Automate your payor portal tasks

Substrate's AI Agents put payor portal tasks on autopilot, including
  • Submitting attachments like medical records
  • Submitting EOBs for secondary insurance
  • Checking Claims Status
  • Submitting Appeals
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Join hundreds of healthcare practices using Substrate

Easily automate tasks in payor portals, EMRs or practice management systems

Enhanced Claims Monitoring Agent
Logs into payer portals to retrieve claims status, denial codes, check details and more. Saves an average of 3 minutes per claim.
Appeals Agent
Reads denial, closure, CARC & RARC codes. Validates treatment records and other documents & initiates & submits rebills, corrected claims & appeals based on denial reasons. Wins 41% of appeals.
Medical Records Agent
Logs into EMR to retrieve medical records, prior authorization documents and other documents.
AI Powered Eligibility Agent
Retrieves eligibility information from payor portals including plan details, benefits and (where available) patient cost share estimate.
Notation Agent
Appends notes to claims in Practice Management Systems for automated worklist & queue management.

FAQ

What is Substrate?
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Substrate is an AI company helping healthcare providers get paid what they've earned. We use AI and AI agents to handle tasks that a biller would otherwise do.
How do Substrate's agents operate?
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Substrate's AI Agents securely log into your EMR, practice management system, and your payor portals to retrieve claims data on your behalf. Substrate works with several leading EMRs including AdvancedMD, Practicefusion and more
What is a no response claim?
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A "no response claim" refers to a situation where an insurance company or claims administrator fails to respond to a submitted claim within the required timeframe. No response claims can also happen when a payor has an update on a claim in the payor portal, or that they send via paper, but does not result in an EOB or ERA being sent electronically. No response claims are frustrating because they add delays to a provider getting paid or a biller working that denial.
Is Substrate suitable for any provider?
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Yes - Substrate can work with both outpatient and inpatient practices. Substrate does not work for pharmacy, dental, or labs.
How does Substrate's claims monitoring work?
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Substrate's claims monitoring solution is very straightforward:1. First, a practice will define which claims they want monitored. This can be set up as a report that runs daily or weekly, or provided on an ad hoc basis.2. Next, Substrate maps each claim to the appropriate portal, logs in to the portal and looks for the claim3. Third, Substrate pulls the latest status of each claim from the payor portal, and surfaces it in the Substrate dashboard.4. Lastly, a practice can choose where to push the data; to the dashboard, to the practice management system, or even to a spreadsheet.
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