AI Agent for Medical Billing
Deploy on-premise AI that processes medical billing claims with no PHI leaving your network.
Ingests EHR data, assigns CPT/ICD codes, applies payer-specific rules, and submits clean claims.
The Problem
Private Providers and Hospitals lose $50,000+ monthly to denied claims while 65% are never resubmitted. Human coders taking 10-15 minutes per claim. Our AI agent processes them in 15 seconds with 96-98% accuracy.
Revenue Loss Crisis
Operational Inefficiency
Billing Stagnancy
How It Works
Our AI agent ingests EHR data, assigns CPT/ICD codes, applies payer-specific rules, and submits clean claims. Built with YAML-based payer logic and 835 denial heuristics for hospital billing workflows.
Intelligent Claim Coding
AI assigns CPT/ICD codes with 98% accuracy. Applies payer-specific rules automatically to ensure clean claim submission.
Revenue Recovery Dashboard
Track every dollar recovered with real-time analytics. Monitor denial trends and appeal success rates across all payers and claim types.
Smart Documentation Gathering
AI pulls supporting documentation from your EHR instantly for stronger appeals and comprehensive claim validation.
835/837 EDI Processing
Processes denials (835 ERA) instantly. Identifies CARC/RARC codes and generates targeted appeals with industry-standard protocols.
15-Second Appeal Generation
From denial to resubmission in 15 seconds. Our AI understands why claims fail and generates targeted appeals automatically.
Your Data Never Leaves
Deploy entirely on‑premise with air‑gapped options available.No PHI leaves your network — your data stays inside your environment.
See Our Platform in Action
Watch how our AI-powered medical billing automation works end-to-end
This demonstration shows the complete workflow from document ingestion to claim resolution
Clinical Intelligence
Beats Billing Automation
While competitors automate form submission, we automate medical reasoning. Our AI understands why claims get denied and generates clinically justified appeals.
Claims Processed
+100% from 8/5/25
Appeal Success
Clinical AI reasoning
Processing Speed
Humans take 15 minutes
Revenue Recovered
Across all tests
Clinical Intelligence
Our fine tuned AI model analyzes clinical documentation to identify specific evidence each payer wants
Medical Reasoning
Understanding CARC/RARC codes with clinical context, not just form automation
Data Stays Local
Deploy on‑premise; no PHI leaves your network
Proven Results
Validated on 2,000+ test claims with measurable ROI
Book a Live Demo
See the product in 15 minutes. On‑premise. No PHI leaves your network. 96-98% accuracy on denial appeals.
Pick a time that is convenient. We will make something work.
Live walkthrough + Q&A
Speak with CEO/CTO
Not ready to schedule? Share your email and we'll reach out within 24 hours.
Average response time for pilot program inquiries
Meet Our Team
100% founder-built codebase, two technical founders. Advisors that bridge the gap between technical and business, helping with their decades of experience. All with the final goal of solving medical billing in mind.
Founders
Kyle van den Bergh
CEO & Co-Founder
Ex-Software Engineer dealing with infrastructure. Built the LLM agent, RAG system and MCP tool chain. Leads our infrastructure deployment.
Ian Rapko
CTO & Co-Founder
Ex-Johnson & Johnson healthcare tech. Built the medical coding engine and EDI processing pipeline. Leads our technical architecture.
Advisors
Kenan Rajjoub, MD
Hospital Infrastructure & Radiology
Radiologist with history of setting up hospital infrastructure.
Hospital Regulatory Advisor
Brennan Munson
GTM/Partnerships
Ex-Nasa, GTM and sales partnerships experience at RWAi.
Strategic Advisor