Autonomous RCM
Code, scrub, and appeal claims at machine speed.
Denial rates eat margin while billers drown in queues. Manual coding can't keep up with volume or payer rules.
↓ 45%
Denials
94%
Clean claim
Minutes
Appeal draft
What you get
Note → code assist
Maps documentation to suggested ICD/CPT with confidence and rationale.
- Human always approves
- Fully audited prompts & outputs
- Works inside existing MedicoreERP workflows
Pre-submit scrub
Payer-specific edits catch problems before they become denials.
- Human always approves
- Fully audited prompts & outputs
- Works inside existing MedicoreERP workflows
Denial prediction
Risk scores on claims so billers focus where it matters.
- Human always approves
- Fully audited prompts & outputs
- Works inside existing MedicoreERP workflows
Appeal drafts
Evidence packs assembled from the chart for one-click human send.
- Human always approves
- Fully audited prompts & outputs
- Works inside existing MedicoreERP workflows
Four steps from signal to signed action
- 1
AI suggests codes from the signed clinical note
- 2
Claims are scrubbed against payer rules before submission
- 3
Denials are predicted early; appeals are drafted with evidence
- 4
A human approves every submission — AI proposed vs human decided is always visible
Safety & guardrails
A human approves every submission and appeal. No silent auto-bill. Full attribution on every decision.
- De-identified model calls
- Tenant / VPC deployment options
- Prompt & acceptance audit trail
- Role-based access on every surface
MedicoreERP
See Autonomous RCM on your workflows
Book a 30-minute demo tailored to your edition and specialty.