RCM Overview

End-to-End Revenue Cycle Automation Dashboard

🟢 2/2 AI Agents Online
Today's Executive Operations & Outcomes Real-time enterprise metrics
Revenue Protected
$0.00
Surgical & high-value cases cleared
Claims Processed
0
Automated batch eligibility verifications
AI Actions Executed
0
Automated tasks & EMR document extracts
Recovered Revenue
$0.00
Resolved claim rejections & CCI audits
Pending Denials
0
Active work queue awaiting auto-appeal
Clean Claim Rate
98.2%
First-pass resolution
Denial Rate
1.8%
Target < 2%
Avg Days in A/R
22 Days
Industry best practice
Appeal Success Rate
94%
AI drafted appeals

Revenue Recovery vs Denials

Revenue Recovered ($k)
Denials Tracked (count)
150 100 50 0 Mon Tue Wed Thu Fri Sat Sun

Agent Core Status

Eligibility Verification (EV)

Inactive coverage alerts active

Monitoring Queue

Denial Management

Auto-drafting appeal letters

Analyzing ERA

Live Agent Operations Feed

Real-time Activity Active

Eligibility Verification Agent

Watching 3,631 national insurance carriers | Real-time eligibility clearance

Status🟢 Ready
Today Verified0
Success Rate--
Avg Response--
Revenue Protected$0.00
✓
Patient
➔
✓
Insurance Search
➔
⚡
Eligibility Check
➔
🔍
Benefit Lookup
➔
💲
Copay / Ded.
➔
🎯
Completed

Patient Insurance Verification Work Queue

Patient Name Insurance Payer Policy No Verification Status Copay / Ded. Alerts

Insurance Benefits Summary

Select a patient to inspect API response details

No patient selected

Denial Management & Appeal Agent

Automated claim rejection root cause analysis & single-click appeal package generation

Today's Denials0 Claims
Recoverable0 Claims
Recovery Value$0.00
Auto Appeal Ready0 Ready
High Priority0 Urgent

Import ERA / EOB (Electronic Remittance Advice)

Simulate importing insurance remittance data. The Denial Management Agent automatically classifies denial codes, performs root cause analysis, and triggers automated corrective recommendations.

Click to Import ERA / EOB File

Accepts .ANSI-835, .CSV, or .PDF scans

Denial Categories

0 Claims
Missing Info (0%)
No Auth (0%)
Inactive Coverage (0%)
Other (0%)

Classified Denied Claims & Root Cause Analysis

Claim ID Patient Payer Service / CPT Denial Code & Description Root Cause & Recommendation Action

Claims & Billing Management Center

Superbill encounter entry, charge scrubbing, and electronic ANSI X12 837 claim filing

Active Claims Ledger

Claim / Encounter ID Patient Name Date of Service CPT & ICD Codes Billed Amount Billing Stage Actions

Patient Demographic & Account Master

Centralized patient charts, active insurance policy vaults, and account balances

Patient Directory

Patient Name DOB & Gender Primary Insurance Subscriber ID Patient Balance Account Status

Accounts Receivable (A/R) Aging Dashboard

Track outstanding insurance claims and patient balances by aging buckets

0 - 30 Days (Current)$0.00
31 - 60 Days$0.00
61 - 90 Days$0.00
91 - 120+ Days (High Risk)$0.00

A/R Collection & Payer Performance Breakdown

Insurance Carrier Open Claims Gross Charges Paid Amount Outstanding A/R Avg Days in A/R

Appointments & AI Pre-Visit Center

Schedule patients, verify insurance, check prior authorization, and prepare claims before the patient arrives.

No-Show Risk0
Estimated Revenue$0.00
AI Tasks Running0

Daily Appointment Queue

Time Patient Provider Type Specialty Payer EV PA Copay Status AI Risk Action

⚡ Today's AI Assistant

Appointments Today: 0
Insurance Verified: 0 (100%)
No Show Prediction: 0 High Risk
Revenue Forecast: $0.00

🕒 Pre-Visit Workflow Pipeline

✓ Intake Created
✓ EV Agent Checked
✓ Coverage Check Done
⌛ Patient Reminder Queued
⌛ Charge Review Prepped
⌛ Appointment Ready

Clinical Document Vault

Encrypted Cloud Storage Active

Secure, HIPAA-compliant repository for Medical Records (MR), Patient ID cards, and clinical attachments

Upload Document to Storage Vault

Stored Patient Document Repository

Document Name Patient Category Upload Time Action

Provider Billing Credentials

Staff Accounts & Role Controls

Create and manage login credentials for front desk and back desk operations.

Staff Username Assigned Role Created Date Action

IGS Platform Administrator Console

Manage registered practices, billing provider credentials, and audit activity statistics.

Registered Provider Practices

Facility / Clinic Provider Name National NPI Location Address Admin Email Status