AI-powered Claim Status

Substrate AI Agents do AI Powered Claims Monitoring:

  • Automatically check status of no-response claims. Substrate's AI-powered claims monitoring saves an average of 4 minutes per claim
  • Get CARC, RARC, closure codes & remarks directly in your Practice Management system
  • Easily compare allowed amounts & measure A/R contracted rates
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Traditional claims monitoring products suck

100% EDI Based
EDI only claims monitoring tools come back with a limited, standard set of data. Even when you use these products, billers still have to log back into the payor portal to find out what's really happening.

Substrate AI Agents log into payor portals for you.
Limited Payer Coverage
Traditional claims monitoring products only work with a fixed set of payers.

Substrate AI Agents work with any payer portal.
Not Integrated into your EMR
Most EMRs don't have claims monitoring built in by default.

Substrate AI Agent work with any EMR or practice management system.

Join hundreds of healthcare practices using Substrate

Introducing AI powered claims monitoring:

Substrate automatically monitors claims according to your set rules. The Substrate AI agents will log into payor portals on your behalf to check if no-response claims have been updated. Substrate will also ingest correspondences and turn them into structured data for your billing team to use.
Easily see how frequently denial codes are occurring for specific payers, providers and procedures.
Verify allowed amounts vs. contracted rates
Substrate will extract your contracted rates from payers and automatically compare them to the allowed amounts in the payor portal and in your EOBs/ERAs
Stay up to date on denials
See all CARC & RARC codes as well as payor notes at a claim level and vs. every submitted CPT code.
Works with any EHR/PM System
Substrate's browser based AI agents push claims status updates directly into your EMR/PM system. No requirement for an IT team or a large integration lift.

Substrate is compatible with over 2 dozen EMR/PM systems

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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Contact us to learn more about how our artificial intelligent agents can improve your revenue cycle operations
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