Ascension over Automation
We don't replace your billing team. We give them an Iron Man Suit. Welcome to the Human Empowerment Hub, where your facility dictates the intelligence of the AI.
The Status Quo: A Broken System
The US Healthcare System runs on an esoteric, 30-year-old data format. It was designed for mainframes, not humans. This complexity leads to massive denial rates, staff burnout, and lost revenue. Here is what your human billers are fighting against every day:
X12 EDI
The strict, unreadable file format used to transmit healthcare data. Rejects instantly if a single delimiter `~` is out of place.
ICD-10 & CPT
Diagnosis mapped to Treatment. Payers demand these match perfectly to establish "medical necessity".
837 (The Claim)
The X12 file sent to the Payer asking for money. Every single line item must represent flawless codification of the clinical note.
835 (The ERA)
The X12 file sent back from the Payer explaining what they paid, what they delayed, and the cryptic CARC codes for why they denied it.
The Executive Framework for Human-Led AI
We don't believe in "black-box" automation blindly firing off claims. We believe that the human provides the supervision, the strategy, and the final say. You remain entirely in control. Here is how your team trains to master the engine.
Eradicating Data Entry
New staff no longer waste hours typing demographic data or hunting for standard codes. They start in the Hub Academy using the DualPane Reviewer.
The Key Takeaway for Executives
The AI takes the first pass, but when the engine is unsure (sub-95% confidence), it pauses and asks the human to make the final call. Every human correction trains your facility's customized model, preventing the same mistake twice.
Encounter Transcript snippet
Proposed Codes
Active Telemetry
AI Execution Trust Score
First-Pass Accuracy Rate
Live Progression System
Trust but Verify
After proving consistency and earning enough XP in the Academy, users ascend to Pilots. They no longer review individual, mundane claims.
The Key Takeaway for Executives
Pilots oversee the AI at a macro-level. They manage by exception. They monitor the live Telemetry Dashboard, stepping in only to handle high-complexity edge cases, zero-day denials, and participate in Bounty Network overflow.
Codifying Institutional Logic
The ultimate ascension. Protocol Engineers do not review claims; they build the logic governing how the AI engine executes them.
The Key Takeaway for Executives
Every facility has unique payer quirks. Instead of submitting IT tickets, your senior staff use this no-code builder to instantly update the AI's behavior. If a payer changes a rule, your Protocol Engineers deploy a fix in 30 seconds that protects the entire facility from future denials.
New Protocol Logic Gate
Define trigger conditions for the autonomous staging agent.
Activate The Bounty Network
Turn your best billers into a scalable, gig-economy workforce. Route high-priority denial batches into an internal marketplace where your certified Pilots and Protocol Engineers can claim them for bonus compensation.
Enter the Hub Demo