Substrate AI is now offering its Claim Status Agent as a general release, a platform primarily verticalized on AI that would help to significantly shorten claim status verification, one of the most labor-intensive parts of the healthcare revenue cycle management. The system integrates various data streams such as EDI 276/277 transactions, payer portals, and direct APIs to produce one comprehensive output for more than 3,500 healthcare payers. By mechanizing operations that generally involve manual login or long waiting times, the product greatly decreases the workload and speeds up the payment process. Those who have already tried it are saving as much as 75% of their costs and working four times more efficiently.
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“Every fee-for-service healthcare provider relies on someone to status their claims,” said Ayo Omojola, Founder and CEO of Substrate AI. “The 276/277 EDI transaction was designed decades ago, and most payers don’t even support it. The Substrate Claim Status Agent does what a great biller would do; tries multiple approaches, learns what works, and gets the richest data possible – except it does it 24/7 across millions of claims.” With adaptive learning, expanded payer coverage, and no-code integration, the solution modernizes claims processing and improves financial efficiency for providers.
