Scale your billing without scaling your staff

Let our AI make phone calls, navigate payer portals, research payer policies, take faxes, and use your EHR—24/7—to handle your most repetitive workflows.

AI Phone Agents

Make calls to payer customer service lines in parallel

AI Portal Autopilot

Automate using payer portals the way a trained biller would

AI Analysis

Identify denial patterns and recommend optimal resolution strategies

AI Phone Agents

Our AI phone agents handle hundreds of simultaneous calls with consistent quality, turning weeks of follow-up work into hours.

Parallel calls

Make hundreds of calls simultaneously without adding staff

3400+ payers

Supported out of the box

Call center hours

Works whenever payer call centers are open

Try it yourself

Enter your phone number and our AI will call you

Use Cases

Automate the phone calls and portal work that consume hours of your team's day

Complete claim status

Go beyond simple 276s and 835s—navigate payer portals and make phone calls to get the full picture

Checks portals first, calls when needed

Gets medical records requests and full remittance advice for payers that don't support ERAs

Prior authorization status

Track authorization requests and approvals without follow-up calls or manually visiting the portal

Monitors auth status changes

Alerts on approvals or denials

Eligibility verification

Verify eligibility and prior auth before appointments to prevent claim denials

Checks portals and makes phone calls when 271 requests fail

Calls to check if prior auth is required for specific procedures and drugs

Medical records requests

Ingest requests from fax or portal, pull correct records, and submit via EDI, portal, or fax with automated follow-up

Pulls correct records for latest claim

Auto-submits via optimal channel

No-auth denial resolution

Verify if auth exists and matches claim, then call for reprocessing or file appeals with supporting documentation

Checks auth accuracy across all fields

Writes medical necessity appeals when needed

Medical necessity appeals

Compare medical records to prior auths, file appeals for denied claims, and sync confirmation back to your PMS

Verifies auth matches services rendered

Auto-files appeals with supporting documentation

AI Portal Autopilot

We've optimized the ability to navigate every payer portal. Our AI can take any action that a human can take—from checking claim status to researching medical records requests.

Key capabilities

Check claim status and payment details

Review medical records requests

Verify authorizations on file

Monitor appeal status and timelines

Submit corrected claims and documentation

Download EOBs and remittance advice

See it in action

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AI Analysis

Ask any question about your visits and get instant, accurate answers. Pull visits that match any criteria to build evidence packets for payer escalations.

Instant Question Answering

Get immediate answers to complex questions about your visit data without manual research.

For UnitedHealthcare this past year, what are the remark codes for CO-16 denials?

Here's the breakdown of CO-16 remark codes for UnitedHealthcare over the past year:

M76: Missing prior authorization 342

M80: Missing documentation 218

N3: NPI not on file 156

M15: Member ID invalid 103

Payer Behavior Packets

Query and pull dockets of claims matching any arbitrary requirements for targeted analysis.

Build Custom Query

Define criteria to pull specific claim dockets

Safety & Privacy

Your security and privacy is our top priority. Refactor is built with industry-leading safeguards. Visit our trust center for more details.

Trust Center

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