Solution · Revenue Cycle Management
Medical billing automation that makes sure earned revenue arrives.
Simz automates the revenue cycle end to end, verifying eligibility up front, tracking every claim to payment, triaging denials into appeals, prioritizing AR worklists, and running patient balance sequences, with your billing team approving the work.
Book your free workflow audit
Fields marked with an asterisk are required. Everything you share is used only to prepare for your call.
The cost of this bottleneck
Days in AR is just the sum of every follow-up nobody had time for
Claims sit unstatused between touches, denials pile into worklists, and patient balances get one statement and then silence. None of it is hard work, it's just endless work, and endless is exactly what staff don't have time for:
…while the cash you already earned waits in someone else's system.
Between submission and payment, claims sit, with status checked only when someone remembers.
Portals, hold music, and spreadsheets are the definition of work that shouldn't need a human.
One statement goes out, then silence, and the balance quietly becomes bad debt.
Worklists grow faster than a team can research, draft, and file appeals.
Days in AR, clean-claim rate, and collections by payer live in month-end reports, not in front of you.
BEFORE / AFTER
How it works today vs. with Simz
Verified at check-in, if there's time
Portal checks when someone gets to it
Worked oldest-first from a growing queue
Spreadsheets and memory
A statement, then hope
HOW IT WORKS
The automation, step by step
Clean claims start at the front door
The eligibility and prior-auth engines verify coverage and authorization before service, preventing the denials and rejections that clog the back end.
Claim status on autopilot
Every submitted claim tracked through your clearinghouse on a set cadence, with stalled, rejected, and pended claims surfaced to worklists the day they stall.
Denials triaged and drafted
Denials captured with payer reasons, ranked by value and winnability, and turned into draft appeal packets for your billers to review and file.
AR worked by priority, not by age alone
Follow-up worklists ranked by dollar value, payer behavior, and deadline risk, so effort goes where recovery is.
Patient balances, followed through
Statements and reminders sequenced across text and email with payment links and payment-plan follow-up, ensuring every balance gets a complete, respectful sequence.
Front-end accuracy engine
Eligibility and auth automation feeding clean claims, because the cheapest denial is a prevented one.
Claim status automation
Claim status automation
Denial management
Capture, triage, draft, and deadline-track, providing the full workflow, biller-reviewed.
Prioritized AR worklists
Value- and risk-ranked follow-up, where recovery per biller-hour goes up.
Patient balance sequences
Multi-channel reminders, payment links, and plan follow-up that remain compliant and complete.
RCM analytics
Days in AR, clean-claim rate, denial trends, and collections by payer delivered live, not month-end.
We power your billers, not replace them: Automation does the status checks, triage, drafting, and outreach; your revenue cycle team, in-house or outsourced, keeps the judgment calls and the submissions. Recovery per biller-hour goes up; headcount pressure goes down.
The cycle, connected
RCM is where the other bottlenecks cash out
Clean revenue starts upstream, and these solutions feed the cycle directly:
Why we're confident
This engine is already running in production
The platform behind this solution is live today with a multi-site radiology group in Southern California, featuring a phased engagement covering AI intake, real-time eligibility, authorization tracking, a 24/7 phone agent, and analytics, all under one MSA, one BAA, and one HIPAA framework.
Powered by Simz Conversational, Simz Shift, and Simz Chron, with custom development for everything else.
- BAA executed before any PHI moves
- HIPAA-eligible infrastructure end to end
- Human review on every uncertain AI decision
- Role-based access with full audit logging
- Works with your billing system and clearinghouse, not against them
FAQ
Revenue Cycle Management, answered
Kill this bottleneck first.
Thirty minutes with your operations lead. We map how revenue cycle management works in your practice today, quantify what it's costing you, and hand you an automation roadmap. Whether or not you build it with us.