Your claims, denials, and prior auths — finally working themselves.
We connect your EHR, clearinghouse, payer portals, fax inbox, and patient communication stack — then install AI agents that submit same-day prior auths, work denials, chase unpaid claims, and surface revenue leaks before they become write-offs.
Your AI team worked through the night. You just review the report.
Prior auths submitted. Denials appealed. Claims chased. Patient balances followed up. All before you had your coffee.
3 prior auths submitted to United Healthcare
Same-day · visits protected
2 denials appealed with clinical documentation
Appeals filed · awaiting payer
11 stuck claims followed up with payer portals
Status updated · 9 moving
8 patient balance reminders sent
Compliant outreach complete
14 incoming faxes classified and routed
Referrals matched · zero inbox backlog
1 denial needs your clinical notes to proceed
1 payer has a question on a prior auth
2 items need you today. Everything else is handled. Your agents are already working on tomorrow.
You're the physician. We're the back-office.
Your revenue is stuck in systems no one has time to check.
Revenue data is scattered
Claims in EHR. ERAs in clearinghouse. Denials in payer portals. Faxes in RingCentral. Prior auths in CoverMyMeds, Availity, and UHC portals. No one has one operational truth.
Staff loses hours to low-leverage follow-up
Billers click through claim statuses, call payers, check portals, fix rejections, and chase unpaid balances manually. The work never ends because the queues never clear.
The HIPAA wall stops generic AI
ChatGPT demos are easy. Real PHI workflows need BAAs, audit logs, access control, and defensible actions. That is the wall between AI demos and AI that actually runs your billing.
RCM agents, not RPA bots.
Bots click the same buttons until they break. MedArise agents read the claim, reason through payer rules, check the EHR, verify the denial, act when safe, and escalate when judgment is needed.
Same-Day Prior Auth Agent
Authorization submitted the day the appointment is booked.
Finds ordered procedures, gathers clinical documentation from the EHR, submits authorization to the correct payer portal, tracks status daily, and escalates missing items before they delay care.
Denial Recovery Agent
Denials get worked, not written off.
Reads ERA/EOB denial codes, checks payer rules and chart context, identifies the root cause, recommends the fix, and queues corrected claims for resubmission.
AR Follow-Up Agent
No claim sits untouched past 30 days.
Checks payer portals and clearinghouses for stuck claims, identifies the next required action, and creates a prioritized daily worklist ranked by dollar value.
Fax-to-Task Agent
Faxes sorted, matched, and routed in minutes.
Reads incoming faxes, classifies referrals, labs, auth requests, and medical records, matches to the correct patient, and routes each document to the right workflow queue.
Patient Balance Recovery Agent
Outstanding balances collected, not forgotten.
Identifies collectible patient balances, drafts compliant outreach messages, schedules follow-ups, and tracks payment responses across every open account.
Your practice gets smarter every week.
Every claim outcome, denial fix, prior auth approval, payer rule, biller correction, and patient response becomes part of your practice's billing memory. The system does not just automate work — it learns how your practice gets paid.
We are not just installing software. We are installing an AI billing team that learns your workflows, works your exceptions, and gets better every week.
Every practice wants AI. Almost none can safely connect it to PHI.
That is the wall MedArise sits behind. We built the compliance infrastructure so your practice can use AI without risk.
BAA signed before any PHI access
Every agent action tied to agent ID + timestamp
No autonomous submission until human-approved
PHI never used for model training
Screenshot/artifact evidence for every step
Audit trail for every payer portal action
Every payer portal action, EHR state, claim status, denial reason, and human approval is logged as evidence.
$0,000+
in annual revenue protected and recovered
Not from magic. From working every claim, every denial, every prior auth, and every patient balance before it slips through the cracks.
Denial recovery
Claims recovered from denial backlog
Faster prior auth
High-value visits protected from cancellation
Same-day submission
Claim lag reduced, cash flow accelerated
AR follow-up
Aging AR surfaced and worked
Patient balance outreach
Outstanding balances collected
Fax/referral automation
Staff hours redirected to patient care
Avoided billing hire
$50K–$70K saved annually
What practice staff say after running MedArise.
“Fax sorting used to interrupt our day constantly. Because faxes arrived unpredictably, my colleague and I had to stop what we were doing to review, sort, and file them into the correct patient charts. Since we started working with MedArise, the amount of fax sorting we handle ourselves has dropped significantly. Their team fit into our existing workflow very naturally, and the transition was smooth. It has saved us a great deal of time, reduced the operational burden on our team, and allowed us to focus more on patient care and other priorities.”
“MedArise reduced the time our office spends on fax sorting from nearly 6 hours a day to about 30 minutes. At this point, we mainly only review a small number of exceptions. What stood out right away was how accurate the patient matching is. The system is very reliable in identifying the correct patient, which gave our team confidence in the workflow. Just as importantly, the categorization fits the way our office already works, so we did not have to change our routines or retrain our staff.”
“What I appreciate most about MedArise is that it has made prior authorization much more manageable for our team. We used to gather information from the EHR, submit through payer portals, and track everything manually. With MedArise, much of that workflow is now automated, and we have a centralized platform to clearly see the status of each authorization. Having submission artifacts, approval or denial updates, and denial reasons all in one place has made the process much easier to manage.”
“MedArise has helped us save about 2 hours a day on repetitive coding and data entry work alone. Just as importantly, it gives us much better visibility into claim status, so we can quickly identify denied claims and prioritize the high-value ones that need follow-up. We found that about 90% of claims were already being handled appropriately, which means I can focus my time on the 10% that really need attention.”
RCM Foundation live in 7 days.
We connect your EHR, clearinghouse, payer portals, and fax inbox. Your first daily revenue brief goes live in week one.
No sales deck. No 40-minute demo. Just a quick conversation about your workflow.