Healthcare administrative and revenue operations, run with AI

Automate your workflows: reconciliation, denial recovery, or scheduling. We run it inside your systems or own the outcome end to end.
Hours of hand work become minutes of review, and every action carries a receipt.

Book a Chat

Billing system

Clearinghouse

Payer

reconciliation An unmatched charge traced across claim, remit, and posting, then posted the same day.

denial recovery $118 of hand work becomes minutes of your reviewer's time; the appeal files inside its window.

Done in your system

Receipt

The revenue is earned. Collecting it is where the cost sits.

Revenue leaks three ways: records that do not match, cases that sit, windows that expire. Denials show the scale: an estimated $262 billion in hospital charges come back denied each year, and about 63% of that is recoverable.

Recovery is hand work: roughly $118 per appeal, multiple rounds when fought, and a missed window is a permanent write-off. Earned revenue expires in worklists while volume keeps climbing.

One measured example: denied hospital charges, per year

$262B Initially denied Hospital charges that come back denied on first submission.

63% Recoverable Of denied claims, the share that can be won back.

$118 Per appeal Rough cost to prepare one appeal, before any second round.

Change Healthcare Revenue Cycle Index, 2017; 2016 hospital claims data.

Reconcile the records. Decide on your policy. Act, and prove it.

Reconcile Records from your billing system, the clearinghouse, and the payer come together as one case. Matches are explicit, conflicts are surfaced.

Decide Your policy, applied. Deterministic checks run beneath the model, so every judgment stays inside bounds you set.

Act The next step gets completed in the system that owns it: the rebill, the appeal, the posting, the schedule update.

Prove Every action logs what happened and why, readable by an auditor months later.

Built for work that tolerates no wrong answers.

You decide what runs automatically and what waits for review. Policy is enforced deterministically beneath the model, so the rules never move. Every case closes with a record that stands up to the payer dispute or the compliance review, years later.

If we cannot say what the system does at every branch, we do not take it on.

The workflows we take on first.

Revenue and charge reconciliationCharges, claims, remits, and postings matched across systems, down to the 835 that answers an 837 it does not match, with every unmatched dollar surfaced as a case.
Denial recoveryEach denial read against the payer contract and your policy, the appeal filed inside its window with the basis attached.
SchedulingChanges, authorizations, and eligibility handled as one case, so a moved appointment never orphans its paperwork.

$18B spent by providers in 2023 fighting denials that were ultimately overturned. Premier Inc., 2023 data.

Bring a different workflow and we will tell you plainly whether it is one we can bound.

It runs where your data already lives.

Access: Read-only by default. Writes happen only inside a scope agreed in writing.
Model training: We never train models on your data.
Model calls: They run under your own key.
HIPAA and BAA: The work sits under HIPAA and we treat it that way: our compliance program is in its final stretch, and we sign a BAA with every customer before any patient data moves.

The rest gets settled on the first call: which parts AI would run, which stay with your people, and which we would leave alone for now.

Talk about a workflow top of your mind

Initial conversation. No long contract, no commitment.

Book a Chat

Emailhello@symbric.com Phone(415) 805-1668

Please do not send patient information by email.