Medical Biller
Verifies insurance at check-in. Gives the request a final review, submits it to the payer, records the decision and files appeals.
Check-in: verify insurance
Run the eligibility check before the patient sees the doctor.
Nothing here.
Ready for final review
Validated by the MD and coded. Review the request, then submit it to the payer.
Nothing here.
Denied: appeal or close
AI drafts the appeal from the payer's stated reason. You review it and file it.
Nothing here.
With the payer
Record the decision when the payer responds.
Nothing here.
Approved
Close once the EHR has been updated.
Nothing here.