AgentAI / Case study
Case study: our own billing operation.
A billing service: custom agents work claims. Specialty billers train and supervise them, and handle difficult cases.
Clean the first time.
Measured in our own operation
Both bars use the same 0–100% scale.
Faster to resend.
Lower cost per claim.
Lower cost per claim, agents vs human billers.
Another speed measureFirst action on a denial in 1.8 days, was 6.0 Podiatry billing company · 2026
More work.
Shared experience.
Weekly billing volume increased. Agents also handled work across four new practices using existing specialty training.
04 / Weekly volume
Bills per week
Agents and system
Jul 20 → Oct 5, 2026
05 / Across new practices
Existing experience.
New practices.
Of 1,952 bills across four new practices, agents handled 59% with no new rules or training round.
- Practices
- 4
- Bills observed
- 1,952
of bills handled by agents
06 / Claim submission
Of claims handled autonomously.
Sent. Rejected. Corrected. Paid.
A biller corrected the payer; our platform recorded both payments automatically.
- 01 · SentJul 28 · PlatformSent to Empire BCBS
Inspect receipts
837 · Claim file
Visit billing form receivedPlatform · arrival recordedSent to Empire BCBSPlatform · claim submittedSent ≠ paid - 02 · Rejected → correctedJul 28 · BillerPayer corrected → resent
Inspect receipts
277 A7 · Rejected
Wrong payerClearinghouse · code 21: missing or wrong informationBiller correction · Jul 28Empire BCBS↓ Medicare of NYBiller resent · new 837 - 03 · AcceptedJul 30 · ClearinghouseAccepted ≠ paid
Inspect receipts
277 A2 · Accepted
277 A1 · receipt confirmedClearinghouse · Medicare of NY277 A2 · acceptedClearinghouseAccepted ≠ paid - 04 · PaidAug 12 → Aug 24 · Platform$254.95 recorded
Inspect receipts
835 · Payment notices
$203.13Platform · recorded automatically$51.82Platform · recorded automaticallyPatient balance $0
Billed $320 → paid $254.95 → contractual write-off $65.05 → patient $0.
Let’s get you started.
See agents and specialty billers work a claim. Or explore where your billing is leaking revenue.
Patient data agreement (BAA) before sharing patient data.