Powered by AI, led by expert billers
AI-native medical billing partner.
We collect more, faster, at half the cost.
AI clears the routine, so our team works far more claims — and wins the ones others write off.
+ Your EHRMost billing companies lack the tools, the time, and the economics to chase every claim you have.
We win them back.
AI gives our expert team the tools, the time, and the economics to fight every denial — and win.
Across the industry today
A tough appeal can cost a billing company more than the claim pays — so most are left to expire, even though more than half would be overturned if fought.
Source: MGMA
Unworked queue
Recovered
82%of the denials we appeal, we overturn
AI works every claim
Our experts fight it
One person on your account
How it works
AI works every claim.
A human wins it.
One claim, four steps, fought to the end.
Step 01: Clean claims out. Every claim goes out clean.
AI checks eligibility, codes, and scrubs each claim against payer rules, then submits — usually the same day. Clean, routine claims go straight out; errors are caught before they become denials.
Step 02: Our team owns it. A human owns every account.
Our experienced billing team runs your account end to end — overseeing every claim in real time, with AI surfacing what needs a decision. They direct the work; nothing moves unwatched.
Step 03: Worked to the end. Denials get worked, not written off.
When a payer pushes back, AI assembles the appeal and the records; our team sets the strategy, works the payer, and presses until it pays — they own the outcome on every claim, not just the easy ones.
Step 04: A person you can reach. A real person, one message away.
A direct line to the team on your account — no tickets, no call-center roulette. The same people, every time.
Better results aren’t magic.It’s leverage.
The leverage is our own AI — built for billing, not bought off a shelf, and sharpened by our billers. It does the routine on every claim, so each biller covers 3–5× the work and wins what others write off.
Our AI + our team
AI does the routine; our billers do the judgment — and win the ones others let expire.
Collect more
Every denial worth fighting gets fought — we overturn of the ones we appeal, the claims most billers write off as lost.
Pay less
AI does the labor that used to need a roomful of people — so you pay about half.
The shift
Payers already use AI to deny. You need AI to get paid.
Insurers increasingly screen and adjudicate claims with AI, and the rules for getting one accepted keep shifting in their favor. A hand-keyed team falls a little further behind every month. Claims prepared and submitted the way payers’ systems now expect are how you keep up — and our experienced team is how you win the ones AI alone can’t.
The payer’s side
AI screens every claim — and denies.
- Eligibility screened by algorithm
- Claims auto-adjudicated at scale
- The rules for acceptance shift in their favor
Your side
AI prepares it the way payers now expect.
- Submitted the way payer systems now expect
- Coded and scrubbed to the current rules
- Our expert team wins the ones AI alone can’t
We work with your payers, everywhere — see our payer coverage →
A clean claim isn’t a paid claim.
A scrubber proves a claim is well-formed. Our AI predicts whether it’ll actually be paid — by reading how your payers really pay, across dozens of signals on every claim.
MRI brain
CPT 70551 · no contrast
Payer
AI read 47 signals
This payer denies headache-only brain MRIs without prior auth.
Full-cycle RCM
Most billers work the claim.
We own the whole cycle.
Eligibility & prior-auth
Coverage verified and auths secured before the visit.
Coding
Accurate codes, to each payer's rules.
Submit claim
Clean claims, out same-day.
Denials & appeals
We fight what others write off.
Patient follow-up
We chase patient balances too — the part most billers skip.
Most billers— the claim only (02–04)
OpenBilling — the whole cycle (01–05)
The money leaks at the edges — eligibility up front, patient balances at the back. We own both.
Built around the nuances of your specialty.
Every specialty denies differently. AI works each claim against your specialty’s exact rules; our seasoned team fights the denials that get you paid — and we know where yours hide.
Behavioral Health
Time-based codes, recurring sessions, and prior auths that lapse mid-treatment.
Physical Therapy
Visit caps, the therapy threshold, and the KX modifier payers love to reject.
Primary Care
Annual wellness visits, chronic-care management, and tangled E/M levels.
Pediatrics
Vaccine bundling, newborn add-ons, and constant secondary coordination.
Cardiology
Global periods, 26/TC modifier splits, and high-dollar prior auths.
OB/GYN
Global maternity packages and the carve-outs that quietly underpay them.
Don’t see yours? Tell us your payers on the call — when they deny, a human fights it.
Averaged across the practices we run — your specialty and payer mix move the exact numbers:
More claims worked. More denials won. More of what you earned, collected.
of the denials we appeal, we overturn
the claims most billers file under “lost”
faster to cash
the wait that's on us — slow filing, denial redos; not the payer's clock
Still skeptical? Good.
The questions that come up most
Here’s what practices ask before they switch.
AI works every claim, so an expert biller has the time to fight the hard ones most billers write off. A typical billing company earns a small percentage of each claim, so a tough denial can cost more to appeal than it pays — which is why up to two-thirds of denials are never reworked. Chasing exactly those is what we’re built for.
AI does the routine and submits clean claims automatically; our seasoned team owns the judgment calls — denials, appeals, edge cases — and has the final say.
Yes. A dedicated biller from our team, assigned to your practice and reachable directly — the same person every time, with callbacks in hours.
Traditional billers charge 5–7% because the work is done by hand. AI does the heavy lifting on every claim, so a skilled biller covers far more claims — and your rate runs about half, with a human still closing every claim. We’ll quote it on a call.
No. We work inside your existing EHR. No migration, no new system to learn.
Most practices keep their front desk and hand us the billing grind. Your team gets back to patients; we handle submission, follow-up, and appeals end to end.
Most practices are live in about two weeks. We connect to your EHR, assign a dedicated biller, and start working claims.
Book a demo
Stop writing off the claims you earned.
Book a short demo and see exactly how OpenBilling would work for your practice — how AI works every claim, how we’d fight the denials others write off, and what that could mean for your collections. No switch, no commitment.
A walkthrough tailored to your specialty
How denials get caught — and fought
Where we’d recover what you’re owed