How It Works

Our AI-powered claims status system works seamlessly to provide real-time updates on your claims

1

Claim Submission & Tracking Initialization

Once a claim is submitted, the system automatically logs it into the tracking pipeline and categorizes it based on payer, submission date, and claim type.

2

Real-Time Payer System Integration

The system connects with insurance payers, clearinghouses, and government portals via EDI transactions, direct APIs, or RPA for payers without API support.

3

Claim Status Retrieval & Categorization

Payer responses are analyzed to determine claim status: Accepted, Pending/Under Review, Denied, Paid, or Rejected.

Benefits of Autonomous Claims Status Checks

Our solution delivers significant advantages over traditional claims follow-up methods

Eliminate Manual Follow-ups

Save hours of staff time spent on phone calls and payer portal navigation to check claim status.

Early Denial Detection

Identify denied or problematic claims within hours instead of weeks, allowing for faster corrective action.

Improved Cash Flow

Accelerate reimbursement by proactively addressing stalled claims and payment delays.

Complete Visibility

Gain real-time insights into your entire claims pipeline with detailed status tracking.

Prioritized Workloads

Focus staff efforts on claims that need attention rather than routine status checks.

Payer Performance Metrics

Track and analyze payer processing times and denial patterns to optimize submission strategies.

Interactive Dashboard

Our intuitive interface provides real-time insights into your claims status

Claims Status Dashboard