Grow revenue without growing headcount

Substrate deploys AI agents across your entire client portfolio to automate claim status, denials, collections and patient refunds.
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100+ hours saved per month
Case Studies →
Claims Processed Autonomously
AI agents work your AR around the clock. Claims are statused, denials are appealed and payments are posted, all without a human.
01
Claim Status
at Scale
Automatically status claims across every client using EDI, browser agents, and direct APIs. Covers 4,000+ payers including Medicare and Medicaid.
02
Autonomous Appeals
Denied claims are analyzed, documented and appealed via payer portals. Medical record and eligibility denials are handled end to end without human involvement.
03
Collections & Refunds
Automate collections placements with account validation and agency file generation. Patient credits are reconciled & refunded with full compliance tracking.
04
Custom Pipelines
Embeds engineering resources from Substrate to build automation tailored to your operational structure and data infrastructure.
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Results that deliver
Fewer people doing repetitive work. Reduce overhead while increasing volume.
87%
Reduction in team managing collections placements
Compare Substrate
Why RCM companies make the switch
Your current process works. Substrate makes it work with fewer people.
Today
Claim Status
Manual portal lookups
Denial Response Time
Days to weeks
New Client Onboarding
Hire more billers
Collections Preparation
Full team required
Payer Coverage
EDI-only gaps
Substrate
Claim Status
Automated, 4,000+ payers
Denial Response Time
Hours, fully autonomous
New Client Onboarding
Configure & deploy agents
Collections Preparation
85% handled by agents
Payer Coverage
EDI + portals + APIs
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.
View Payers  →
View Payers  →