End-to-End Healthcare Revenue Cycle Platform with Intelligent AI Agents that automate eligibility verification, coding, claim validation, denial prediction, payment intelligence and revenue optimization.
Built for enterprise health systems, medical groups, and billing companies.
Real-time payer verification with coverage prediction and prior-auth automation.
ICD-10, CPT, HCPCS suggestions with NCCI & LCD validation and confidence scoring.
300+ rule engine flags NPI, taxonomy, modifier, and payer-specific edits pre-submission.
Predict denials before submission and auto-classify by root cause and priority.
AI drafts appeal letters with clinical evidence and confidence-ranked language.
Detect leakage, undercoding, missed HCPCS add-ons and pricing anomalies.
From scheduling to payment reconciliation — every stage has an AI Intelligence panel.
Each agent is trained on healthcare RCM signals and payer-specific rules.
Verifies insurance in <2s across 250+ payers
Suggests ICD/CPT with 96% first-pass accuracy
Runs 342 pre-submission edits per claim
Flags high-risk claims 48h ahead
Generates evidence-based appeal letters
Detects $80k+ monthly leakage patterns
Cut our denial rate from 14% to 4.2% in 90 days.
RCM-IQ pays for itself every week with reclaimed revenue.
The AI coding suggestions changed how our team works.