Billing & Claims Management
Transform your revenue cycle with AI-powered billing automation. From coding validation to denial management, eliminate manual work and maximize revenue recovery.
Complete Revenue Cycle Automation
From coding validation to payment posting, our AI handles every aspect of your billing workflow
AI-powered claim scrubbing ensures accuracy before submission
- CPT/HCPCS/ICD-10 code validation
- Modifier prompts and suggestions
- Documentation completeness checks
- Real-time error detection
Continuously updated library of payer coverage rules and requirements
- Real-time payer rule updates
- Documentation requirements
- Age-specific limitations
- Coverage policy database
Real-time verification and automated authorization workflows
- Real-time eligibility verification
- Automated prior-auth workflows
- Authorization status tracking
- Expiration date monitoring
Automated claim generation with multi-payer support and direct submission
- Automated claim generation
- Pre-submission error detection
- Multi-payer support
- Direct electronic submission
Direct integration with payer portals for seamless data flow
- Direct payer portal connections
- Real-time status updates
- Automated remittance processing
- Payment reconciliation
Automated denial identification and appeal letter generation
- Auto-identification of denial reasons
- Automated appeal letter generation
- Outcome tracking and analytics
- Success rate optimization
Intelligent tools for maximizing revenue recovery and contract compliance
- Contract vs. remittance comparison
- Underpayment flagging
- Automated appeal management
- Recovery tracking and reporting
Calculate Your Revenue Cycle ROI
See how CareLumi's billing automation transforms your revenue cycle performance
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Ready to Transform Your Revenue Cycle?
Join hundreds of care providers who have eliminated manual billing work and increased revenue recovery with CareLumi's AI-powered platform.