Revenue Cycle Management

Automated Revenue Cycle Management

The cost to collect is too high. We automate the financial loop from real-time insurance verification to inbound bill pay reducing bad debt and administrative overhead.

Three leaks in your revenue cycle.

The Insurance Update Loop

When a patient has new insurance, the front desk often finds out at check-in, causing a 15-minute delay and a backed-up waiting room.

Verify before the visit.

Use outbound AI to call patients 3 days before their visit. Let the AI securely capture new insurance details and upload them to the EHR before the patient arrives.

The Low-Balance Burden

Your staff shouldn't spend 20 minutes on a call to collect a $25 co-pay. The human effort costs more than the balance itself, leading to high write-offs.

Automate the "Small Dollars".

Deploy AI agents to handle 100% of balances under $500. They send text reminders, negotiate payment plans, and process cards on file without human intervention.

The "Back-End" Trap

90% of denials are preventable, yet most teams only work them after the claim is rejected. This "pay and chase" model erodes margins and delays cash flow.

Move RCM upstream.

Use AI to verify eligibility and obtain prior authorizations before the patient walks in the door. Stop the denial before it happens.

A smarter way to collect.

Instant Clearance

With Automated Eligibility Verification the AI automatically checks payer portals for active coverage and benefits caps days before the appointment.

Text-to-Pay

Don't force patients to remember a portal password. Send a secure "Magic Link" via SMS that allows them to view their statement and pay via Apple Pay/Google Pay in two clicks.

Prior Auth Status

The AI agent calls payers or checks portals repeatedly to get the status of pending authorizations, updating the EHR automatically so your staff doesn't have to check manually.

Propensity Scoring

The AI analyzes patient history to predict who will pay and who needs financial assistance. It prioritizes your team's outreach list to focus on high-yield accounts first.

A smarter way to collect.

Calculate Your Potential Savings

Automate routine calls while seamlessly escalating complex issues to live staff

Calculate ROI

Let’s talk about how ActiumHealth can support your care teams

Interested in learning how ActiumHealth can automate your call center with AI agents and see a custom demo? Let’s talk!

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