The questions sharp revenue teams actually ask.

AcuraClaim runs the front of your revenue cycle, eligibility and benefits verification (VOB), autonomous medical coding, claim scrubbing and 837 submission, EOB/ERA posting, and Medicare Part A and Part B submissions. AI agents run each stage end to end, acting only on what they can substantiate and handing back what they cannot, with the reason attached. You get a live dashboard instead of a monthly black box.

Autonomous means the agents run the front of the cycle end to end on their own (verifying eligibility, coding from the visit, scrubbing and submitting clean 837s to the clearinghouse, and posting ERAs) rather than waiting on a biller to drive each step. There is nothing to configure for that to work: an agent either can stand behind a decision from the evidence it has, in which case the work goes untouched, or it cannot, in which case it leaves the visit alone and hands it back with the reason. Every action is on the audit trail.

Mobile diagnostic reading companies first: groups that take the imaging to the patient and read it, billing the scan and the read as separate charges, with Medicare Part B volume across skilled nursing, assisted living and home health rosters. Urgent care clinics and other medical facilities are the second fit. What they share is real claim volume and decisions that are expensive to get wrong, like which part of Medicare applies, whether a stay is covered, and whether both split-component charges make it onto the claim. If billing has become a cost center you can't see into, that's the problem we solve.

AcuraClaim is built by Emergent Connect, a healthcare technology company. Engineering and billing experience go into each agent before it decides anything on your claims, so the platform is built by people who understand the clinic, the lab, and the billing office from the inside.

Traditional billing companies throw labor at the problem and report once a month. AcuraClaim runs an AI platform that works every claim in real time (agents run each stage end to end, acting only on what they can stand behind) and shows you the work live. You get full automation, the audit trail to verify every action, and complete transparency.

No. A clearinghouse transmits claims and runs basic edits; it doesn't code your charges, scrub and optimize your 837s, or post your ERAs. AcuraClaim does the actual revenue-cycle work across five focused stages and uses clearinghouse/EDI connectivity as one piece of the pipeline.

No, and it is not built to. The agents run the front of the cycle end to end, and your billers do the same job they do now (work the list, fix what needs fixing, make sure it goes out) with far less of it to get through. Routine claims stop reaching their lists at all; what does reach them arrives with the finding already attached, so a biller corrects instead of investigating. Every action an agent takes is logged and inspectable.

Each agent runs a stage of the billing cycle end to end: Abby determines who should be billed and routes Medicare Part A or Part B, Ellie re-checks eligibility and VOB on every unbilled visit, Cody codes from the visit and captures the charges, Sarah scrubs each claim against current payer rules and submits clean 837s to the clearinghouse, and Posie posts ERA/835 remittances and matches them to the claim. They do the work, and hand back only what they cannot stand behind, with the reason attached.

Full visibility, not a control panel. An agent acts only where it can substantiate the decision from your data and current payer rules, and leaves everything else for a person with the reason attached. What you get is the record: every action logged and inspectable.

The AI codes directly from the visit and captures charges. Codes it can defend from what the visit supports ship; anything it cannot defend is left alone and routed to your team to review before submission, with the reason recorded. Accuracy comes from coding against the actual visit and current payer rules, held to established coding standards, with a full audit trail on every code.

The platform is built so most errors are caught before a claim leaves the door: a claim that fails a payer-rule check is held, and anything an agent cannot substantiate is routed to your team rather than submitted. When something does slip, the audit trail shows exactly which agent did what and why, so it can be traced and corrected. Nothing an agent does is a black box you have to take on trust.

The agents work to each payer's current rules and to what your own documentation supports, so the work follows your book of business without anyone maintaining a configuration for you. When a payer changes its rules, the agents work to the new ones.

We constrain the AI to your actual data and current payer rules rather than letting it free-form. Codes and postings are checked against the source documents. Anything the agent cannot substantiate from those documents is held and routed to your team for review, not submitted.

The five named agents, Abby (census and Medicare Part A or B), Ellie (coverage and benefit checks), Cody (coding and charge capture), Sarah (claim checks and submission), and Posie (payment posting), each own one stage of the billing cycle end to end, so it's clear who's responsible for what. It's a way to make the mechanism legible, not a gimmick.

In most cases, yes. We connect to the major practice-management and EHR systems rather than asking you to switch. Tell us what you run and we'll confirm the integration before you commit to anything.

No. AcuraClaim works inside the systems you already run, there's no migration off your EHR or PM. We connect to your stack and exchange data the way your payers expect.

During onboarding we connect to your practice-management and EHR systems and stand up the claims and clinical data feeds. After that, data flows automatically, and your team doesn't re-key anything.

Tell us what you run. We connect to the major practice-management and EHR systems and add new ones regularly, so a system that isn't on the list usually just isn't connected yet. We'll be honest about whether and how quickly we can connect to it, before you sign.

We map your specialties, payers, and systems, connect with scoped access, stand up your EDI and payer enrollments, and agree the cutover scope with you. You keep visibility the whole way through a shared dashboard.

It depends on your environment, so we scope it with you rather than quoting a standard number. What drives the timeline is how your practice-management and EHR systems connect, how long EDI and payer enrollments take to come back, your payer mix, and how quickly we get scoped access. We walk through all of it before you sign and tell you what your own path looks like.

No. Nothing stops during the switch: your in-flight claims keep moving on your existing process while the agents pick up new visits, and the cutover scope is agreed with you before anything changes hands. You see every action on the dashboard from the first claim.

Your in-flight claims keep moving on your existing process while the agents pick up new visits, so nothing is dropped at the cutover. We don't take over A/R follow-up or denials on your historical book: that stays where it is; we get your new claims out clean. Cutover scope is agreed during onboarding.

Light. The setup is a connection to the systems you already run, not a migration, and your team logs into prioritized worklists rather than learning a whole new system. Your billers keep the same job they have today, with less of it.

Quickly. Cleaner submissions show up as soon as claims go out, payments post the day they arrive, and you watch both on the dashboard rather than waiting for a monthly report.

The four that tell you the front of the cycle is working: claims that go out untouched, claims accepted the first time, coverage confirmed before billing, and payments posted the day they arrive. All of it is visible in your dashboard rather than a monthly PDF.

The dashboard shows every claim, posting, and dollar in real time (what's been submitted, what's been posted, and what's pending) so you can see exactly what the agents are doing day to day.

Representative first-pass acceptance runs in the high-90s%, because every 837 is scrubbed against current payer rules before it leaves the door. We baseline your current rate first, then set a realistic target against it rather than promising a generic number.

Yes. That's the front-of-cycle work we do. We re-check eligibility on every unbilled visit before the charge bills, and scrub every claim against current payer rules before submission, so fewer claims bounce on the first pass. We focus on getting claims out clean; we don't manage appeals, denials follow-up, or A/R. We baseline your current first-pass acceptance before we commit to a target.

We baseline your current first-pass acceptance and posting before anything goes live, then show progress against your own starting point rather than a generic industry average. An honest comparison to your own numbers beats a flattering chart.

The agents do, end to end: eligibility, coding, scrubbing, submission and posting. Your own billers work the exceptions the agents hand back, which arrive with the finding already attached. Nobody at AcuraClaim works your claims by hand.

No. AcuraClaim works the front of the revenue cycle (eligibility, coding, scrubbing and submission, posting, and Medicare), not patient statements, patient collection calls, denials, appeals, or A/R follow-up. We get clean claims out the door fast; patient-facing billing stays with you or your existing partner.

Through your dashboard for the live picture, and directly by phone or email for everything else. You set the cadence; most clients run a regular review on the numbers that matter and reach us in between.