AutomatedRCMAI Demo SuiteLIVE DEMO · SYNTHETIC DATA
🧪 TEST PATIENT DEMO INFORMATION — EVERY PATIENT, PROVIDER, AND PRACTICE ON THIS PAGE IS FICTIONAL TEST DATA. NO REAL PATIENT INFORMATION IS SHOWN, STORED, OR TRANSMITTED.
PAT — AI Prior Authorization Agent
PAT checks payer rules in seconds, writes the payer-ready medical necessity letter, submits, tracks every auth, and when a payer denies — drafts the appeal automatically. Watch the whole lifecycle live using test patient demo information.
What this agent does
1Checks payer rules instantlyKnows the prior-auth requirements for UnitedHealthcare, Aetna, Cigna, Florida Blue, Humana, and Medicare Advantage across high-volume procedures — the lookup your staff does by phone in 45 minutes, done in 2 seconds.
2Writes the medical necessity letterAI drafts a complete, payer-ready letter citing the exact clinical criteria the case meets — generated live in about 15 seconds, ready for provider signature.
3Tracks every authorizationEvery request gets an ID and a full timeline — submitted, pending, approved, denied — so nothing falls through the cracks and no procedure happens unauthorized.
4Fights denials automaticallyThe moment a payer denies, PAT drafts a point-by-point appeal letter. Try it below: deny a test authorization and watch the appeal appear.
New Prior Auth Request
Rules engine covers top payers × high-volume CPT codes; unknown codes fall back to AI policy assessment. Production deployments verify against live payer policy and plan-level benefits.
Medical Necessity Letter — generated by PAT🧪 TEST PATIENT — DEMO DOCUMENT
Live Auth Pipeline
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Auth detail
AUDRA — AI Billing Audit Agent
AUDRA reads a practice's A/R aging, 90-day denial history, E&M coding distribution, and modifier patterns — then writes a full audit report with exact recoverable dollar amounts. This demo runs on a fictional test practice — no real practice data.
What this agent does
1Reads the numbers your billing system already hasA/R aging buckets, 90 days of denials by reason code and payer, E&M coding distribution, and modifier usage — the standard reports every practice can export.
2Finds the moneyRecoverable denied claims, undercoding patterns (99213 overuse costs real revenue every visit), missing modifiers, and timely-filing deadlines about to expire.
3Writes the full audit report in ~30 secondsFour sections with exact dollar amounts: A/R recovery plan, denial pattern analysis, coding audit vs. national benchmarks, and an executive summary naming the single most urgent action.
Practice Snapshot🧪 FICTIONAL TEST PRACTICE
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The audit takes ~30 seconds — Claude reads every figure and writes the report live. Nothing is canned.