Our AI increases efficiencies, reduce stress, improve revenue, and lower costs.
The best and most effective AI solutions are meant to work with staff to get tasks completed more efficiently and accurately freeing staff time for more profitable tasks.
AI CLAIMS AND POLICY ADJUDICATION
B.R.U.C.E intelligently reads the claims, policies, and supporting documents; keeps track of 1000’s of variables; determines correct payout based on rules and history; gives you analytics; and puts it all at your fingertips in seconds.
The Problem |
|---|
Too many policies with different rules |
Supporting documents are difficult to analyze |
Adjudication is labor intensive |
Processing time takes too long |
The Solution |
|---|
Automatically reads policies and extracts rules |
Automatically extracts relevant information |
Decreases need for human intervention |
Claim adjudication in minutes |
“We reduced our staff by 40% and cut our adjudication time in half.”
– International TPA
AI CORRECT-PAY FEE SCHEDULE MANAGER
B.R.U.C.E. intelligently reads the fee schedules, notifies you of changes, recommends codes based on payment history, and puts it all at your fingertips. It analyzes your claims to confirm you are getting maximum allowable payment and makes changes when necessary.
The Problem |
|---|
Too many fee schedules |
Too many low payments and denials |
Staff and doctor frustration |
High administrative costs |
The Solution |
|---|
Keeps track of all fee schedules |
Identifies billing codes for optimal payment |
Automatically identifies & corrects underpayments |
Easy to use intelligent dashboard |
“AI Correct Pay Fee Scheduler reduced our staff costs related to determining correct codes by 80%.”
– Private Ophthalmology Practice
“AI Correct Pay Fee Scheduler
increased our revenue by helping
to avoid denials.”
-Multi-state medical group
AI CLAIMS MANAGER
The Problem |
|---|
Constantly changing insurance rules |
Many low payments and denials |
Too many rejections |
High administrative costs |
The Solution |
|---|
Automatic rules updates |
Low pay module ensures highest legal payment |
Improves first pass acceptance – fewer rejections |
Lowers administrative costs |
AI HEALTHCARE DATA MANAGER
Provides all of your information in an accessible unified data source – reducing malpractice risk, saving time and money, improving efficiency, and decreasing personnel costs. B.R.U.C.E. cognitively reads and imports data in all formats, including legacy EMR’s, automatically.
AI Healthcare Data Manager then extracts relevant data, matches patient data-threads from different systems and puts all of the data in one location – without any human interaction. Clear dashboard gives access to data using regular English queries.
The Problem |
|---|
Data in different formats & systems |
Manual extraction is expensive and slow |
Data in too many places – malpractice risk |
Different patient IDs in multiple systems |
Finding relevant data time consuming/costly |
The Solution |
|---|
Cognitively reads any data format or system |
Extracts all relevant data automatically |
All data in one accessible location |
Threads all patient records together |
NLP allows easy data access |
“Being able to easily access legacy EMR records and shut down old systems saved six figures in direct IT expenses and decreased our malpractice exposure.”
– CTO of large hospital group
SCHEDULE YOUR DEMONSTRATION NOW