RCM has become the first AI battleground.

ClaimsAgent is your RCM's fully-customized AI solution to level the playing field with your payers. No up front fees, rapid onboarding and no IT burden or complicated training.

Unique Pattern Recognition

Your organization's RCM experiences are not the same as your neighbor's. You have different providers, services, tech, mixes of payers, PFSs, contracts, etc. This is why big AI isn't working for provider-side RCM - because one size does not fit all.

Zero-Effort Integration

See results fast without all the traditional work slowdowns. No new software to learn, no workflow disruption, no complicated onboarding for IT. ClaimsAgent works seamlessly with your existing systems, and it can be up and running in less than a day from first receipt of data.

AI For 5X RCM Productivity

Because of new AI tactics being utilized by some payers, many RCM teams are being forced to deal with one claim at a time while thousands of denials and sneaky underpayments are hitting their systems. The way to win isn't to hire more people, it's to multiply your team's productivity by 5X or even more with ClaimsAgent.

Leading-Edge AI Research Meets Risk-Free Results

The Light of Knowledge

Born at the University of Tennessee, ClaimsAgent’s AI technology is the product of internationally-recognized groundbreaking research in data visualization and pattern recognition for RCM claims management. 

This advanced AI technology now powers a revolutionary approach to healthcare revenue optimization.

But we don’t just rely on our academic credentials: we put our money where our results are. During your 90-day pilot program, you pay nothing until we prove our value by increasing your average revenue from denied and underpaid claims. 

No upfront costs, no complex integration projects, and no new systems for your team to master. 

It’s simple: if we don’t boost your revenue, you don’t pay. That’s how confident we are in our solution’s ability to transform your revenue cycle management.

Next-Generation AI Technology

ClaimsAgent’s DgPg transformer model represents a breakthrough in healthcare claims analysis.

Our proprietary AI technology doesn’t just process claims—it understands the complex relationships between medical codes, payment patterns, and denial reasons.

This deep learning approach allows us to:

Ready For A Risk-Free Pilot?

Latest News

What's happening in the industry, our published research, and more