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One claim record, a view for every role.

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.

A biller wants to know what to work next. A denial specialist wants to know which denials can still be won. A supervisor wants to know who is stuck, and on what. Leadership wants to know where the cash is stuck, and why. RCM Smart answers each of those from one record.

Permissions are set role by role and practice access is granted person by person, so each person sees the work that belongs to them.

What you get

  • Billers

    A queue sorted by recovery score, the next step on every claim, and outcomes logged inline.

  • Denial specialists

    Denial reason and filing window side by side, with the claim's full history.

  • Supervisors

    Allocate in bulk, watch every desk and answer help requests from one queue.

  • Leadership

    Bird's-eye numbers across practices, trend dashboards, and sign-off and collection reports.

06 Roles

One claim. Four chairs.

Everyone looks at the same record and sees the part that matters to their job. Pick a chair.

“What should I work next?”

  • A queue sorted by recovery score, not by row number.
  • The next step spelled out on every claim.
  • Outcome, action and note logged inline, without leaving the list.

CLM-20418

DeniedRecommend work$1,240.00Aetna · Patient: hidden

Next step

Correct CPT/ICD coding and rebill the claim

Outcome: In-ProcessAction: ResubmittedPrivate note

Denial and deadline

Coding error

Usually fixable by correcting and rebilling

47 of 120 filing days used

Ownership

M. OkaforStage: In progressHelp: raised 09:21, resolved 09:40

Rolls up to

Riverside Family Medicine$412k open AROrg bird’s-eye