95%
First-pass clean-claim rate.
AI Admin Agents for Providers and Plans
RCM automated by AI, backed by the best human billers Intake, Benefits, Prior Auth, Billing and more
The cost gap
40–60%
lower cost than traditional billing companies and BPOs — with front-end intake, eligibility, and prior auth included. GenHealth customers get more coverage across the RCM continuum with better outcomes, all for the same price.
Why we're different
AI automation,
expert human oversight.
Our AI handles intake, order entry, eligibility, medical necessity, prior auth, claims, payment posting, and A/R follow-up. Our revenue cycle specialists review and correct anything the AI gets wrong — full transparency, no offshore.
- AI does 80%+ of the volume
- Humans handle exceptions, denials, and appeals
- Every decision auditable end-to-end
Full coverage
Across providers, DME, and recurring revenue workflows.
From provider claims and payment posting to respiratory, mobility, home medical, diabetic supplies, wound care, and ostomy, we cover every workflow, every payer, and every modifier. One billing platform, one accountable team.
See supported billing codesGet paid faster
Cut days in A/R nearly in half.
Clean claims go out faster. Denials get worked the same day. Renewals trigger automatically. The result: a 40% drop in days-in-receivable on the average book of business in our first 90 days.
Service coverage
Full billing support
for providers and DME categories.
Provider practices
Patient intake, benefits verification, coding support, claim submission, payment posting, denials, and A/R follow-up.
Claims · ERAs · EOBs
Specialty clinics
High-volume prior auth, chart gathering, medical necessity support, and billing operations for complex specialty workflows.
Auths · Appeals · Docs
DME respiratory
CPAP/BiPAP, masks, hoses, filters, humidifiers, oxygen concentrators, nebulizers.
E0601 · E1390 · A4604
DME mobility
Wheelchairs, scooters, walkers, canes, batteries, cushions, ramps, lift systems.
K0001 · E0143 · E1161
Home medical
Hospital beds, mattresses, patient lifts, commodes, bathroom safety equipment.
E0260 · E0265 · E0277
Supplies & recurring orders
Diabetic supplies, wound and compression, ostomy, urological, and enteral billing workflows.
A4253 · A4361 · B4034
40%
Reduction in days in A/R.
25%
Reduction in days outstanding.
60%
Lower cost vs. traditional billing.