For CFOs and revenue leaders
Results from customer deployments
Live in days · No IT, API, or EDI build · SOC 2 & HIPAA compliant
One unpaid claim, worked by Substrate
Claim is past its expected pay date
Status checked directly with the payer
Root cause found and documented
Appeal submitted and tracked to payment
Your team steps in only when judgment is needed
It shouldn't feel like a black box.
01
Register patient & get authorization
Where it leaks
Wrong insurance or demographics. Missed COB, auths and referrals.
Front end errors drive 30% - 60% of denials
02
See patient & collect cost share
Where it leaks
Incorrect benefit verification and cost estimation.
Not collecting up front delays cash flow.
03
Submit the claim
Where it leaks
Payers deny, delay, or ask for records, or short pay.
All mean manual work by your team.
04
Work denials & get paid
Where it leaks
Spend hours researching claims and calling payers.
Most teams don't ever get to all their denials.
05
Reconcile & settle balances
Where it leaks
Payments posted incorrectly, paper EOBs & credit balances.
Delayed month end close & rev recognition.
Fixing denials is quick, once you understand the problem. But getting answers is tedious and time consuming.
Substrate's AI agents call payers, check portals, and read lockbox correspondences, SOPs and payer policies.
Your billers start with answers
Every claim worked, not just the easy ones
Complex denials, records requests, and no-response claims get the same attention as clean ones.
Exceptions arrive with the answer
Your team gets the root cause, the evidence, and the next step, written back into your billing system.
Capacity without hiring
Teams handle up to 4x the volume per person, without adding headcount.
01
Friction benefits payers.
Every new rule, records request, and slow response is another reason not to pay. Policies differ by payer, change often, and are buried in hundreds of pages.
02
Payers are deploying AI
Payers are automating denials and reviews. A manual team can’t keep pace with denials issued at machine speed. You need AI working on your side, too.
03
People are human
Billers get sick, burn out, and leave for a slightly better offer. Every departure walks out the door with payer know-how you paid to build.
04
Costs rise, reimbursement doesn’t
Labor costs keep climbing while reimbursement stays flat or falls. Collecting more with the team you have is the only math that works.
Substrate ARC, our Autonomous Revenue Cycle platform, puts AI agents to work on the most tedious, highest-stakes parts of your revenue cycle. They follow your SOPs, work inside the systems you already use, and reach 3,000+ payers through clearinghouses, APIs, and payer portals.
What we do
✓
Verifies eligibility & benefits before the visit.
✓
Checks claim status on all outstanding claims.
✓
Triages denials so your team starts with answers.
✓
Researches payer policies & writes appeals.
✓
Posts payments and resolves posting exceptions.
✓
Resolves credit balances within state refund deadlines.
What we don't do
✕
Replace your EHR, PM system, or clearinghouse
✕
Require an IT, API, or EDI integration project
✕
Make clinical decisions or change how your providers document
✕
Force you to outsource or replace your billing team
More of the revenue you earned, collected sooner, at a lower cost to collect, without a project that competes for your IT roadmap.
4x
more volume per billing FTE, with the team you already have
60–75%
lower cost per claim versus labor-driven methods
Hours
not days, from denial to appeal submitted
Up to 50%
of dollars tied up in records requests recovered, hands-free
NextGen RCM Services · Claim status
4x the claim status volume with the same team.
75% lower cost per status check and a 95% success rate.
Read the story →
Heading Health · Appeals
40% of denied dollars recovered.
88% of appeals submitted automatically and a 2% lift in net collections.
Read the story →
“Deploying the Substrate Claim Status AI agent enabled us to handle 4x the volume with the same team.”
Lance Merkley
VP RCMS Technical Services, NextGen RCM Services
Figures come from Substrate customer deployments. Results vary by specialty, payer mix, and workflow.
Proof before promises
You’ve heard revenue cycle pitches before, and they all sound alike. So we’d rather show you. Give us a small slice of data and we’ll come back with specific, fixable problems in your revenue cycle.
STEP 1
Share 8 data fields
A secure export or portal logins, the same access you’d give a new hire. No IT ticket, no integration.
STEP 2
See first findings within 48 hours
We work your claims against your payers and show you where revenue is stuck, and why.
STEP 3
Act on it tomorrow
You get a short, prioritized cheat sheet your revenue cycle lead can act on right away.
STEP 4
Then we do it every day
Turn Substrate on and the same work runs automatically, on every claim, every day.
The kind of finding you can expect
“You’re seeing patients on a plan that requires prior authorization for this service. Those claims are being denied, and here’s the list.”
Substrate ARC
Start with the leak that costs you most, then expand. Each agent covers a different stage of the revenue cycle.
Before the visit
Eligibility
Stop the largest source of denials before the patient is seen.
Learn more →
Before the visit · Appeals
Payer Policy
Win more appeals with letters that cite the payer’s own rules.
Learn more →
After submission
Claim Status
Handle 4x the claim follow-up with your current team.
Learn more →
After a denial
Appeals / RFI
Recover revenue stuck in records requests, hands-free.
Learn more →
Reconciliation
Payment Posting
Post payments and resolve exceptions automatically.
Learn more →
Reconciliation
Credit Balance
Resolve patient credit balances within state deadlines and reduce audit exposure.
Learn more →
Recovery
Collections
Place self-pay accounts hands-free, with compliance built in.
Learn more →
The platform
See how it all fits together
One platform across the revenue cycle, live in days.
Explore Substrate ARC →
Easy to say yes to
No integration project
Skip the IT, API, and EDI build. We start with logins, like onboarding a new hire.
25+ EMR and PM systems
Works with the systems you already run, and writes results back into them.
3,000+ payers
EDI, API, and portal coverage, including the long tail of non-EDI payers.
SOC 2 and HIPAA compliant
Data encrypted at rest. Full details at trust.substrateai.com.
Pricing
Pay for results, not headcount.
Pricing is tied to the work completed: per resolution, per placement, or per dollar recovered. Your cost scales with outcomes, so the business case is easy to model.
Get a quote for your volumeBuilt by operators who’ve run billing at national scale.
Our CEO was Chief Product Officer at Carbon Health, a national primary and urgent care provider that ran its own EHR and billing past $200M in healthcare services revenue. Our team has built healthcare and regulated financial products at One Medical, Cash App, AngelList, Eligible Health, Twilio, and Uber.
Meet the team →Do we need to replace our billing team or vendor?
No. Substrate works alongside your in-house team or your outsourced partner. It takes on the investigation and follow-up so your people can focus on work that needs judgment.
How much IT work is involved?
Almost none. We start with 8 data fields and the same logins you’d give a new hire. There’s no API, EDI, or integration project, and nothing added to your IT roadmap.
How quickly will we see results?
First findings typically arrive within 48 hours. Most teams are live in days, not quarters.
How is Substrate priced?
Pricing is tied to outcomes: per resolution, per placement, or per dollar recovered. We’ll build a quote around your volume and payer mix.
Does Substrate replace our EHR or practice management system?
No. Substrate works on top of the 25+ EMR and practice management systems our customers already use, and writes statuses, notes, and next actions back into them.
Is our data secure?
Yes. Substrate is SOC 2 and HIPAA compliant, and data is encrypted at rest. Security documentation is available at trust.substrateai.com.
Start with a revenue diagnostic. We’ll show you where revenue is getting stuck, why, and what it takes to get it moving, before you commit to anything.
Live in days · No IT, API, or EDI build · 3,000+ payers · SOC 2 & HIPAA compliant
