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Claim Status Agent
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Case Studies
How NextGen RCM Services Automated Claim Status Across Their Entire Client Portfolio with Substrate
The Substrate Claim Status Agent helped NextGen RCMS improve productivity by 4x.
Do your billers spend hours each day on the phone and clicking through payer portals (Availity, Cigna, etc.) just to check claim status? Is your no-response queue growing faster than the team can work it, locking up AR and slowing cash? Do you have specific payers that frequently respond late, dragging out your AR?
90%
Claim Status Success Rate
How Heading Health recovers revenue from medical records denials
Using AI as a complement to their RCM team to fight rising denials
High complexity specialties often experience high volumes of pended or denied claims , particularly with a request for medical records. For Heading Health, this was a time consuming part of their revenue cycle. The process was onerous for several reasons:
88%
Appeals submitted are automatically each month (handsfree)
How Heading Health uses AI Agents for Claims Monitoring
How Heading Health Eliminated Manual AR Follow-Up with AI Claim Status Agents
Heading Health is an outpatient behavioral health practice in Austin, Texas. With Substrate's Claim Status Agent, they replaced daily manual portal-checking with an AI agent that automatically retrieves claim status across every payer and channel -- and gets smarter with every claim it processes.
100+
Hours saved/month
Over 3,500 Payers Available
Covers all of the payers your team bills
EDI endpoints, direct APIs, and browser-based portal agents across commercial, government, and portal-only payers.
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