Product Vision
Strategic direction for claims automation and revenue cycle optimization
To improve revenue cycle performance through automation, AI-driven insights, and standardized workflows that reduce variability and improve first-pass yield.
The primary metric that drives all automation and optimization efforts
Percentage of claims accepted on first submission
Percentage of claims denied by payers
Average cost to process and collect payment per claim
Hours saved per claim through automation
Percentage of claims processed with automation assistance
Percentage of claims requiring manual intervention
Start with claims pre-submission validation, then expand to real-time processing rules
Build eligibility verification, coding assistance, and pre-submission workflow automation
Train models on historical patterns to predict and prevent denials before submission
Centralized visibility into KPIs, automation performance, and workflow bottlenecks
Direct users of claim screening and validation
Benefit from coding guidance and automation
Define rules and ensure consistency
Oversight of revenue cycle performance
Build and maintain automation platforms
Strategic direction and budget allocation