Everything between a raw export and recovered revenue.
RCM Smart follows a claim from the file it arrives in to the outcome your team records. Here is each step.
Claim import
Every clinic and EMR names its columns differently. RCM Smart reads each export, maps it onto one standard claim model and remembers the mapping for next time.
How claim import worksClaim scoring
Stop working claims in row order. The scoring engine weighs what decides recovery, then tells your team which claims to work, which to watch and which can wait.
How claim scoring worksClaim allocation
Supervisors slice the queue and hand it out in one pass. Everyone then works from the same record, with a clear owner and stage on every claim.
How claim allocation worksAI claims analysis
Quick Insights answers questions about a practice's claims with the numbers, and builds a chart when you ask for one. When a question turns into a project, Data Studio keeps going.
How AI claims analysis worksDashboards and reports
Dashboards for AR aging, denial mix, payer performance and recovery, arranged the way you think. Reports come straight from the work your team already records.
More on dashboards and reportsTeam roles
Everyone looks at the same record and sees the part that matters to their job, so nobody has to rebuild the picture in a spreadsheet.
More on team rolesAccess and audit controls
Revenue data is sensitive and claim work has to be defensible. The controls are built in, so nobody has to remember to switch them on.
More on access and audit controls