Alaskan community health center achieves 97.4% accuracy in claims processing

Alaskan community health center achieves 97.4% accuracy in claims processing using CombineHealth AI

Learn how an Alaskan FQHC eliminated revenue leakage and transformed productivity by solving their denial crisis. Processing 5,000+ claims monthly, they were drowning in manual EOB analysis and analyst burnout.

Customer Success Stories
Alaskan community health center achieves 97.4% accuracy in claims processing

Alaskan community health center achieves 97.4% accuracy in claims processing

Learn how an Alaskan FQHC eliminated revenue leakage and transformed productivity by solving their denial crisis. Processing 5,000+ claims monthly, they were drowning in manual EOB analysis and analyst burnout.

CombineHealth Cuts Eligibility Verification Time by 80% for a Pennsylvania Anesthesia Group

CombineHealth Cuts Eligibility Verification Time by 80% for a Pennsylvania Anesthesia Group

A Pennsylvania anesthesia group was drowning in manual insurance verification, with staff spending hours daily juggling payer portals and dealing with formatting errors that delayed reimbursements for weeks.

Large Anesthesia Group Generates 150+ Claims in Minutes

Large Anesthesia Group Generates 150+ Claims in Minutes

A Pennsylvania anesthesia group was drowning in manual billing, with staff spending entire days hand-entering codes and struggling with 50+ payer rule sets that led to frequent denials.

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Amy

Meet Amy

AI Medical Coder

  • AI-driven ICD-10 & CPT coding
  • Ensures payer-specific coding compliance
  • Identifies undercoded & missing services
  • Enhances coding accuracy & efficiency.
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Mark

Meet Mark

AI Medical Biller

  • Automated claim generation & validation
  • Submission to payers with error checks
  • Identifies billing discrepancies & rejections
  • Tracks claim statuses & payments
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Jessica

Meet Jessica

AI Medical Scribe

  • Real-time clinical note generation by listening to the doctor
  • Flags missing details with smart prompts
  • Auto-structures notes for coding and billing accuracy
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Adam

Meet Adam

AI Denial Manager

  • Seamlessly navigates payer portals for claim status check
  • Make AI-driven calls to retrieve status and resolve denials
  • Intelligently prioritizes cases
  • Customizable call scripts and branching logic
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Taylor

Meet Taylor

AI Revenue Cycle Analyst

  • Analyses each step of RCM process and identifies bottlenecks
  • Streamlines real-time analytics dashboards
  • Generates monthly summary reports customizable to each team member;s KPIs and goals
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Penny

Meet Penny

AI Policy Reviewer

  • Searches across CMS manual, public payer policies, other PDFs to answer policy related questions
  • Provides precise answers with page-level citations
  • Collaborates with other AI solutions like Mark and Amy as needed
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Rachel

Meet Rachel

AI Appeals Manager

  • Drafts clear, payer-specific appeal letters in minutes
  • Adapts to your organization's writing style from previous appeals
  • Extracts subtle references from provider notes to generate medical necessity reasoning
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