before the visit
Increase in documented comorbidities
25% leading to more accurate coding and revenue per case

Implementation

Deploy agents without replacing your EHR, billing system, or RCM team

QuickIntell is deployed around your current systems and review rules. The goal is controlled automation: approved writebacks, clear queues, clear owners, and clear audit trails.

Patient-access coordinator warmly helping a patient and caregiver
01

Map the work

Identify payer workflows, EHR/PM systems, clearinghouse paths, denial categories, authorization rules, queues, owners, and SLAs.

02

Connect the systems

Connect existing EHR, practice management, clearinghouse, payer portals, document sources, voice channels, and reporting feeds.

03

Set approval rules

Define which work agents can complete, which updates require approval, and which exceptions route back to your team.

04

Write back and improve

Push approved updates into source systems while payer behavior, denial patterns, and AR outcomes feed dashboards and tuning.

Plan a deployment around your existing systems

Share your EHR, billing system, clearinghouse, payer portals, and review rules. We will outline the agent path that avoids rip-and-replace work.

Low-friction deployment

0 customization fee. 0 implementation fee. Pay only when you start using the product.

QuickIntell is designed to remove the setup drag that slows down healthcare automation projects. Start with a standard AI agent module, configure controls around your workflow, and pay when the product is live for your team.

0

customization fee

Standard module launches do not start with a custom-build invoice before your team can see value.

0

implementation fee

QuickIntell maps the first workflow, configures approved controls, and connects the launch path without a setup fee.

Pay on use

when the product is live

Pay only when you start using the product, with scope tied to active modules and real workflow adoption.

Start with a module, not a services project

We will scope a first workflow, confirm required systems and controls, and show when your usage-based billing would begin.

Technology programs and security

Startup programs

  • NVIDIA Inception

  • Microsoft for Startups

Startup programs are distinct from security audits and certifications.

Technology ecosystem

  • Deepgram

  • ElevenLabs

  • Pinecone

  • Telnyx

  • Twilio

Security architecture and procurement information

Trust and governance

Healthcare-grade controls for AI operating on PHI

Revenue-cycle automation touches PHI, payer evidence, claims, payment, and patient outreach. QuickIntell is built for teams that need security review, auditability, approval rules, exception queues, and controlled writebacks.

  • HIPAA-aligned operations with BAA available
  • SOC 2 Type II audited controls
  • In-tenant LLM inference; PHI is not used to train foundation models
  • Role-based access controls and detailed audit logs
  • Encryption in transit and at rest
  • OIG LEIE and SAM.gov exclusion screening support

Playbooks

Revenue-cycle playbooks and benchmarks

Give your team practical references for the workflows most likely to create avoidable denials, delayed authorizations, and manual follow-up.

AI revenue cycle management

How AI agents reduce manual payer work across eligibility, auth, claim status, denials, posting, and AR.

Before you book a demo

Is this software or a managed service?

QuickIntell provides AI software for revenue-cycle workflows. Managed RCM is an optional service with a separate scope.

Does my team stay in control?

Workflow details identify human-review points, approval rules, and exceptions. Discuss the controls for your selected module during discovery.

How do I check my EHR and implementation needs?

Use the integrations directory to find your EHR, then review its prerequisites and limitations with the team.

Where can I review pricing?

The pricing page describes plans and quote-based options. Confirm module inclusions and implementation scope before purchasing.

What should I share before a demo?

Describe your workflow and systems without patient or claim details. Arrange any document exchange through an approved secure channel after the necessary agreements are in place.

See it on your workflows

See which revenue-cycle workflows AI agents can take off your team

Share de-identified workflow context only. Do not include patient or claim details. We will show which tasks can be automated, which updates can write back, and which exceptions should stay with your team.

Built for hospitals, RCM companies, MSOs, and clinics.

Clinician and patient sharing a relieved smile at the end of a visit