Meet ClaimBRAIN:
our AI enabled
technology platform

Our ClaimBRAIN AI enabled platform automation optimizes operational capacity by handling routine repetitive tasks and delivering revenue insights and resolution guidance that places our experts on the right claims at the right time for best efficiency and performance. 

In addition, by utilizing our experts and AI enabled technology across all our services, inventories are worked strategically for maximum recoverability compared to less effective methods by balance or age. Our process offers meaningful feedback including claim issues, payer trends and root cause issues for upstream RCM improvements and reduced future denials. 

ClaimBRAIN acts as a centralized hub, blending and streamlining the multitude of steps to integrate automation and workflows that guide our experts in resolving claims. 

Within the hub, our proprietary Resolution Probability Score (RPS) prioritizes claims to accelerate revenue. Our sophisticated machine learning model has over one million connections between neurons within our artificial neural network, increasing accuracy and granularity. Through these rich data sets, AI-driven claim predictions produce enhanced revenue outcomes. 

Combining human expertise alongside AI enabled technology resolves insurance claims at higher levels of effectiveness and efficiency. Our 100% U.S.-based trained RCM professionals, holding 28 accreditations, represent a diversity of knowledge from eligibility expertise to utilization to legal, as well as prompt training for AI.

Our private cloud-based environment has unparalleled security, similar to the standards of the banking industry. Our data is centrally managed with tightly controlled access based on business use. Our AI enabled technology is closed source and contained with our technology infrastructure. 

By embedding AI into ClaimBRAIN, we leverage real-time data and multiple AI techniques, including machine learning, optical character recognition, natural language processing and generative AI with dynamic prompting to enhance automation, boost productivity and secure revenue faster.

Transforming placement data into actionable insights guides our experts in prioritizing workflows. In addition, machine learning makes your data more powerful over time, expanding insights into claim trends and projecting future outcomes.