Automate revenue cycle across every facility

More locations means more payers, more claims and more billing staff. Standardize AR follow-up across your entire network without adding headcount at each site.
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30+ FTEs reduced at a single health system
Case Studies →
Claims Processed Autonomously
One Platform, Every Facility. Agents learns NPI mapping, payer routing and denial workflows combinations across facilities.
01
Multi-Site
Claim Status
Status claims across every facility one platform. NPI and payer differences are handled automatically. Each location inherits learned strategies from the entire network.
02
Standardized Denials
Consistent denial categorization and appeal workflows regardless of originating facility. Medical record and eligibility denials are resolved with the same process everywhere.
03
PM-Agnostic Integration
Works across different practice management systems without migration or integration projects. Results are pushed back into each facility's system of record.
04
Network-Wide Reporting
Real-time AR visibility across all locations. Track claim status, denial rates and recovery metrics at the facility and network level from a single view.
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Production numbers not projections
Same claim volume, same payer mix. Dramatically fewer people.
87%
Reduction in team managing collections placements
Compare Substrate
Why healthcare networks make the switch
Centralize your revenue cycle operations without centralizing your systems.
Today
New Facility Onboarding
Hire & train billing staff
Payer Routing
Differs per facility, manual
Denial Workflows
Varies by location
Reporting
Monthly, per-site
PM Systems
Locked into one vendor
Substrate
New Facility Onboarding
Configure & deploy agents
Payer Routing
Learned automatically per NPI
Denial Workflows
Standardized across network
Reporting
Real-time, network-wide
PM Systems
Works across any PM
VS
Discover the difference
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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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