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Denials & A/RIn active developmentFlagship

Accounts Receivable (A/R) & Follow-Up

Work the entire A/R book continuously — prioritized, pursued, and documented — instead of whatever staff can reach this week.

The work today

What the team is doing right now.

A/R specialists manually work aging reports, prioritize by age × dollar × payer, query portals or call payers for status, document outcomes, and escalate disputes. The book is always bigger than the team.

What the agent does

Scope.

  • 01A/R aging analysis and payer-specific work-list prioritization
  • 02Follow-up workflow generation per claim
  • 03Status queries — EDI where supported, portal and IVR where not
  • 04Dispute initiation and outcome documentation
How it works

Inputs → steps → HITL gate → outputs.

Inputs
Open A/R book
Payer behavior history
Status sources (276/277, portals, IVR)
Agent steps
01Prioritize by age × dollar × payer × predicted yield
02Query status across channels
03Document outcomes
04Initiate disputes / escalations as defined
HITL gate
Low-confidence or complex interactions are human-escalated; autonomy grows as measured outcome confidence accrues per payer and follow-up type.
Outputs
Worked claims with documented status
Disputes initiated
Outcome metrics per payer
Where it connects

Standard systems and EDI sets only.

Billing systemPayer portals276/277 status EDIEHR/EMRCall/IVR channels
The impact

Primary value vector: Capacity.

Move the deterministic majority of this work to the agent so the people who used to do it can work the work that actually needs them.

No RCM Kit performance number is stated on this page. Industry-benchmark ranges shown in the home page problem framing and ROI Estimator are illustrative only.

SNF specialized depth

Aged managed-plan and pending-coverage follow-up patterns where post-acute revenue lives or dies.

SNF is our flagship proof of depth, not the limit of scope. The same agent extends across broader healthcare RCM.

Questions

Honest answers to the obvious objections.

We've heard most of these. Here's where we stand.

How do you handle accuracy and hallucination risk?

Every output with regulatory or financial exposure is reviewed by a person before it leaves the system. Agents must clear evaluation gates before they go live and to stay live, and autonomy expands only as measured confidence accrues for that agent on that workflow.

How is data and PHI handled?

Agents handle protected health information per HIPAA-aligned practices: data segregation, least-privilege access, encryption in transit and at rest, and complete audit logging. Security and compliance are part of the architecture, not bolted on. See the Security page for full detail.

How heavy is the integration lift?

Agents execute the workflow inside your existing systems — EHR/EMR, billing, clearinghouses, payer channels. Deployment is phased, agent by agent, often shadow-running before any autonomy. You are not adopting a new operating system; you are deploying a workforce inside the one you have.

What's available now vs. on the roadmap?

Payment Posting is available today. Accounts Receivable & Follow-Up is in active development with an early-access cohort forming. The other 16 agents are on the roadmap — the waitlist is how you get in early and influence priority.

How does pricing work?

There is no public pricing yet. Early-access conversations are how we shape pricing with the first cohort. Join the waitlist and we will be in touch.

How is this different from RCM AI tools that failed before?

Prior generations were sales-led, horizontal, shallow on domain, and uncontrolled — autonomy without a safety story. RCM Kit is specialized (SNF-flagship, extending across healthcare RCM), deeply integrated into the systems where the work actually happens, and control-first: human-in-the-loop, evaluation gates, full audit. Different architecture, different result.

Early access

Notify me when the Accounts Receivable (A/R) & Follow-Up agent is live.

We're rolling out the suite agent by agent. The early-access cohort is small by design — early onboarding, priority on roadmap influence, and a direct line to the team building it.

  • → Onboarding before general availability
  • → Roadmap influence on which agents ship next
  • → Direct access to the build team — no SDR layer

By submitting, you agree to our Privacy Policy. We'll only use this to coordinate early access — no marketing list, no resale.