Embed autonomous RCM into your platform

Substrate gives EHR and PM vendors an embedded AI layer that automates claim status, appeals and refunds letting your customers manage claims in your system.
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80% claims statused automatically
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Claims Processed Autonomously
A Billing Engine Inside Your Product. Your users don't have to leave your platform to work their AR.
01
Embedded
Claim Status
Our agent reads claims from your PM, executes lookups across 4,000+ payers and writes enhanced status data back as structured notes and worklist updates.
02
Built-in Appeals
Claims move from denied to appealed to paid without your users downloading records, writing letters or navigating portals. The workflow lives inside your audit trail.
03
Flexible Integration
Bidirectional data flow through APIs, direct database connections and HL7/FHIR interfaces. Results surface through your existing UI patterns. Typical integration is a few weeks.
04
Security & Compliance
HIPAA compliant, SOC2, full data encryption. All agent activity is logged with screenshots and video recordings. Browser agents handle MFA and credential isolation automatically.
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Your customers keep more revenue
Practices recover denied claims that would otherwise be written off, without hiring additional staff or switching systems.
85%
Collections placement tasks handled by agents
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Why EHR vendors make the switch
Give your customers another trust your system for claims.
Today
Claim Follow-Up
Users leave your platform
Denial Resolution
Manual, outside your system
Integration Effort
Build it yourself
Revenue Oppurtunities
None from AR workflow
Payer Coverage
Depends on clearinghouse
Substrate
Claim Follow-Up
Automated inside your product
Denial Resolution
End-to-end, in your audit trail
Integration Effort
2-4 week deployment
Revenue Oppurtunities
Share or white-label
Payer Coverage
4,000+ payers via EDI + portals
VS
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Over 4,000 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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View Payers  →