Average practice leaves 5–10% of revenue uncollected. Claims denial rates average 10–15% and trending upward. Days in AR average 45–60 days for most practices. Manual claims follow-up costs $25–$35 per claim. Patient responsibility collections are below 50%. Staff spend 80% of time on administrative tasks instead of exceptions.
AI-powered RCM platform that automates claims submission, works denials by predicted recoverability, manages patient collections with digital payment plans, and provides real-time financial analytics — reducing denials by 30% and AR days by 15.
Medical practices with $2M–$50M in annual collections, RCM companies managing billing for multiple practices, and specialty practices with complex billing (surgery, oncology, orthopedics)
Claim complexity increasing with prior auth requirements. AI denial prediction accuracy exceeds 85%. Staffing shortages demand automation. Patient financial responsibility is growing with HDHPs. Value-based payment models require sophisticated billing.
Percentage of collections: 4–7% of total practice collections. For $5M practice = $200K–$350K/yr revenue. Minimum: $499/mo for small practices. Also per-claim: $3–$8/claim for practices wanting per-claim pricing.
3+ FTEs for $5M practice ($150K+ salaries), 5–10% revenue leakage, high turnover
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