Claims Processing Agent

$350K in denied claims. Written off. Every year.

Half your denied claims are never reworked. They sit in a queue, age past timely filing, and get written off as a cost of doing business. Your AI claims agent catches errors before submission and follows up until every dollar is resolved.

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The cost of claims processing, quantified.

10-12%

Average claim denial rate and climbing. Up from 8% just three years ago.

50%

of denied claims are never reworked. Written off. Revenue disappears silently.

$350K

in denied claims written off per year. For a 12-provider clinic.

How a denied claim disappears.

It doesn't fail loudly. It fails silently.

Day 1

Claim submitted with a demographic error from manual intake. Neither staff nor system catches it.

Day 14

Denial arrives: 'Patient information does not match payer records.' Added to the rework queue.

Day 30

Queue has 47 denials. Staff works the highest-dollar ones. This one sits at $180.

Day 60

Still in the queue. Staff turnover means nobody remembers the context.

Day 90

Timely filing deadline passes. Claim is written off. Gone.

With AlignBridge

Demographic error caught before submission. Claim goes clean. Denials tracked and reworked automatically by dollar value. Nothing written off.

What the agent handles.

From pre-submission checks to denial recovery.

Pre-Submission Error Check

Validates demographics, codes, and payer requirements before the claim goes out.

Real-Time Tracking

Monitors every claim from submission to payment. No black holes.

Denial Prioritization

Ranks denials by dollar value and filing deadline. Works the highest-impact ones first.

Auto Follow-Up

Resubmits corrected claims automatically. Follows up with payers until resolved.

Eligibility Pre-Check

Verifies insurance eligibility before the visit. Prevents the most common denial cause.

Coding Validation

Checks procedure and diagnosis code combinations against payer-specific rules.

Timely Filing Alerts

Warns staff before filing deadlines expire. No more revenue lost to missed dates.

Reporting

Denial trends, root cause analysis, payer performance. See where the money is leaking.

The same clinic. Different claims process.

From write-offs to recovered revenue.

10-12%

<5%

Denial rate

50% abandoned

95%

Claims reworked

$0 recovered

$300K+

Revenue recovered/yr

Weeks

Same day

Turnaround time

Stop writing off revenue
you already earned.

15-minute demo. See how your clinic recovers $300K+ in denied claims.