AI Powered Denial Trending

Substrate's AI-powered denials and claims management system proactively tells you when you're getting unexpected denials, and why.
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Healthcare practices use Substrate to automate:

Our agents tirelessly work to ensure timely and accurate payments, so you can focus on providing exceptional patient care
Substrate automatically checks claims in the payor portal and via 277/real time claim status, so your team doesn't have to. See what a human would see, in real time.
Intelligent denial analysis and appeals
Substrate rebuilds your AR from the payor perspective, showing you CARC, RARC & Closure codes, & suggesting actions to fix each denial.

Substrate is compatible with over 2 dozen EMR/PM systems

FAQ

What is Substrate?
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Substrate is an AI company helping healthcare providers get paid what they've earned. We use AI and AI agents to handle tasks that a biller would otherwise do.
How do Substrate's agents operate?
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Substrate's AI Agents securely log into your EMR, practice management system, and your payor portals to retrieve claims data on your behalf. Substrate works with several leading EMRs including AdvancedMD, Practicefusion and more
What is a no response claim?
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A "no response claim" refers to a situation where an insurance company or claims administrator fails to respond to a submitted claim within the required timeframe. No response claims can also happen when a payor has an update on a claim in the payor portal, or that they send via paper, but does not result in an EOB or ERA being sent electronically. No response claims are frustrating because they add delays to a provider getting paid or a biller working that denial.
Is Substrate suitable for any provider?
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Yes - Substrate can work with both outpatient and inpatient practices, including Spravato practices, urgent care, virtual and behavioral health, oncology, urology, dermatology and more. Substrate also works with outsourced billing/RCM vendors.
How does Substrate's claims monitoring work?
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Substrate's claims monitoring solution is very straightforward:1. First, a practice will define which claims they want monitored. This can be set up as a report that runs daily or weekly, or provided on an ad hoc basis.2. Next, Substrate maps each claim to the appropriate portal, logs in to the portal and looks for the claim3. Third, Substrate pulls the latest status of each claim from the payor portal, and surfaces it in the Substrate dashboard.4. Lastly, a practice can choose where to push the data; to the dashboard, to the practice management system, or even to a spreadsheet.
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