Backed by
Combinator

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AR Follow Up

Substrate helps healthcare providers, practices and hospitals get paid faster by automating common, tedious tasks in Revenue Cycle, including:
  • Checking Claims status in payor portals
  • Appealing denials and submitting attachments
  • Annotating your EHR or Practice Management system with updates
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Autonomous Agent
Acme Health System
billing management
Payor Responsibility
23%
Adjudicated Claims
DENIALS
1.76%
CLEAN CLAIMS
Substrate AI Agents perform tedious manual tasks across EMRs, practice management systems and payer portals
Payor Portal Automation
Substrate AI Agents log into payor portals and complete tasks for you
Learn More About Payor Portal Automation >>
Cameron Johnson
Member 3246156 | Group 12345
Annual
$102 / $500
Out of pocket
$235 / $1000
deductible
$102.35 / $500
Benefits
Network
CO-Pay
Specialist
In-Network
$35
Physical Therapy
Out of Network
$75
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Enriched Claim Status
Automatically run a claim status, and get rich data just like a human biller would. Substrate AI Agent save you about 4 minutes per claim.
  • Automated claims monitoring for no-response claims
  • Validation of EOBs/ERA vs. Payor Portals, vs Practice Management system
  • Audit trail with printouts & videos of the claim status as of the date it was checked
Learn More About Enriched Claim Status >>
Win 40% of Medical Necessity Denials
Substrate's AI-powered medical necessity solution helps practices that experience pended and denied medical necessity claims proactively resolve medical necessity issues. Here's how it works
  • Review prior auths every day to make sure all applicable visits have a valid prior authorization on file
  • Automatically apply for prior authorization via payor portal or by fax
  • Automatically compares medical record documents to prior authorizations, to ensure services rendered are medically necessary and in line with the prior auth, including effective dates, dosage, diagnosis codes and more
  • Continuously monitor outgoing claims that are pended for medical records, and automatically submit the correct medical record + prior authorization instantly
  • Automatically file appeals for denied claims + sync confirmation numbers back to your practice management system
Auto Appeal Medical Necessity Appeals >>
Substrate integrates seamlessly with your existing systems, ensuring a smooth transition and minimal disruption
Seamless to Integrate
Onboarding Substrate is as easy as adding a new employee to your team. With just login credentials, our AI agents can navigate any EMR or portal to retrieve data and context.
Contextual Knowledge
By leveraging unstructured information such as contracts, our agents can make informed decisions and provide valuable insights to optimize your revenue cycle management.
Real-Time Agent Tracking
Gain real-time visibility into agent performance, workload, and results, empowering you to make data-driven decisions and continuously improve your billing processes.
Always On Intelligence
Our agents operate continuously in your workflows
30X
Substrate's agents boosts biller productivity by up to 30x, streamlining revenue operations with greater precision
60%
Our artificial intelligence catches up to 60% more errors before claims are processed, reducing costly denials and mistakes
40%
Substrate agents autonomously fight claims decreasing denials by up to 40%, merging velocity with savings
Ready to learn more?
Contact us to learn more about how our artificial intelligent agents can improve your revenue cycle operations
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