1:58Clinical workflow
AI Chart Review from FHIR Data
See another AI-assisted workflow with visible run usage and review-ready outputs.
Watch the demo →Demo environment This recording uses synthetic claims and a simulated payer line in dry-run mode. It demonstrates current product behavior and does not represent a live customer deployment or guaranteed recovery outcome.
A controlled operating lane for claims that are expensive to chase manually.
Small-balance payer claims can cost more in staff time than they are worth recovering. The Claims Agent gives revenue-cycle teams a queue where they can import, filter, select, and batch claims into an automated follow-up workflow while retaining fleet-level control.
Each run preserves the interaction transcript and a structured outcome for billing review. Ambiguous results can return to a human instead of being treated as resolved automatically.
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Transcript
Health-Connect is the operating system for a hospital revenue-cycle and quality team. We're signing in as an administrator to see one of its newest modules: an AI phone-agent fleet that follows up on small unpaid claims payers would otherwise never call about.
This is fleet control for the Claims Agent: whether it is running or paused, whether it is in dry-run mode so no real calls go out, how many calls are active, which claims have returned to a human, and a feed of recent runs.
This is the worklist itself: the low-dollar claims sitting in the not-worth-chasing pile—the ones a busy billing team would normally write off because the recovery is not worth a person's time. You can also bulk-import more of them directly from a CSV.
We'll select a couple of these pending claims and hand them directly to the agent fleet with one click—no manual dialing and no billing representative spending an afternoon on hold with a payer IVR.
Once a claim is picked up, a triage pass decides whether it is worth calling and which channel to use. Then the voice agent dials the payer. In dry-run mode, that is a simulated payer line, so this is safe to demonstrate live.
Here is the completed run: the full call transcript—IVR menu navigation by DTMF tones, then the live conversation with a representative—and the structured outcome the agent extracted, including the check or EFT number. This is what posts back to the worklist.
Back on the worklist, the recovered-dollars stat card increases—money that was headed toward a write-off, collected without a human picking up the phone.
Administrators can halt the entire fleet immediately if something looks wrong. No calls go out while paused, and nothing in flight is lost.
Resuming is just as immediate. The fleet picks up where it left off.
