Every charge is billed to the right payer.
Bill the responsible party the first time. Abby determines who should be billed for every charge before a claim is built, then sends it to the right payer; where Medicare applies, that same answer decides Part A or Part B. Where the answer is genuinely unclear, she hands you the visit instead of guessing at it.
Five stages, in the order they run
The decision that every other stage depends on
Census runs first, and everything after it inherits the answer. Abby works down a ladder of sources and stops at the first one that genuinely settles the question.
Abbycensus and Medicare Part A or B- 01
Work the ladder, stop at what fits
Your standing arrangements, the insurance on file, the facility's own records, and the way your billers have called this before. Abby stops at the first one that settles it, and nothing on the ladder is a guess.
- 02
Set the payer, and the Medicare part with it
The facility or the insurance. A resident inside a covered stay bills to the facility; outside it, the scan bills to Medicare. Where Medicare applies, that same answer decides Part A or Part B, so the claim is built against the right rules from the start.
- 03
Hand over what deserves a person
Where the covered stay is not yet confirmed, Abby waits on the census feed rather than deciding early. When nothing on the ladder settles it, the visit comes to you with what she found, and the call is yours.
Settled, not guessed
Abby decides where one of your own sources settles the answer outright, and hands over everything else with the reason attached. That is what makes an autonomous census safe to rely on.
- Accurate before deciding
Abby works at the accuracy of an experienced biller, measured head to head on the same claims, and never guesses to get there. Anything Abby cannot stand behind goes to your team with the finding already attached.
- Your billers keep the judgment
What comes to your team arrives with the finding attached, so your biller decides instead of investigating. Most of the day never needs a second look, and what does is the work that needed a person.
- Everything on the record
Every decision an agent makes is written down, so you can see what happened and why. Nothing an agent does is a black box you have to take on trust.
- The first source that settles it decides; nothing is guessed
- An unconfirmed covered stay is waited on, never decided early
- What she cannot stand behind is handed over, not decided
- Every decision is written down, so you can see what happened and why
Right payer, first time, no rework
The responsible party is settled before the claim is built, so it bills right the first time. No rework, no resubmission, and your billers spend the day on the handful of visits that genuinely needed them.
- of claims go out untouched
- 94%
- of claims accepted the first time
- 98.6%
Every stage hands finished work to the next.
Each stage is run end to end by its own agent, and each hands finished work to the next.
EllieCoverage and benefit checks
CodyCoding and charge capture
SarahClaim checks and submission
PosiePayment postingWe get the claim right before it bills, and post the payment when it arrives. Denials, appeals, payer phone calls and outstanding balances stay with your team.
What buyers ask about Abby.
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Who is responsible for the charge: the facility or the insurance. Where Medicare applies, that same answer decides whether it bills to Part A or Part B. Everything downstream is built on it, which is why it runs first.
You get the visit. Where the covered stay is not yet confirmed, Abby waits on the census feed rather than deciding early, and where nothing settles it she hands it over with what she found. She will not guess at a payer to keep a queue short.
Your billers do, the same way they do today. The visit arrives with which sources she checked and what each one said already attached, so the decision is quick to make and easy to defend. Your team keeps the judgment; the queue is what goes away.
No. Abby settles the visits where the answer is already clear from your own records, which is most of them, and hands over the ones that are not. The same people make the same calls they always did — there is just far less to get through, and each one arrives with what she found already attached.
Every decision is written down: which source answered, what it said, and what she set the payer to. Nothing she does is a black box you have to take on trust, and you watch all of it on a live dashboard.
See the census run.
Thirty minutes with the team who built it. Watch Abby settle a payer end to end, and see exactly what she hands back when the answer is not clean.