Get paid for the care you deliver

Our agents handle 85% of the work and your team only handles the exceptions. From getting claim status to filing appeals and posting payments, the repetitive work runs itself.
Book a Demo
Book a Demo
$1,536 recovered per appeal
Case Studies →
Claims Processed Autonomously
AI agents work your AR around the clock. Claims are statused, denials are appealed & payments posted, all without your biller logging into a portal.
01
Enhanced Claim Status
Get the real denial reason, not a vague EDI code. Our agent checks payer portals when EDI falls short, covering 4,000+ payers including Medicare and Medicaid.
02
Autonomous Appeals
Denied for missing medical records? The agent retrieves them from your EMR, validates against payer policy, and files the appeal through the portal. No human touches the claim.
03
Payment Posting & Refunds
ERAs are matched, payments posted and exceptions flagged automatically. Patient credits are reconciled and refunded within your cash management limits.
04
Eligibility Verification
Patient eligibility is verified autonomously for claim routing, COB resolution and eligibility-based denials. Fewer front-desk errors, fewer downstream rejections.
Want to learn more?
Book a Demo
Book a Demo
Revenue recovered hands-free
Appeal paid with no human involved. Records retrieved from the EMR, validated against payer policy and appealed through the portal.
5 days
Average adjudication time
Compare Substrate
Why providers make the switch
Your AR team is talented. Let them focus on the exceptions.
Today
Claim Status
Log into each portal manually
Denial Reason
Vague EDI codes
Medical Record Appeals
Staff pulls records & writes letter
Payment Posting
Manual ERA matching
Time to First Status
When your team gets to it
Substrate
Claim Status
Automated across 4,000+ payers
Denial Reason
Real reason from the payer portal
Medical Record Appeals
Agent retrieves, validates & files
Payment Posting
Automated with exception flagging
Time to First Status
Instantly, 8 data fields to start
VS
Discover the difference
Book a Demo
Book a Demo
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.
View Payers  →
View Payers  →